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Old 09-22-2011, 05:19 PM   #1
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Unhappy arthritis & osteochronditis dissecans in ankle

Hi there.

I saw an orthopaedic surgeon tonight at the suggestion of my podiatrist. I've had problems with my ankles clicking, cracking and it is becoming painful with numbness at times, mainly in the right ankle. My right ankle gets so stiff sometimes. Nothing really relieves the pain. The ortho. surgeon ordered an X-ray of both ankles since the clicking and cracking does occur in both. He saw that I have osteochronditis dissecans in my left ankle and arthritis in both ankles. He gave me a cortisone shot in each ankle. I feel some discomfort in the right ankle now from the cortisone shot, although I find it weird that I feel the discomfort in the side of my ankle and he gave the shots in the top of the ankles. The ortho. surgeon is hopeful that the shots will work but if not, he wants me to return to talk about surgery- yikes! It would be arthroscopic surgery in each foot, not at the same time. He said that on the X-ray, my bone is flat on each ankle where it should be round. There is also some swelling and fluid in the ankles. I hope that the shots help.
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Last edited by Amyb76; 09-22-2011 at 05:26 PM.

 
Old 09-22-2011, 05:26 PM   #2
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Re: arthritis & osteochronditis dissecans in ankle

I am not surprised the pain isn't where the shot is - the fluid goes where it will !

How do you feel about your appointment? Was it as informative / helpful as you were hoping?

 
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Old 09-22-2011, 06:00 PM   #3
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Re: arthritis & osteochronditis dissecans in ankle

Hi PinkEarthMama-

Thanks for the reply. That's interesting about the pain being in a different place in the ankle. I talked to the ortho. surgeon tonight, I called him and he called me back, which is really nice of him. He said the entire foot may hurt for about 24 hours.

I think this is an excellent ortho. surgeon and if I do need the surgery, which I hope I don't, I trust him. It was a very informative appointment and I am very glad I got seen by this doctor.
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Old 09-22-2011, 06:15 PM   #4
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Re: arthritis & osteochronditis dissecans in ankle

I am glad you " clicked " with your surgeon. I was afraid of mine at first - i didn't have any idea how I would explain how / where the pain was, etc. Turns out, she was pretty sweet and very approachable!

 
Old 09-23-2011, 09:00 AM   #5
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Re: arthritis & osteochronditis dissecans in ankle

Did your physician recommend or order an MRI? It is a much better way to evaluate osteochondritis pathology.

Typically a cortisone injection will also contain a local anesthetic. Within a few minutes or hours after your injection, did your pain subside at all?

 
Old 09-23-2011, 05:14 PM   #6
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Re: arthritis & osteochronditis dissecans in ankle

Hi,

Yes, I am glad that I clicked with this doctor too. I was impressed by him.

This physician didn't order an MRI although I had one from a podiatrist of my left foot, I could get him the results. The podiatrist ordered it for plantar fasciitis.

Today, about 24 hours after the injections, I feel less pain although there is still clicking and cracking in the right foot. I'm thinking about getting a couple of other opinions before I seriously contemplate surgery.

Thanks.
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Old 09-28-2011, 11:51 PM   #7
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Re: arthritis & osteochronditis dissecans in ankle

So, today will be a week after the visit with the ortho. surgeon and injections of cortisone. I notice some improvement with the pain but not total relief. There is still a considerable amount of clicking and cracking. The ortho. surgeon I saw last week told me to call if I was still having problems. I am seeing my podiatrist Friday. I have an opinion with a second ortho. surgeon on Wed. I have met with this ortho. surgeon before. I like their group but switched groups to the one I am now because when I had some significant issues with my neck, I felt they were pressuring me to see their spine specialist. I did like the ortho. surgeon who I saw before though. We'll see what happens.
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Last edited by Amyb76; 09-28-2011 at 11:52 PM.

 
Old 09-29-2011, 08:09 AM   #8
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Re: arthritis & osteochronditis dissecans in ankle

Amyb76,

Hopefully things come along and you find a physician that you are comfortable with and can best help you. If you really want the most beneficial evaluation you need to see a podiatrist that was trained in ankle surgery or a foot and ankle orthopedic surgeon. My guess is that the ortho you are seeing does not specialize in foot and ankle. A foot and ankle trained surgeon would have ordered an MRI after seeing signs of ostechondritis dissecans on an X-ray especially before giving an injection. They still need to order an MRI for your ankles. The MRI for your foot typically would not go high enough to evaluate your ankles. It is almost impossible to truly evaluate osteochondritis dissecans by an X-Ray alone.

I can not stress it enough that you need to see a physician that specializes in foot and ankle. What city do you live in? I can give you suggestions if you want some.

 
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Old 09-29-2011, 01:34 PM   #9
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Re: arthritis & osteochronditis dissecans in ankle

Hi j9879,

I live about 45 mins to an hour away from Philadelphia PA. I'd greatly appreciate any suggestions. Thanks. Maybe I am barking up the wrong tree going to general orthopaedists and podiatrists.
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Old 09-30-2011, 09:27 AM   #10
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Re: arthritis & osteochronditis dissecans in ankle

You aren't barking up the wrong tree by seeing a podiatrist. In actuality there many podiatrists are trained and experienced in this type of injury. Here are some good foot and ankle physicians in Philadelphia

Michael Downey, DPM or Scot Malay, DPM - Ankle and Foot Medical Centers of the Delaware Valley
Steven Rakin, MD - Rothman Inst Orthopaedics
Kieran T. Mahan, DPM - Temple University
Andrew M. Steiner, MD - University of Pennsylvania

Hope this gets you going in the right direction.

 
Old 09-30-2011, 06:07 PM   #11
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Re: arthritis & osteochronditis dissecans in ankle

Thanks for the suggestions. May I ask how you found these doctor's office names and locations?

I have heard of Dr. Downey & Dr. Malay, and have actually been to other doctors in their office but sought other podiatrist's opinions. I think that the podiatrists that I saw in AFMC are okay, but I like my current podiatrist better.
That being said, I saw my current podiatrist today and he taped my foot again, said he hasn't seen a case like mine after reading the MRI result of my left foot/ankle. I mentioned the name of the general orthopaedist who I will be getting a second opinion with and he thinks he is a good doctor, supposedly he fixed my podiatrist's shoulder but he doesn't just specialize in feet and ankles. My podiatrist said that this orthopaedist has referred some people to an orthopaedic specialist in foot and ankles who is not that far from me. I will be seeing my internist on Monday and will get his suggestions too. Thanks.
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Old 09-30-2011, 06:57 PM   #12
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Re: arthritis & osteochronditis dissecans in ankle

So sorry you are having these issues. It is not a good thing to have to deal with. Having been through ocd's in both ankles I can offer some suggestions. The first being don't let a doc who says I never saw a case like this operate on you. Also do not rush into this without a bit of research. Fortunatly alot has been done for you already on this board. There is a thread about treatment options for ocd's by livesbythestore way further down but well worth the time to find. That man put alot of hours into the research. Also get copies of your MRI reports. You should find out the size of the ocd and location and the classification. These may factor into what options you have. I am not positive but I thought my doc told me the cortizone shots will wear down cartillage. You may want to check if that is true before getting more. If already damaged you don't want to furthur damage it. The larger the ocd the harder the repair. Good luck, If you cant find that thread let me know I will find it and move it up. It may be called ocd treatment options

 
Old 10-01-2011, 01:55 AM   #13
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Re: arthritis & osteochronditis dissecans in ankle

Thanks dizz-

I feel so depressed and overwhelmed right now, I was crying for a good long while last night. This is all so upsetting especially because I just had same day gyn. surgery last week and now this, also I am only 35!

Thanks for the info about the dangers with cortisone shots, thanks.
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Old 10-01-2011, 09:31 AM   #14
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Re: arthritis & osteochronditis dissecans in ankle

Well I have some good news. I found out that there is an ankle and foot surgeon about an hour from me, actually two ankle and foot surgeons, but the one I am going to try to see is the chief of his practice! He has received five star reviews online too. I am still going to see the general orthopaedist but no more cortisone shots until I see the specialist. I have had 3 in one foot and 1 in the other. That's plenty!

Thank you to all of those who have viewed, followed and replied to this thread. I continue to welcome replies.
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I won't put my hands up and surrender
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-White Flag, Dido

 
Old 10-26-2011, 07:53 PM   #15
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Wink I'm seeing a specialist this Friday!

Hi again,

I am seeing an orthopaedist who specializes in feet and ankles this Friday, one who is closer to me location wise than the other one I had scheduled with. Two docs that I know recommend me to him. I used to go to this orthopaedic group before I moved and I never went to this doctor in particular.

I am eager to hear what he says because the pain is getting worse. I went to buy some supportive sneakers and I thought that they fit, then I got home and found out they are too tight, so now I have to exchange them.

We'll see what this specialist says. Thanks for pushing me to seeing a specialist in feet and ankles!!
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-White Flag, Dido

 
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