Now what after 14 weeks after "high sprain" of left ankle
Now what after 14 weeks after "high sprain" of left ankle
I am 40 yrs old. Last February, I was kicking around a soccer ball with some kids and ended up on the ground with a sprain. I'm not sure why or how. It did not hurt terribly bad at first. But as I sat there moving my foot around to make sure nothing was broken, the pain slowly increased until it was very painful.
After a few minutes of that, the pain started diminishing and a friend helped me walk over to a picnic table. I stood there talking for about 1/2 an hour and then attempted to hobble to my car- ouch. As I was driving home, my foot felt like it was getting closer and closer to a fireplace. (thankfully, I didn't have to use it to drive- just my right foot for the gas and brake)
Upon getting home (20 min drive) I could not bear to even step on my foot; I hopped to the house and straight to my bed.
Two weeks later I landed flat on my left heel as I lost my footing while trying to hop onto my shower's 5” edge. An unbelievable amount of pain shot from the bottom of my heel, up the back of it and slightly up the back of my leg. I dared not move for a few minutes. Then I went back to my sprained- ankle- life; I laid in bed most of my days with my foot up and only used my right foot and crutches to get around.
Two weeks and 5 days after the initial injury, I went to get an x-ray just to make sure I didn't have a fracture- I thought for sure I should be healing quicker than I was. Whew! Nothing wrong with my bones. But I was amazed at the intense sensations and tingling I experienced when the doc told me to stand on my foot and did different manipulations.
3 ½ weeks later I went to the chiropractor because I felt as though my ankle was jammed. After a couple of weeks, I was able to walk again, but still felt as though something was stuck deep inside. Two weeks ago, my ankle was bumped as I rested it on top of my right knee and was surprised at the shoot of pain that flew through the top of my foot.
It still hurts upon my first steps in the morning and as I'm doing my stretches. I can't properly run because of my lack of full range of motion. And I'm not able to do a full squat. When shaking my foot as I take off my pants, a pain can be felt inside under the top of my foot. I decided to do more searching on the internet for some ideas.
I found your website. It seems, from my reading, that I may have a fixated talus... ? I think my chiropractor has done all that he knows to do, but I know I'm not done. (I'm also doing collagen drinks every morning)
Any comments and/or suggestions?
Hello Chandra, Difficult, I agree.
Firstly, is it still swollen? If so, if you find the funds, I'd have a CT. Because of the overlapping bones, it's very easy to miss a fracture in the ankle and foot on plain X-Ray.
The ankle mortice joint controls most of the up down movement of the ankle: dorsi and plantar flexion. Pain in this joint is often felt on the top of the ankle just where foot meets leg, a "hole" slightly on the outer side.
The subtalar joints controls most of the rolling action of the ankle. Pronation and supination. Then the pain is often on the outer side of the heel, but because the subtalar joint is really three joints it can be anywhere in the ankle.
Either could be involved, or other of the many joints in the foot.
I've realised a gap on my site: no exercises for the ankle. I'll get to that, but meantime ask your chiropractor for exercises that you do every day, several times a day.
Perhaps time to see a different chiro, more experienced with the foot and ankle, with a "FICS" qualification, (ask your local chiro association) or an orthopaedic specialist. It's really difficult for me to advise.
1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.
2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.
3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree.
Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.
4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.
He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.
5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.
6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.
7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.
8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.
9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.
10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.
11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.
12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.
13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback
since working above his head. Trapped nerve tests are negative but he
has advanced degenerative joints of Luschka; after just two treatments
he is 50 percent better. Can we reach 90?
And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.
Greetings, Dr B. You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.
Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.
You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.
The quickest and most interesting way is to read one of my ebooks of anecdotes. Described by a reader as gems, both funny and healthful, from the life and work of a chiropractor, you'll love them. Priced right at $2.99, though Kindle fiddles the price without telling me.
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