Ankle sprain led two years to pain in pelvic bone and knee cap

by Ann Joe
(Trivandrum, Kerala, India)

Hi, I suffered from a ankle sprain on my right leg when I was in college. My leg bruised and after one week the swelling was gone. I didn't consult a doctor for the treatment.

After two years, I have started feeling pain on my right side of the spine which spread to the pelvic, thigh muscles and knee bone. Now I was diagnosed with patellofemoral maltracking. It's causing severe pain and discomfort while walking and climbing down stairs. Is it because my ankle sprain happened in college left untreated led to this condition?

Hello Ann Joe,
You're far from home!

There's no certainty that the sprained ankle has caused this; if it left you with stiffness and a fixation in one of the ankle or foot joints then, yes, it's possible.

However there are a lot of other lower back and hip conditions that can cause knee pain. If you lie on your back and pull your hip to the chest and then to the opposite shoulder, and drop it into the lotus position, is there pain or restriction?

If you bend forwards and backwards, and to the side, do you get pain in your leg?

Do you have any ankle and foot issues whatsoever?

I'm just throwing in thoughts of other conditions.

Dr B


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Jun 24, 2016
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by: Ann Joe

Hi Dr B,

As you suggested I have pain on my right knee and thigh muscles while bending my right leg (laying down flat) and stretching it forward and backward. Thanks for your thoughts.

Hello Ann Joe,
Actually I meant if you bend forwards and backwards at the waist; your lower back. Does that give you pain in the leg?

I don't quite understand about stretching your leg forwards and backwards whilst lying down flat.

And what does pulling your knee to the chest and opposite shoulder do?

Dr B

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Interesting challenges of the day

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.

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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.

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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.

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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.

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