Physiotherapy · Referral letter · Task 3

Persistent symptoms after ankle sprain

You are a physiotherapist. The case notes below record your work on 18 September 2026. Write to Dr Eleanor Scott, Sports Medicine Physician, Sports Medicine Clinic, 34 Church Road, Brookfield. Request sports medicine assessment, explaining what remains uncertain. Select the information this recipient needs and write approximately 180-200 words in the body.

Patient: Marcus Dale

Case notes

• N01Date: 18 September 2026. Patient: Marcus Dale.
• N02Inversion injury left ankle 8 weeks ago; initial emergency radiograph reported no fracture.
• N03Early response: improved with reduced loading/progressive exercises; adherent to programme.
• N04Past 3 weeks: plateau; swelling after modest walking; intermittent anterior catching.
• N05Today: discomfort with shallow squat.
• N06Function: short walking distances only; no return to running/football.
• N07No new injury, calf pain or systemic illness reported.
• N08Goal: recreational tournament next month; seeking clearance.
• N09Discussion: unresolved symptoms require reassessment; not cleared for sport; patient accepts assessment rather than tournament date determines return.
• N10Plan: Dr Eleanor Scott, Sports Medicine Physician; assess swelling/catching, need for investigation, interim rehabilitation limits; written plan requested.
• N11Enclosures: original radiograph report/serial functional measures.
• N12Background: midfielder; enjoys watching sport.