- Female
- 14 Years
- 23/01/2025
I'm really worried because I hit my ankle pretty hard on something metal, and now it really hurts when I walk or put any pressure on it. The pain is mostly right under the ankle bone. Should I be concerned about this type of injury, and what should I do to help it heal?
Answered by 1 Apollo Doctors
ASO (Antistreptolysin O) Titer Positive
What is ASO?
- Antibody test: Measures antibodies against streptolysin O, a toxin produced by Group A Streptococcus (GAS) bacteria.
Why is ASO positive?
- Recent strep infection: Your body responded to a recent GAS infection, producing antibodies.
- Post-streptococcal complications: Positive ASO can indicate conditions like Rheumatic Fever (RF) or Post-Streptococcal Glomerulonephritis (PSGN).
How does it happen?
- Strep infection: GAS bacteria infect the throat or skin, triggering an immune response.
- Antibody production: Your body produces ASO antibodies to fight the infection.
Effects on the body
- Joint pain and inflammation: As you've experienced, joint pain can be a symptom.
- Rheumatic Fever (RF): A potential complication, RF can lead to heart valve damage, arthritis, and skin nodules.
- Kidney damage: PSGN can cause kidney inflammation and damage.
Seriousness
- Monitor and manage: While ASO positivity indicates a recent strep infection, it's essential to monitor for potential complications.
- Consult your doctor: Discuss your test results and symptoms with your doctor to determine the best course of action.
Dr. Dr Khaleel Suggests...
Consult a Orthopaedician
Answered 04/07/2025
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It's been four months since my fracture and I'm still using a walker. The x-ray shows a separate bone fragment will this heal on its own or will I need surgery to fix it?
Whether a separate bone fragment will heal on its own or require surgery depends on several factors, including the size of the fragment, its location, and whether it's causing any pain, functional limitations, or damage to nearby tissues. If it's been four months since the fracture and the fragment hasn't healed, it's possible that it's a non-union fracture, meaning the bone pieces haven't joined together. In these cases, surgery might be necessary to try to promote healing or remove the fragment.
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.