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Old 04-15-2009, 07:57 AM   #1
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Ankle Pain, top front portion

This has been ongoing for a couple of years and is not getting any better. Some times it a dull archy pain and sometimes I almost colapse with sharp pain due to ankle giving out. Its only my left ankle, I do have Restless Leg syndrome, not sure if this is related or not. Wearing a high top boot can really irritate the problem as it puts pressure on the front top portion of my ankle.

I read posts over and over about Dr's not being able to diagnose medical problems. I have a problem making their car payments while I get no results . Anybody have any thoughts. Thanks

 
Old 04-15-2009, 01:00 PM   #2
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Re: Ankle Pain, top front portion

Can you describe the location of your pain more precisely? Is it near the ankle bone on the side, (lateral malleolus) or is it right in the front, where the cords (tendons) are?

Have you ever injured your ankle, even years ago?

I do think that you should see an orthopedist, if the pain is that bad. It might take more than one visit or even more than one doctor, but there's no reason to put off starting the process.

 
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Old 04-15-2009, 03:52 PM   #3
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Re: Ankle Pain, top front portion

The pain is in the very top front portion of the ankle about were you would tie your shoe laces and above that area. It feels more like its in the joint area almost like a bone issue. Injuries, yes but I have never had any that were so bad I had it looked at. I did have an emergency room look at my ankle about a year ago, they took xrays and told me it was a sprain, take two Advil and go home. It keeps getting worse.

 
Old 04-15-2009, 06:01 PM   #4
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Re: Ankle Pain, top front portion

Ah, the old "minor sprain" story. Ankle sprains causing problems down the line are unfortunately all to common. Also unfortunately, patients and many doctors continue to treat them as minor injuries, hardly worse than a bruise.

There are several different parts in the area you describe, including a few different bones and some tendons. It's possible something was broken and the x-ray missed it, or that some cartilage was damaged, or that it's a tendon or ligament injury.

Fortunately, you live in a good-sized city probably containing many good orthopedic surgeons. I recommend finding one who is a board-certified foot and ankle surgeon--look up the American Orthopedic Foot and Ankle Society.

The doctor will probably want to do some tests, such as x-ray, CT scan, or MRI. He should also do an exam. Be sure and tell the doctor the history of your problem as well as what provokes the pain.

 
Old 04-16-2009, 09:52 AM   #5
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Re: Ankle Pain, top front portion

I agreee that you need to see a dr., and ask for an MRI. I had the same type of pains and ended up having a OCD on my talus. It may or may not be it, but it all started from a sprain for me and nothing was found until I had surgery for something else due to the sprain.

Time has passed since your sprain now that if you keep complaining of the pain and the shooting pains and aches then an orthopedist will want to get a CT or MRI, especially if you tell them you haven't recovered from the sprain.
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Old 04-16-2009, 10:42 AM   #6
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Re: Ankle Pain, top front portion

I never actually had a sprain, I was experiencing uncomfort in my ankle (aching and pain) and went to the ER just to have them look at my ankle to start the evaluation process.

What is an OCD? What is a Talus?

Thanks, Rick

 
Old 04-16-2009, 10:52 AM   #7
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Re: Ankle Pain, top front portion

The talus is the true ankle bone. The bony bumps on each side are the ends of your leg bones, but in between them is another bone about the size of a walnut, which supports the weight of your entire body.

An OCD is Osteo-Chondral defect, an injury to the cartilage and possibly the surface of the bone. If they occur on the talus, it's difficult for them to heal, especially if they aren't diagnosed and you keep walking on it.

This could be what's wrong with your foot. In any case, you need a careful evaluation, and for a chronic problem, the ER is not the place to get it.

 
Old 04-16-2009, 05:05 PM   #8
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Re: Ankle Pain, top front portion

I agree with everyone else...get an MRI and see doctors. I had the same type of pain that you describe (see long thread under subtalar joint injury) and it just kept getting worse. Anyway, I am now 5 months since the onset of this and just 1-month post surgery. I had a small bone bruise on my talus (4mmx3mmx1mm). All of the doctors (I saw 20 specialists) told me it was "nothing" and that it would heal on it's own. Well...it didn't (maybe it could have...but the pain was just too intense for me and I litearlly could NOT WALK). I finally hooked up with an awesome surgeon who did an diagnostic ankle scope and he saw that bone bruise. He took it out and then drilled around the area to promote fibrocartiladge. (I also have a VERY SMALL tear in my PTT). I was really hoping mine would be just a bruise and it would heal on it's own...but the pain and immobility just got insane. I'm now able to walk with one crutch and bear full weight. I was NOT really able to this 5 months before my surgery. I have a long road to recovery but anything is better than what I was dealing with before...TOTAL IMMOBILITY (crutching) and CONSTANT PAIN.

You're situation could be totally different...but the point is to get an MRI and really get it figured out! I hope this helps some.

Let Me Walk

 
Old 04-16-2009, 05:40 PM   #9
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Re: Ankle Pain, top front portion

definitely go to doc and get an image (mri, ct, bone scan). pain out of no injury is not normal. i was to many many docs since i was little, many different orthotics, and finally got diagnosed. i had my foot fused last may.

shelley

 
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