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5 tests 7weeks NO ANSWERS

Posted by Ross de J on 5/24/01 at hrmin (048731)

I injured my right ankle apprx.7weeks ago while climbing down stairs at work. I did not twist, roll or do any of the sort to it. All I felt was a sharp pain in the inner bone of the ankle.The pain was not too intense,however during the weekend (injury occured on fri.)the pain fluctuated but on the sunday the pain became unbearable. The pain had spread to both sides of the ankle ,the back (heel area leading to achilles tendon) and the slightest movement of my foot caused unbearable pain.Since then I've had Xray, nuclear bone scan,and a CT scan which found no fractures.However an ultrasound concluded the following,'there is evidence of a tendinopathy involving medially the tibialis posterior tendon and laterally the peroneal tendons around the malleolar areas'.In addition it stated that the focus of increased activity apparent in the ct scan was related to bone bruising. 3wks later I was back at work. Into my 3rd day the pain returns I kept working now with crutchers the foot swells to 2/3 it size. Off to the speacialist>>MRI.multiplanar T1 and fat suppressed T2 weighted images were acquired (what ever that means). The conclusion>> Subcutaneous oedema and moderate joint effusionsare demonstrated in the ankle and subtalar joints.Thats it.3wks later I'm back at work on modified duties (seated jobs only)I was wearing a foot support which looked like a ski boot but it was doing the trick along with 3 days aweek of PT.Then two days ago I go back to the specialist for a check up and he replaces the ski boot with a lace up ankle brace 3days later (today) I'm back to where I was 6 wks ago with intense pain on both sides of my ankle ,achilles and the sides of my foot and I'm back on crutches. PLease help me!!!!!N.B gout was ruled out after tests for uric acid came back negative. thank you.

Re: 5 tests 7weeks NO ANSWERS

Dr. Biehler on 5/24/01 at 15:15 (048798)

It sound like you realy have injured your ankle. You might consider a blood test just to rule out an infection. I have found it takes 3 months for the tendons to fully heal. It sounds like you have a good doctor but some times a longer time in the boot that seemed to be working may be what will work . Dr. B.

Re: 5 tests 7weeks NO ANSWERS

ROSS DE J on 5/27/01 at hrmin (049028)

If I were your patient what would you reccomend??? My doctor tells me that they do not know what causes the swelling to keep coming back.Since the swelling has come back 3 times already, after the ankle looked quite normal and even to an extent felt 70-80% better, it seems like a mystery to them. Do you think they are overlooking something? or is it as you said a gradual healing process ? If so what steps should I take to ensure a 100%recovery?? thank you so much for taking the time to help me with this, it has been a very frustrating 7-8 wks.By the way,there is no infection in the ankle.Thanks once again.

Re: 5 tests 7weeks NO ANSWERS

Dr. Biehler on 5/27/01 at 19:32 (049078)

I would recomend a bio-mechanical exam. If for some reason the bones in your leg/foot are not linning up in the proper position at the proper time in the gait cyle, it will cause certian muscles and tendons to enter into an over use stress/strain syndrome and the result will be pain and edema. Dr. B.

Re: 5 tests 7weeks NO ANSWERS

Dr. Biehler on 5/24/01 at 15:15 (048798)

It sound like you realy have injured your ankle. You might consider a blood test just to rule out an infection. I have found it takes 3 months for the tendons to fully heal. It sounds like you have a good doctor but some times a longer time in the boot that seemed to be working may be what will work . Dr. B.

Re: 5 tests 7weeks NO ANSWERS

ROSS DE J on 5/27/01 at hrmin (049028)

If I were your patient what would you reccomend??? My doctor tells me that they do not know what causes the swelling to keep coming back.Since the swelling has come back 3 times already, after the ankle looked quite normal and even to an extent felt 70-80% better, it seems like a mystery to them. Do you think they are overlooking something? or is it as you said a gradual healing process ? If so what steps should I take to ensure a 100%recovery?? thank you so much for taking the time to help me with this, it has been a very frustrating 7-8 wks.By the way,there is no infection in the ankle.Thanks once again.

Re: 5 tests 7weeks NO ANSWERS

Dr. Biehler on 5/27/01 at 19:32 (049078)

I would recomend a bio-mechanical exam. If for some reason the bones in your leg/foot are not linning up in the proper position at the proper time in the gait cyle, it will cause certian muscles and tendons to enter into an over use stress/strain syndrome and the result will be pain and edema. Dr. B.