Orthopedics :: Medial Ankle Pain 6 Weeks After Ankle Sprain
Sep 29, 2014
I'm a 42 year old female. Six weeks ago I was climbing ropes at the gym and dropped down from 4-6 feet onto a piece of excess rope resting on the ground. My ankle rolled and pain and swelling occurred immediately. Being a stubborn woman, I walked it off until the swelling started spilling over my shoe.
Got an X-ray from the orthopedic who said nothing was broken.
I was on crutches for 2 weeks and still in an air cast boot when I'm on uneven ground or working out. My workouts are modified (rowing, 12" box steps, shoulder work, cleans)and ankle swells 4x the size afterwards.
My current problem/question is this: Saturday I walked without the book (tennis shoes) on a flat surface and was very careful not to twist/turn or injure the ankle. Of course, it swelled 4x the size, as it always does each afternoon.
However, pain woke me up in the middle of the night/early the next morning. I couldn't put any weight on the foot and experienced severe pain over my medial ankle bone. It was extremely tender to the touch and any movement caused sharp pain.
One day later, it's sore but the severe pain is gone.
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I sprained my ankle 6 months ago REALLY bad. I jumped so high (+35") to block a dunk and there was a lot of contact in the air, than on the way down I rolled my ENTIRE ankle when I landed. I swore to god that it felt like it was broken, I mean I sprained my many times before but this one was by far the worst.
The ambulance came in because I couldn't move my ankle or put any weight on it what so ever and the pain was 10/10 non stop for almost 1 hour. They gave me 2 ibuprofen pills that reduced the pain a little bit to 8/10. They put me in some supported thing in my ankle as well. Then I went to the x-ray room and the Dr said that he didn't see a fracture. So, he said it's a regular ankle sprain and he gave me crutches and supported boot. I'm pretty sure it's grade 3 sprain but the Dr said it's regular sprain. After few months I went back and they found a fracture and they said I should see an orthopedic but unfortunately I can't afford it and I don't have a car.
In the first month and half I'v been in a crutches for 2 weeks and supported boot for another the entire first month. At the same time I was using RIICE regularly (Rest, Ice, Ibuprofen, Compression, Elevate). Than, I started to put weight on it with little pain. After that, I started the PT for almost a month that helped me a little bit to walk and do some light physical activities with no pain. Finally, I started to play basketball slowly and doing the PT exercises everyday as well. After few weeks, I started to play full court 5on5 basketball with no to little pain as long as I wear my ankle brace.
The problem is my ankle still swollen to this day after almost 187 days of the injury. My lateral movements have decreased tremendously, I can't get by any defender what so ever. My 1 leg running vertical jump decreased by at least 8". I feel like my ankle is only 60-70% to what it used to be. So, I went to PT again for another month with no improvement at all. What should I do? Is it over for my professional basketball career? I'v been selected to be in my national basketball team "the youngest ever did that" I'm willing to do what ever it takes to get back to what I used to be.
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I have had chronic foot and ankle problems for years now. I've had multiple sprains and fractures and once had arthroscopic surgery (2010) to help alleviate some of my chronic pain (all on my left foot, by the way). I also have extremely tight Achilles tendons so I also have problems with my right ankle every once in awhile.
The other night, I was walking down the street when out of nowhere my right ankle just gave out and rolled right out from under me. I ended up falling with all my weight on it and I heard the all too familiar snapping sound and felt the immediate pain and swelling. I was on my way to a concert I was performing in so I had to get up and walk away. It hurt a lot, but I ended up spending the rest of the night on my feet. By the end of the night it was extremely bruised and swollen, but it was a lot better the next morning. Today, however, I was walking and heard a popping sound and a short, sharp pain. What does this mean? The last time this happened, I ended up having to get surgery. Is this going to require surgery?
I have been taking care of it myself and I am posting here because I am away at college right now. We have health services but they don't really do anything helpful, so I'm trying to stay away from them.
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Anyone out there having anterior or medial impingement issues following a total ankle replacement?
I'm a 50 year old female, 5 months out from a Salto TAR, with past scar tissue issues now finding increasing pain in the front and middle of the ankle. The surgeon has MRI'd CT'd and xrayed, found that all looks good and says he does not know what is going on.
A year and a half ago I had distraction with osteotomy, which failed and left me with a massive scar ball in the front of the ankle, which was removed before the TAR.
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I had ankle surgery to repair my medial malleolus back on May 8. It was fairly routine--just 2 screws. I was in a cast for a week, then was put into a boot but told to treat it like a cast--NO weight bearing for 7 weeks, keep the boot on 24/7 unless in the bathtub. I followed directions religiously.
I did notice that when I pressed on certain areas of the foot, I would feel a sharp pain. This occurred in the heel (from the bottom), toes (again, from the bottom, primarily the foot pad below the pinky, second, and 4th toes). When I asked the doctor about this, he said (around week 5) that it was just because I hadn't been using the foot.
The problem persisted, and this week, week 7, I was cleared to start partial weight-bearing--walking in the boot while taking approximately 1/2 the weight off my foot via the crutches. I don't have ankle pain to speak of (or at least, not often and only if I overdo it), but I have terrible shooting pains in my heel and toes as I step. It's OK if I take most of the weight on the crutches, but as soon as I go to more than just a little weight on the boot, the pain starts.
This week I also started PT and the therapist told me this is nerve pain--not uncommon after surgery (don't know why the doctor couldn't have told me this, but OK). I couldn't get much of an idea from her how long this will persist or if there is anything I can do about it.
I'm doing my ankle and leg exercises (those are mostly non-weightbearing at this point) and they are going great. The ankle is clearly healing well. But I don't see how I can progress to full weight bearing (supposed to try that next week!) when much more than a little pressure on the foot results in this nerve pain!
Help! Does anyone have experience with this? Is there anything I can do to speed things along? I need to return to my second job (barefoot hoof trimming for horses--how I broke the ankle!) ASAP and I'm fearful this will slow my progress to a crawl! The doctor is useless.
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Dec 2012 I broke my fibula in 1 place, my tibia in 2 and shattered my ankle.
I have had 2 surgeries and currently have one 10 inch plate, one 12 inch plate and 19 screws in my leg.
I realize I am only 9 months into recovery. My surgeon and pain management dr both have said the typical recovery is 18months to 2years or longer.
My question is this.. can the screws become infected or have issue at this point in recovery? While the majority of the pain is obviously deep bone pain, I have no feeling on half my leg and the other side the nerves go crazy and fire at random times.
However the last month I am feeling this weird pressure high up on the tibia plate where 4 screws are located. It is definitely warmer than the rest of the area and a small swollen area.
I still have major issues walking and stretching, but the last few weeks the largest area of discomfort (besides the ankle which is always there) is high up on the tibia where I mentioned.
I saw my surgeon two days ago and he said x rays did not show any issue with hardware and it is probably just my bone and muscle getting used to walking again.
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On 4/5/16 I fell and had an x ray. It showed a lateral malleolus fracture of the right ankle. Last week, Dr was concerned with the amount of swelling, bruising and pain. Therefore he scheduled me for an MRI this past Saturday. Results came back today but I don't see the dr again till 5/23. Debating on if I should wait till then to see my ortho or if I should try to get in sooner with someone else.
Mri says
Again identified are changes of a lateral malleolus fracture as identified on x-ray. With surrounding large amounts of edema, they are no definite ligamentous injury to be confirmed. Abundant fluid noted within the sinus tarsus and probable deltoid ligaments.
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Well the good thing is that now 12 weeks post ankle fractures in 2 places and dislocation I am up and about walking again which is the good news. The not so good news is that I have a slight limp (to be expected) but unfortunately I now have pain in my knee which is causing me to limp more! How on earth can I get rid of this knee pain which is counteracting my rehabilitation. Has anyone out there had a similar experience?
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I am just writing with the hope of getting some more help/assurance re the Gould brostrom (or as my letter has now pointed out Arthroscopic debridement and lateral ankle reconstruction - unsure if this is the same of different?) procedure which I am due to have in just over 2 weeks on the 22nd June.
I have been very unsure for a while now as to whether or not to go ahead with it but have decided to take the plunge, however I still have my doubts!
I injured my ankle initially around 5 years ago (ruptured ATFL showed up in MRI scan) and almost had the surgery back then, only to decide not to go ahead with it. Since then I have rolled over and sprained it on multiple occasions, and have felt it become increasingly weak to the point where I have very little confidence in its strength. When playing football I now wear lace up supports, which are strong enough to prevent the rolling, but obviously doesnt deal with the root cause and there is a still a feeling of achiness and limited movement. When not wearing my ankle supports I would say its at least a 50/50 chance I'm going to roll over on my ankle every time.
I can still run and go about my everyday life virtually without any issues (feel twinges but nothing major unless recently sprained) and the views of the consultants varied from the cautious 'maybe only have it if you're playing high level sport' ( which I'm not but just play football weekly for my local team), to saying yes I go for it as its clearly getting weaker and weaker and becoming more of a frustration.
I guess alongside asking for advice as to what to expect post op, I am also seeking assurance that by going ahead I am making the right decision (bearing in mind surgery is considered last resort and rehab process is lengthy).
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I've had 4 procedures on my ankle to remove bone spurs from the front of the joint and to microfracture an OCD.
The first procedure didn't get all of the bone spur removed and I lost 6 months doing PT and then had to have another procedure at the NYC HSS to correct the issues and I also had the stem cells to regenerate the cartilage.
All of the repairs to the ankle went well and the stems regenerated the cartilage based on the 6 month follow up MRI.
I never regained my dorsiflexion. I am stuck at about 2 degrees.
I then had a gastroc release where they told me they got over 10 degrees during the surgery but I was unable to retain it after the PT started.
I then had a debridement to remove scar tissue from the front of the ankle where they we able to get about 16 degrees during the surgery, but the scar tissue once again re-formed and I stuck back at the 2-3 degrees.
I am currently still working hard on PT and have ART and GRASTON done 2x per week.
Has anyone had any luck in finding a surgeon or technique that helps permanently remove the scar tissue to regain ROM?
I'm also a candidate to wear the ankle distraction device where the device is supposed to be able to re-distribute my existing dorsiflexion and plantarflexion to give me enough of each to walk with a normal gait.
I am currently trying to weigh my (limited) options as after 20 months I'm tired of walking with a limp!
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I'm 34. I had a left ankle reconstruction for instability with a ligament repair and arthroscopy in July 2015.
My recovery has been slow due to hip operations around the same time. My ankle has healed well however the range of motion is still below neutral for dorsiflexion though it's improving.
I still have loud cracking on the outside (lateral) aspect of my ankle where the ligaments were repaired. It's terribly painful and my ankle swells straight away each time. It usually occurs with shifting my weight. My ankle surgeon says it's scar tissue breaking down but is it usually accompanied by a loud painful crack in the same area each time. I'm worried it's not ok.
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I am currently 8 weeks post op from a very extensive flat foot reconstructive surgery . I was excited to start partial weight bearing this week starting w 25 percent in a boot.
My problem is I have sharp pains coming from the bottom of my heel which I am thinking may be from the screws from the calcaneal osteotomy. This is making it very difficult to put any pressure on my foot when weight bearing ?
Has anyone experienced this ? Did it go away on its own? Was there anything that helped this . I am afraid I will not be able to proceed the wt bearing with this continued heel pain.
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I am scheduled for a total ankle reconstruction in 2 wks and hoping some of you will have some words of wisdom or tips/advice .
I'm going to be on bed rest for the first 2-3wks, in a cast for 12wks, NWB for 8wks and not able to drive.
Any suggestions as to what I should have on hand to make life easier while being on bed rest and while NWB? We've invested in a cold therapy unit for the immediate post op period . I'm a wimp when it comes to pain so hoping the cryotherapy unit combined with the pain med's will leave me with minimal pain.
I'm not one to lay around and do nothing....always have to be out and about doing things. This is going to a very mentally challenging few weeks/months.
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10 weeks ago I sprained my ankle (grade 2) and broke my 4th metatarsal. The metatarsal has healed. I started Physical Therapy 3 weeks ago. My ankle is still very tender to the touch and very painful during my daily activities. My MRI showed 3 bones in my foot are also bruised and a couple ligaments on the top of my foot are torn.
My orthopedic said surgery is an option in my case but he wanted to try TP first. TP isn't going well. I'm usually in so much pain they cut the exercises short.
Last week my ankle gave out twice and I'm pretty sure I re sprained it. I called my doctor and left a message with his assistant saying I want to talk about surgery. She called back and said the doctor said to give TP more time. So he doesn't know I probably reinjured it.
The last 3 days my foot has been very swollen and bruised again. Looks almost as bad as day 1. But only feels like a 6 or 7 on the pain scale.
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3 months ago I got injuries at work, and at first didn't think it was bad... Fast forward to now. I'm almost 3 weeks post op for the ocd lesion in the round bone on my right ankle. My OS said it was a 12x7 lesion, and he done the debridement and microfracture. I fell on day 4 after surgery and landed on my right foot. I was put in a plaster cast on day 5. I fell again just a few days ago, and landed on recovering foot, since then i have had the a lot more pain, in the exact spot before the surgery and at the surgery site. Could these 2 falls in such a short time messed up the surgery? And what happens if the surgery doesn't work? All I want to do is get better so I can get to work, but I work at a factory and I stand on my feet 8 to 12 hours a day 6 to 7 days a week.
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I had my surgery 7 weeks ago and am finally in a boot and can walk again with the help of 1 crutch. I am driving and going to physical therapy 3x a week. The first 5 weeks were very hard not being able to put any weight on my foot. A knee scooter was a tremendous help. I was not In very much pain and got to go shopping and out to eat. Getting the cast off at 5 weeks was great. Hopefully the rest of my recouperation will be as easy.
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Broke fibula and tibia Feb 17, 2016. Had surgery March 1, and had 2 screws put a n fibula and a plate on tibia. After 8 weeks in cast and NWB I am now in a boot. I am doing exercises for therapy but after walking on it for about an hour leg hurts and ankle and foot swell. Also get sharp twinges now and then in ankle area. Has anyone else had these problems and how long before you can put full weight on it and be able to work. I'm a waitress and have to be on my feet for 4 hours or longer without sitting.
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I feel I have been getting no help from foot doctor. Hopefully someone here can help. I am 13 weeks post op for tarsal tunnel and plantar fasciitis surgery. I have recently thrown my back out because I can not walk right. I am walking on part of my incision. It feels like it is going to rip open, burns and this part looks different from the rest of inclusion. My doctor is giving me ultrasound therapy on incision but it is not working. I asked to go to physical therapy but he does not believe in it. I am at wits end. Hurts foot to walk and walking makes my back feel better. I am not in any form of a cast. I am walking with sneakers that he recommended. No arch support because that is where incision is located. I am getting very depressed with summer here and I can not enjoy it. I do not see the doctor for 2 more weeks. Any advice or suggestions? I keep getting Vicodin for pain but I am afraid of getting addicted. Can not take Advil or anything in that family.
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For the past 6 month I've been suffering from ankle pain which began after a 300 meter sprint with worn shoes. The pain increases after a short walk of 50 – 100 meters. I can barely climb stairs and can't drive my manual gear car because I can't press the clutch. When I relax the pain slowly dissipates. If I walk more than 200 meters the pain can continue all night. On the outside the ankle seems in order without any redness or swelling. No movement limitation. I am practically handicapped and totally frustrated. I am 29 years old (male), with generally good health and can't believe this is happening to me. I have been to 3 different orthopedists, 2 of whom specialize in foot injuries who defined my pain as "mysterious". I have done X-ray, ultrasound, bone scan and MRI. Every examination I took yielded zero pathological findings. At first the doctors thought it’s an inflammation and I got a cortisone injection which didn’t help, and 2 X 10 days of anti-inflammatory medicine, which also didn't help. I have tried multiple ointments, vitamins and herbs. Tried massaging my foot with warm water, Jacuzzi and such. Nothing helps. I'm desperate to find out what is causing the pain. Does anybody have any clue of what this might be, or perhaps suggest a new direction of investigation?
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I have been dealing with pain in my feet for several years which has gotten progressively worse. The past 6 months or so have been so bad that 3 months ago my doctor prescribed Gabapentin which helped significantly for a brief few weeks, but I am at the highest levels now and there is a new pain in my right ankle that will just not go away. I am weaning off of the Gabapentin so that I can try Lyrica. I am being scheduled for a nerve conduction test to try and determine what is wrong exactly. I am not diabetic. I believe it is from too many years of standing/walking on concrete (I'm a caterer/chef) without proper foot support. My doctor seems to support this opinion, she does not seem to have any answers. Just had blood work done, I am in excellent health otherwise! Am so worried that I'll be unable to continue working. Pain is relentless. Cannot live on pain pills, just do not want to go down that road! Anyone out there have experience with this sort of problem? How about Lyrica?
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I have had diabetes for several years now. I have nerve pain in my feet that is usually not too bad and comes and goes. Lately, my left ankle feels like there is a hair being dragged across causing a tickling feeling. Tonight, my right ankle has this sharp stabbing pain in it that has almost caused me to fall while walking. I have medicine for the nerve pain but don't like the side effects so I quit taking it. Could the stuff going on with my ankles be due to diabetes?
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