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?

~Chandra~

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.

Meantime be careful.

I fear this hasn't contributed too much.



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I hope this has contributed.

Dr B

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