Long distance running with old ankle sprain

by Desiree
(Montreal, Canada)

Diagram of ankle anatomy

Diagram of ankle anatomy

I sprained my left ankle 2 years ago and saw a chiropractor for this injury shortly thereafter. He performed an adjustment at the time and a few more over the course of a few months. I have since taken up long-distance running and struggle with hip pain and tightness (formerly the left hip, now the right hip with pain radiating through my left hamstring into my seat) that I believe originate from this old injury.

When I rotate the ankle counter clockwise, I get a single pop when toes point downwards. Counter-clockwise, a series of 2-3 pops (almost a crunch) around the same radial of rotation.

I have seen 2 osteopaths and a chiropractor but no improvement. Is it too late for me? Are there any other options I can pursue? What should I request / expect from a practitioner to improve the chance of effective treatment.

Thanks for your time and insight.

Hello Desiree,
This is a hard one, and the most obvious answer is the one you don't want to hear; find another sport.

The good news is that you make no mention of ankle pain; am I correct? Your ankle doesn't hurt when you run, or after an event? In which I would tentatively say to continue running, though perhaps mainly not on concrete or tar.

That buttock, hip and posterior thigh main may have absolutely nothing to do with your ankle injury; but then an uncorrected fixation in the ankle or foot may be crucial. So it's complex.

First and foremost, let's be sure that you don't have a tight sciatic nerve. Sitting in a common kitchen chair, straighten first the right leg parallel to the ground, and then the left leg. Is it much tighter?

Secondly, ask your chiropractor to check and see if you have a short leg. Or ask a family member to stand behind you and place their hands on the iliac crests, and see if they are nearly level. If so, a simple inexpensive lift in the shoe may make a huge difference. An erect xray of the pelvis helps.

Lastly, does that hip pain go into the groin? Lying on your back, and pulling your knee to the opposite shoulder, do you get groin pain?

You've certainly done the rounds, so seeing yet another practitioner may be a waste of your time and money. One thought though, is to see if you can locate a FICS trained chiropractor in your area. It's sports chiropractic. Ask your local association.

Alternatively, take up walking, swimming, gliding or trout fishing!

Good luck.

Dr B



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»Long distance running with old ankle sprain

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Ankle sprain or what?

Diagram of ankle anatomy

Diagram of ankle anatomy

I sprained my ankle awkwardly 5 years ago. To let it recover, I went to a chinese doctor who treated my ankle. I thought it recovered but after awhile, whenever i walk or run, I've been experiencing pain and occasionally feel a bone(?) stuck out and I've got to turn my ankle to readjust it back. It's been happening for 5 years till now. Is this a serious ankle problem?

Hello Nicky,
Potentially, yes, but we can't be sure until it's been properly examined.

Chronic fixations in any joint reduce the mobility and cause what is known as immobilisation arthritis.

Worse, if they pain slows your gait it will literally shorten your lifespan.

I think you know the answer; see someone recommended who works with feet and ankles. And be suspect if all that is done is a pair of expensive orthotics.

You'll find the alphabet exercises at the ankle sprain page; done faithfully they may help substantially.

Dr Barrie Lewis






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how many days after an ankle sprain will it take to walk on both legs?

How many days after an ankle sprain will it take to walk on both legs?

I had an ankle sprain in my left leg 25 days ago. I already consulted the doctor and they made plaster cast on my injured leg.
How much time it will take to walk on both my legs?

This is really a question you address to the doctor; I have no idea how bad the sprain was.

Ankle sprains can be worse than a fracture, as the ligaments have no good blood supply like bone does.

A lot of the pain often comes from a subluxated subtalar joint, rather than the torn ligaments; this needs to be reduced as soon as the caste comes off.

Usually you will go into a moon boot that can be removed quite soon.

Sorry to be rather vague about your question.

Dr Barrie Lewis

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Untreated ankle sprain

by Janica
(Philippines)

X-ray of the ankle

X-ray of the ankle


Hi,
I sprained my right ankle; from what I read it's an inversion. I did not go to the hospital and for a xray because of financial difficulty.

I have blood clots and I can't put some weight on it; I just drink some pain killers and put a bandage on it.

Well, it's been a year since I sprained it and I know that my ankle is not properly healed. What are the possible things that would happen in the future of my untreated ankle sprain?

Hello Janica,
There are so many possible things that can happen when you sprain your ankle; you have fractured something, frequently a bone is subluxated, ligaments torn and muscles strained.

Joints not in motion become arthritic and it can be very debilitation; every step becomes a nightmare. I'd start with an xray of your ankle.

Then you need to start looking for someone who works with ankles. Ask your friends and family, and your family doctor.

Dr Barrie Lewis



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» Untreated ankle sprain




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Inversion ankle sprain long term effects

Diagram of ankle anatomy

Diagram of ankle anatomy

Inversion ankle sprain long term effects



Hello!
I sprained my ankle more than 2 months ago. For the first day after the injury it was hard to walk, but then I started walking somewhat normally with occasional pains.

I couldn't rest my foot as much because I'm a student in university and I couldn't miss classes. I would walk slowly, but I would still move a lot to go from class to class. In a week, I started walking faster even though my foot did not feel like it was fully healed.

After another week, I went to go see a doctor because the ability to walk got worse than it did initially. The doctor sent me to go get an x-ray and that ruled out the possibility of a fracture. In another week's time, with proper rest, I was able to walk normally again.

However, I'm noticing a difference in muscle fatigue in my legs. Activities like running feel like more work for my previously injured left leg compared to my right leg. I'm not sure if I'm paranoid or if there is actually a possibility that the ankle sprain from two months ago can affect the muscles on the leg in this manner.

Hello,
No, you are not paranoid at all; just google arthrogenic muscle inhibition and you'll see what I mean.

In short, injury to any joint causes a change in the discharge in the sensory receptors in the tissues that were damaged, affecting spinal reflex pathways and inhibiting the muscles. It happens in all cases of joint injury, whether your ankle, knee or lower back. Most of the research has been done on the knee; long term affects are severe wasting of the quadriceps muscle. It's more difficult to visualise in the ankle.

Much more can happen when you have an inversion ankle sprain than just fracture of a bone. Did it go black and blue? The sharp pain when walking is usually caused by a subluxation in the ankle mortise or subtalar joints; these may correct spontaneously but often don't causing the inversion ankle sprain long term affects you are concerned about.

If you have no pain when walking, just the weakness, then I'd start with a wobble board and our ankle exercises at chiropractic help; use the site search function. Do it faithfully for a month; if you're not improving see a chiropractor with a FICS post graduate qualification.

You may need to go on with these exercises for life, depending on the degree of damage, which obviously I can't assess, just as you would with lower back exercises after a lumbar injury.

Good luck; I hope this contributes. Give a FB recommend please.

Dr Barrie Lewis



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Severe ankle sprain grade 3

by Tina
(Gravesend kent)

I have a grade 3 ankle sprain.
I did this about 6 weeks ago
It is still swollen but I can put some weight on it. I have a moon boot which I still have to wear. I have tried to walk on it but can't as it still feels unstable.
Im getting frustrated with it.
Is it normal to still be like this?

Ligaments take longer to heal, Tina, than bones, so yes it may be normal.

There are two buts however.

The first is that fractures are often missed on ankles because of the overlapping bones. The rule of thumb is re x-ray and perhaps even a scan if it's not responding as expected. Talk to the doctor in charge of your case.

The second is that the pain often comes from a subluxated talus or calcaneus, and sometimes other foot bones too. Unless that subluxation is reduced, usually very simple by a chiropractor experienced in treating feet, the pain and instability may continue for years, and then arthritis sets in.

See your doctor first to see if he is happy about your progress. Then consider seeing someone with a sports chiropractic qualification called FICS; contact the BCA.

Start the alphabet exercises which you'll find using the search application at chiropractic help.

Good luck, I hope this contributes.

Dr B

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