To not know where to turn for help with this?

You need to go and get your ankle checked, be firm and if you feel you need to, go to a different hospital, but you shouldn’t be worried about upsetting healthcare staff by saying you’re in pain and need it checked. They are falibale.

On the knee, when a deep graze heals it can produce a whitish sometimes substance that is part of the healing. Cleaning that away will delay the healing. It should not smell.

You won’t have a disciplinary for going off sick unless you are already on sickness monitoring.

Go back to a&e, tell them the pain is worse, probably because it’s not in a boot and you are walking so far on an injured ankle.
If you don’t look after yourself now no one else will.

Increasing pain that is disturbing your sleep needs addressing and you need to be putting yourself first OP. It is not your problem that the team you work in is short staffed. They will have to get agency cover if it’s that bad.

Kindly, you seem to be in a doom spiral. You need to get more medical attention even if it makes you feel like a nuisance or embarrassed. Our health service is in a terrible state and it is sadly very common to get poor treatment these days.

As others have said, you need to speak to a nurse about the knee and the ankle (and explain how many painkillers you are taking). Then ring the fracture clinic and ask for advice.

OP, you're being incredibly negative and not helping yourself. Why on earth aren't you taking on some of the kind and expert advice you're getting here? Why bother posting if you're going to tell scores of sensible people they're wrong?

Sounds like you're having a shit time but being a complete passenger and a martyr is making it 100 times worse.

Oh dear, oh dear. You are going to give yourself an ulcer after taking ibuprofen for so long.
Why do you care so much about your team when they care so little about you? Your manager should have referred you to occupational health, and together they should support you to WFH.

I'd phone the fracture clinic as suggested.

Otherwise, as you are not sleeping anyway and work in a hospital, I'd go to A&E at 5am tomorrow.

Knees are tricky for healing because you can't not bend it and so it keeps reopening. Is it just leaking fluid or something thicker? A pharmacist would recognise signs of infection.

If you are unsure draw a line around it to make sure the redness isn't expanding.

Be clearer in your wording about why you are seeking help. It is getting more swollen and painful and you have internal knee pain which is also getting worse. Weight bearing is getting more difficult (assuming this is the case).

I think your general state of upset about the fall and the cut is a distraction. Try and be calm and clear.

It will take time to heal but if it is genuinely getting worse day on day it should be reviewed.

I remember your post on the day you did it. You had some great advice from an A&E nurse on here as to why a boot and fracture clinic appointment weren’t the usual way forward for a avulsion fracture.
Did you hear back from PALS?
Contact PALS again and they may be able to help you get some support for the associated injury on you knee.

@ihowlforyou if your work is entirely desk based can you WFH to limit your walking on it, at least for now? Speak to occupational health. But as you're making yourself worse I suspect their advice will be that you shouldn't be working.

One more piece of advice... Take someone with you if you can, ideally a man. Medical professionals behave much better when there's a man with you, sadly. You would definitely benefit from having someone to advocate for you.

You have to rest it, elevate it and go to A&E if it gets worse or if you are in too much pain. Its ridiculous that you think you cant go!

You seem terrified of a disciplinary. Why? A disciplinary would find you had just cause (despite idiots on the last thread telling you to soldier on) and it would be okay.

Basically it’s disciplinary or carrying on as you are, according to you.

But kindly, it’s verging on put up or shut up.

Put you brave face on and go to A&E. I want to come back later and read that you have had a proper reassessment, a treatment plan and medical advice about work.

Walking on it and being weight baring does not mean it can cope with doing 5000 steps a day. You need to change your routine to allow it to heal. Even with reduced load it will take time to heal and Strengthening. RICE- Religiously.
from experience.
there are also some good aircast braces you can buy but these are prob more expensive than physio. Google some basic exercises but it has to rest and heal first . Good luck

A qualified medical professional takes time out of their own busy life to generously offer you free, helpful, measured advice, and that’s your response? I really have no idea what the point of creating this thread was.

OP, with kindness, you are in a very negative spiral at the moment. Call yourself a taxi or a friend and get back to A & E. You need further assessment. So what if they think you are a nuisance, this is their job, and they need to do it. You will not see this person again! If you prefer go to a neighbouring A & E which is not linked to your job.

I know it is incredibly difficult to move when you are in this frozen negative and emotional space but you absolutely have to. If not your holiday will be ruined!

Your being a martyr!
U moaning and moaning people are advising you and u won't take the advise
You can call in sick it's not a sackable offence and u won't have a disciplinary unless there is history !
Stop being scared of a nurse in A&E that's all he is a nurse he there to do a job put your big girl pants on and get someone to sort you out your a grown arse woman !!
Life is short and I would hate living the way you are your basically stepping on eggshells around everyone but then moaning it's being a martyr.

So what if you face a disciplinary (which there is no grounds for anyway!)? It is the lesser of two evils. If you do not get your injury treated properly, you could face life long disability.
I realise you're anxious but you're an adult, you can do this. The nurse you saw before was an arse, don't let him put you off seeking follow up care. Rest, speak to occupational health.

I remember your last post @ihowlforyou and I'm sorry you had so much grief.
I'm ex NHS and understand how hard faced some managers can be over sick leave!
Just before covid I turned my ankle, I was in the bank lying on the floor swearing like a trooper lol. An ambulance was called, but the paramedic said it was a basic sprain, told me to get a tubigrip and follow RICE. I couldn't weight bear at all for 6 weeks, then another few weeks of getting about walking on my toe.
Physio suspected a torn ligament and advised me to get referred for an x ray. Then we were in the midst of covid and as it wasn't urgent I couldn't get an appointment.
I've had mild pain all these years, then out of the blue, a couple of weeks ago, I couldn't weight bear.
I've seen the physio and he said it probably should have been treated properly on the day I did it.
On another occasion injured my hand, it swelled up and went black. A&E said it was soft tissue injury. Long story short, after nearly three years of very painful steroid injections, being pulled about, different braces, I got referred to a hand specialist who diagnosed a torn tendon, and that it should have been treated properly at the time.
I had it plated, but managed to fall and break the plate, haven't got enough bone to plate it again.
I now don't have full function in that hand.
Please go back to a&e, with someone to advocate for you if possible 💐

It's pretty well known among the hypermobile who sprain their ankles on a regular basis, 👋🏻 , that resolving a sprain is more difficult and takes longer than straightforward bone break.

You have pulled a little bit of bone off at the end of a ligament, an avulsion fracture.

You sound as if you are doing too much walking for a bad sprain with an avulsion fracture.

Are you taking codeine or co-codamol?

It all sounds very painful and distressing and it comes on top of an obviously very fraught work situation. It is horrible to be talked to like a child and made to feel that you are in the wrong for seeking help but it does sound as if you have got so much going on that you are not thinking straight.
Please try to put aside the fear of being made to feel small and concentrate on having a real physical problem dealt with.
Go to A&E, now, say you are returning because you have followed their advice and the injuries have not improved. You are needing more painkillers and for longer than sounds normal. Your knee is producing puss. You need to advocate for you, calmly and factually. If you do this this morning you can let your manager know you will be late in but hopefully once you have been seen you will either be signed off or be able to go in for the rest of the day.

@CherryogDog I got referred to a hand specialist who diagnosed a torn tendon, and that it should have been treated properly at the time.
I had it plated, but managed to fall and break the plate, haven't got enough bone to plate it again.

This is very confusing, you can't plate a tendon.

Do stop being a martyr for your employers. Their failure to employ enough staff is not your problem and no-one has a duty to harm their health for the sake of their job. In any event, you won't be helping them by exacerbating your injuries for lack of treatment.

I had a fracture to my ankle last year, and I wasn't allowed to weight bear for two weeks and had to use crutches. Mine was a Avulsion fracture, where ligaments came away from my ankle and shaved bone off. It's treated as a severe sprain, but I still wasn't allowed to weight bear for 2 weeks. I was also referred straight away to the fracture clinic.

It doesn't sound to me, as if you've been given correct information, on how to manage the fracture. Going by the information I was told, you shouldn't be bearing weight on the foot at all and should be using crutches. I also had ligament damage, awful bruising on both feet, as well as bruising on other parts of my body where I fell.

If you are still in a lot of pain and you feel it's getting worse, rather than better, then you need to go back to A&E. I can't understand why you weren't given crutches and told to not weight bear. It's no wonder your ankle isn't getting better. Have you tried calling 111 and speaking to someone? They might actually refer you to the minor injuries unit or to the hospital.

I have some experience of this. In November last year, I sprained my left ankle and the only thing that helped was the icing and keeping it raised. It got better with rest, so if it's that, I think it's just time. I was in a lot of pain and was taking paracetamol but it wasn't that helpful for the first few weeks. In January I slipped over and hurt my other ankle and thought it would be the same situation. I eventually went to the Dr (I live in Spain so it is private) and I had x rays and got confirmation it wasn't broken and they strapped it up and prescribed me anti inflammatories. It was extremely bruised, painful and swollen. I was scheduled to see a physio 10 days later and he took one look at it and said I think it's broken. He took some x rays at different angles and did an ultrasound and my fibula was snapped. I was then sent for corrective surgery immediately and had a plate and screws fitted. I'm OK now (sort of) but the pain was one of the worst of my life. I was taking tramadol, paracetamol and anti inflammatories. So I would pay to see a physio and get them to take a look, that's who spotted mine.

I’m not really sure why you are being such a martyr. If you can’t walk on it you can’t go to work. If they really disaplim you for being legitimately off sick document it and speak to ACAS. But I don’t believe they would - I think you need to look at some therapy.

You’ve done everything to avoid getting care and believe you shouldn’t have gone to A and E with a fractured ankle. This isn’t normal either.

You have an injury that is problematic and the advice you were given doesn’t sound right sub all. Just go back to A and E. They exist to actually help patients. Sometimes anyway.

I was given totally wrong advice by an “advanced emergency practitioner” a nurse. She told me the injury to my hand wasn’t broken and I could start using it in a few days.

No. I’d severed 2 of the tendons and needed surgery. Thankfully I went back to the A and E at a different hospital. I was having surgery 3 days later it was so urgent. Thank god I didn’t listen to her.

Go back.