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Old 07-10-2012, 11:49 AM   #1
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Thumbs down Okie doke, guys. Last chance to fix this janked up foot.

As a lot of you know, about 3.5 months ago, I fell and sprained/broke/something my ankle. It still hasn't been cared for properly...

The last time I was at a hospital for it was about a month ago. They said to stay off of it COMPLETELY until I meet with podiatry. Unfortunately, things have been rough around the house, like property taxes, our water tank (well) was shot by a lightning strike, new kitten and adult female kitty fighting (okay now!), short on money, fighting between my mum and her boyfriend, people living in the basement not paying rent, my mum working all the time... Yeah, it sucks, but that's why we haven't had a chance to make an appointment.

Tomorrow (Wednesday) I have a dentist appointment at 11:20 then I've FINALLY got an appointment with a foot/ankle doctor after that...

Bad news: I fell AGAIN (on the stairs-- basically the same way I janked my ankle the first time) on my carpeted stairs... Was going down (oops, wasn't staying off of it...) and only my bad heel hit the step, my foot slid forward, and my toes went beneath my foot and my ankle back over the top of my foot. AGAIN. Not to the side... Second time I've twisted it like this, and it's just as bad as when I first did it...

Good news: Appointment! Yay!

When I went to the last hospital (we've been going around, trying to find SOMEONE that can fix me.) they said that there was bone calcification on the 6 x-rays that they took? They explained it, and it sounded like the bone was growing into my muscle... Maybe I misunderstood? It would be nice if someone could explain that for me.

If this hospital can't fix me, my mum is just going to buy a boot off of eBay or something... We don't know what else to do! But this hospital is *amazing* and we're pretty sure they'll know what to do.

My ankle (ALL... OVER... AGAIN... caps rage over.) is swollen, red/purple/blue, extremely sensitive to touch, and the range of motion is worse than ever... Can't push down, can BARELY pull up, but it kinda flops around to the sides... But only if I rotate my whole leg... My first two toes (biggest and second biggest) are the only ones that move, but it hurts like a b-tch (pardon) and it feels like there's lightning shooting up my leg...

Last chance.

What are the chances that I'll actually get a boot/cast this time? Apparently surgery (according to my mum, who I get my horrible ankle genes from) is a pretty good outlook at this point... If it'll fix me, let's do it.

Thanks ahead for everyone's help!
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Sept 03, 2013
Right ankle scope and Brostom repair

Last edited by BubbleGuppy; 07-10-2012 at 11:50 AM.

 
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Old 07-10-2012, 06:10 PM   #2
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Re: Okie doke, guys. Last chance to fix this janked up foot.

Well, you definitely need to stay on the crutches for awhile, even if you do get a boot. It just won't heal otherwise.

For now, keep it elevated as high as possible, like lie down and prop it up above you. Ice 20 minutes every hour, you've got to get that swelling down. When are you going to see the specialist?

 
Old 07-10-2012, 07:12 PM   #3
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Re: Okie doke, guys. Last chance to fix this janked up foot.

I have an appointment tomorrow with a podiatry nurse (I didn't know there was a difference) and then from there, we're making an appointment with an ortho and an actual podiatrist.

I've got frozen corn that I wrap in a thin kitchen towel and put on my ankle. Ice/heat/NSAIDS DO NOT help with pain or anything ever (I'm like, immune...) but it's better to try and have it not work than to not try and screw it up...
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Right ankle scope and Brostom repair

 
Old 07-11-2012, 04:52 PM   #4
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Re: Okie doke, guys. Last chance to fix this janked up foot.

Okay, I mixed up when I said I was meeting with a podiatry nurse... I met with an orthopedic assistant.

They took more x-rays and they couldn't find anything wrong with the bones in my foot nor ankle. They are having a radiologist look at them to be sure.

I'm NWB *ENTIRELY* for 2 weeks in a boot. At 3 weeks, I can start walking on it. I wear it for 4-8 weeks (more to come on this)

I meet with a surgeon in 4 weeks (August 17th) and the ortho said they were probably going to make me do PT to see what strength I can get back and get closer to my "normal" and if my "normal" is still crap, they're going to have to do surgery. I am in a boot for 4-8 DEPENDING on what the surgeon says. It could go longer than 8 weeks.

3rd times the charm!
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Right ankle scope and Brostom repair

 
Old 07-11-2012, 04:56 PM   #5
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Re: Okie doke, guys. Last chance to fix this janked up foot.

Okay, glad you've finally got some real treatment. The situation might resolve with rest and PT, or it might not, either way, someone's looking into it.

Stick to that NWB absolutely, don't walk on that foot unless it literally is a matter of life and death, like (God forbid) needing to escape a burning building. The world will manage without you.

Heh, maybe you can dig up a wheelchair and speed around in it.

 
Old 07-11-2012, 05:06 PM   #6
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Re: Okie doke, guys. Last chance to fix this janked up foot.

I don't think that would happen! Doorways are pretty small around here and we've got small kids up here and a kitten, an adult cat, and a dog... Plus, we can't make a whole ton of noise because my mum's boyfriend's kids live in the basement and one works night shifts...

If I HAVE to walk/when I can start to walk, I'm going to clump this boot extra hard... Not that I have a choice!

A wheelchair would be nice though...

But thank you for your comments, Jane!
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Right ankle scope and Brostom repair

Last edited by Administrator; 07-18-2012 at 10:48 PM.

 
Old 07-11-2012, 11:08 PM   #7
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Re: Okie doke, guys. Last chance to fix this janked up foot.

Glad you finally got some real treatment! What was the diagnosis? Did they do an MRI? I would think that would have to happen before any surgery could be discussed because they won't know what's wrong or what to do without the MRI. Did they mention doing one? I definitely think the NWB and PT will help- cant hurt!
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Old 07-12-2012, 01:59 PM   #8
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Re: Okie doke, guys. Last chance to fix this janked up foot.

Yes! The ortho diagnosed it as chronic ankle instability. She couldn't find a break in the bones of my foot NOR ankle. They did mention an MRI... I don't know if they scheduled it though. The only appointment I'm POSITIVE that was made, was with the surgeon. I think they left it up to the surgeon to decide either:

1: Straight to PT, see how it goes
2: MRI, if horrible results, surgery, then PT (obviously..)
3: PT, if still horrible, surgery
4: Surgery right off the bat
5: Casting, PT
There's a radiologist looking at my x-rays as well as the ortho, just to see if one or the other missed something. I seriously thought there was going to be some kind of stress fracture because man... If you squeeze my calf, it's like an explosion of pain.

They also talked about casting it. They said they were going to try the boot, and if it's still completely wobbly and unstable, (add a bit of PT in here somewhere...)they're going to do a cast if the surgeon wants to... If that doesn't do absolutely ANYTHING... Surgery is probably my last and only option.

I know people say that you should hold off on surgery as long as possible... But the condition my ankle is in NOW is just... Horrible. It's the exact same it was when I first did it, with more pain and more bruising and less ROM.

I would show you the picture of my ankle that I took yesterday RIGHT before they took me to x-ray... But I can't post attachments, ofc.
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Right ankle scope and Brostom repair

Last edited by BubbleGuppy; 07-12-2012 at 02:01 PM. Reason: Forgot diagnosis.

 
Old 07-12-2012, 02:03 PM   #9
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Re: Okie doke, guys. Last chance to fix this janked up foot.

Well, it isn't necessarily best to put off surgery as long as possible. If you really need it, get it over with. However, you should make sure the orthopedic surgeon is good, and be sure that it really is necessary.

I hope you get solid answers soon!

 
Old 07-12-2012, 02:10 PM   #10
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Re: Okie doke, guys. Last chance to fix this janked up foot.

Thank you!

My mum was REALLY concerned that they would have to put a rod through my fibula (or something of the sort) to keep it straight. We've been thinking that it was an OCD fracture or a fracture of the end of the fibula... Apparently neither?

The ortho said that she didn't want do to a bone scan unless nothing showed up on the MRI.

I've been trying to stay off of it... The only times that I've put it down was when I was about to fall over from standing on one foot. It barely touched down though. I got left home alone to fend for myself and I'm hungry... Managing though! Took awhile to figure out how to use one crutch and/or hop while carrying hot food...

I told my mum, though... If any of those kids from downstairs jumps on my leg after I've had a surgery (obviously, if needed) they'll be going through a window... Right after I return from dying. I mean, they've jumped on it right now as is... Even in this AirCast... Oh man, it hurt.

My mum is also getting me Aleve after she's done working. We don't have any in the house because we never thought of that... Ibuprofen doesn't do anything, so we're trying this. Recommended by the ortho. If that doesn't work, she's going to prescribe me some sort of topical stuff to rub on it.
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Old 07-12-2012, 11:35 PM   #11
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Re: Okie doke, guys. Last chance to fix this janked up foot.

I agree with JANE in that putting off surgery isn't always necessarily the best thing. It's obviously not something you rush into if not truly indicated either. I sustained a grade 3 ankle sprain in March 2001 and thought it was just like my other sprains I had sustained in my 7 years of gymnastics. In June when I was still having issues, my OS did an MRI and I found out how bad it was. I had already failed conservative treatment and I had my first ankle reconstruction on 8/15/01. Problem is I made the mistake of having a general OS do it. Please make sure if you do have to have surgery that you have a good FOOT/ANKLE board certified OS. My general OS didn't even send me to PT after surgery so I was left alone to rehab. I didn't question it at the time because I had no idea if it was right or wrong (even though I thought it odd) and I was brand new in my career and didnt know what I know now. These were mistakes that were already setting me up for surgery #2. Two years later I tore the retinaculum and was told I'd need surgery to repair that and to restore stability. I put it off as I was temporarily living and working in another state. A year later, I sustained a grade 2 sprain and a Jones fracture (bad 5th met fx). I was again told I'd need surgery for the ankle and thankfully I avoided needing a pin because a long time on crutches and a bone stimulator helped it heal. I again put surgery off because I had to. I sustained several minor sprains after that and in 3 years later another grade 2. I always had pain off and on and instability. The next grade 2 I had was last Sept and when I finally went to have it checked (all because I didn't want to go through surgery again at this point), I had 3 torn ligaments, 1 torn tendon (surgeon said it was shredded) and both tendons subluxing. Injury, surgery and recovery probably wouldn't have been as bad had I had surgery a while back. At first I couldn't, but then later when I could, I didn't. So if it's warranted, get it done! Oh and this time, I knew better and went with a board certified foot/ankle OS. Had surgery #2 on 2/22/12. He wasn't really sure what all was done the first time so that could explain the ongoing issues. He also sent me to PT which made recovery do much easier! So there's my 2 cents!
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Old 07-13-2012, 10:25 AM   #12
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Re: Okie doke, guys. Last chance to fix this janked up foot.

The ortho that I met with was only an assistant and she was absolutely amazing.

Since it's mostly my foot (That's what they SAID... This isn't your normal ankle sprain. This is more than that since it went ^ not < or >) they would have a podiatry surgeon do it. That's who I'm meeting with. His last name is... Roberts, I believe... I'm not sure, but he travels all over through these chains of huge hospitals and apparently he's an amazing surgeon.

If I need surgery, I'm guessing it would be to remove scar tissue and probably a brostrom. The ortho thinks that I've shot my ligaments due to constant wobbling and rolling and twisting. What I DON'T want is metal put in my ankle/foot. Whether it works out that way.... I don't know. If they have to, they have to. It needs to be fixed... If I need surgery, I'm really truly hoping that it's BEFORE September 4th, which is the first day of my freshman year... Sure, going around school on crutches sucks, but I did it for weeks when I first did this mess... I can do it some more! And besides, it's a K-12 school so I don't need to worry about getting lost...

I really do not want to travel too far out of state, but if I had the choice... I would go to Cincinnati and get it done. Not NY because that's... WAY too far and I can't really go that far because really, we don't have the money to. We don't have the money to go to Ohio either, but that's where Jake lives and had all of his kidney surgeries... If they can do kidney surgeries, they can certainly do a foot/ankle surgery.

I'm at a loss, man. I don't know what to do anymore than stick my foot in this boot and take Vicodin and Aleve, alternating every 4-6 hours...
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Old 07-13-2012, 11:06 PM   #13
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Re: Okie doke, guys. Last chance to fix this janked up foot.

Ok well even though your foot went over in a forward fashion, still the most common ligament injured is the anterior (front) talofibular ligament or ATFL. This ligament is still considered part of the lateral complex. A Brostrom is actually the first line standard treatment for surgical management of chronic lateral ankle instability. So it is a side to side thing and what causes that wobbly, unstable feeling in the ankle and the ongoing pain. Podiatrists operate on ankles and feet, but I strongly urge you to at least get the opinion of a foot/ankle orthopedic surgeon.
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Old 07-14-2012, 02:17 PM   #14
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Re: Okie doke, guys. Last chance to fix this janked up foot.

I've been hearing that from a few different people that I know in person... Get a second opinion from a different surgeon as well, basically. I really don't want to have to go through that, whether it's arthroscopic or not... I think it would be for scar tissue removal, but isn't a brostrom like a 3-3.5 inch incision on the outside of your ankle? Yeah, not too bad... Still don't want to go through it if I don't need it...

I went to go shower yesterday... Our bathroom is huge, and I took my boot off while propped against the counter... It's about 4-5 feet from the counter to the tub, ofc. I didn't want to hop because I was sure that I would hit the rug and slip and either mess up that ankle more, mess up the other ankle, OR bust my arm/elbow again like I did in October. I took ONE teeeeny little step on my bad foot with one arm on the counter and the other 2 inches or so from the opposite wall... JUST a heavy enough step to be able to move my other foot forward.

Bam, rolled.

But so, I shower (standing on one foot the whole time) and hopped out (sat on the edge of the tub, swung around, and just wiggled my foot across the floor... wet floor + wet foot + wiggling it = wonderful transportation) and got dressed and put my boot back on... Was VERY sore and slightly darker bruising, but it wasn't too swollen. Wake up this morning and it's swollen up to my knee. VISIBLY swollen up to me knee, as in you can see it across the room.

I've taken Aleve and rubbed IcyHot on it... No pain relief, or swelling relief. My toes are numb and cold, even in the boot and I don't know what to do. I took a tiny little washcloth, but a bit of rice it in, stuck it in the microwave for a couple seconds then stuffed it in the toe of my boot. That's helped a little with the numbness/cold. Is this just swelling messing with nerves and circulation or what?
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Right ankle scope and Brostom repair

Last edited by Administrator; 07-18-2012 at 10:51 PM.

 
Old 07-14-2012, 06:21 PM   #15
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Re: Okie doke, guys. Last chance to fix this janked up foot.

Sounds like you need a chair in your bathroom. I don't know how I'd live without mine, especially when my joints are acting up. (And I'm more than twice your age, kid, I'm OLD.)

And yes, getting a second opinion before consenting to surgery is generally a good idea, if practical. Last surgery I had, I was reasonably sure it was the right choice, but before I actually went through with it, I went back to my family doctor one more time to talk it over. We both agreed that other options had been tried and, given the severity of the problem, surgery was reasonable. And I did it, feeling more confident about the whole thing.

 
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