March 17th 2012 I was walking my dogs when a car flew around a corner and nearly hit my retriever. I pulled her out of the way but in the process my left ankle slipped into a dipped drain ditch snapping completely to the side of left foot. I had to continue to walk the rest of my way home aprox 5 mins or so. Following days I was faced with severe swelling and brusing, but as I had sprained this ankle before long ago in the past I figured I would treat it as a sprain. I kep my feet up and did compresses. Over the next 2-3 weeks the swelling and brusing had deminished but the pain was still very evident.
So in mid-ish April I went to a doctor who without any kind of x-rays put me in a air splint told me to take some ibuprophen and sent me home. He told me to wear this for 3 weeks. After those 3 weeks were over the pain was still there so I went for another visit this time they sent me for x-rays. The doctor told me there was an abnormality in the area of pain the plump outter area just below your pinky toe and suggested I go to a Orthopedic doctor.
My first visit to the ortho took over a week to get into. He did rotation tests on my foot and moved it around which was fine until he pressed on the outside of the plump part I explained earlier, which made me jump and almost kick him. He proceeded to put me into a walking boot and recommended I use crutches as well. 3 weeks passed and I went for my follow up and once again no change. I told him that in the morning when i stepped out of bed before putting the boot back on my foot was in more pain then I had before wearing it. So this time he sent me to the hospital to have a bone scan done.
Today I again went for my follow up on the bone scan. Doctor said that it came back "hot". He pressed on my ankle at the top middle part of my foot which actually hurt when he pressed on it. Im not sure the name he called it but i know it started with a C. Now he is sending me for a MRI...
It has been months since the initial injury and its becoming extremely frustrating for me and I am still in pain. When I went to walk on it today without the boot my whole foot was in pain! Cold surfaces make the pain worse! When I remove the boot for bed come morning the pain is more severe than ever.
I am confused and frustrated at how long this process has taken and how many apts I have paid for just to be told a 1 liner and sent away. I would really love any info that may help me along with my recovery or if I should be seeking help form another opinion'd doctor.
I had a severe ankle sprain back in March too! Just 12 days after yours, actually.
It took them almost a full four months to take care of mine. I only got my BOOT 2 weeks ago.
I'm meeting with a surgeon in 4 weeks.
Perhaps you should go and see an ortho at a totally different hospital than the ones that you normally go to. Get second opinions. Don't just wait around for it to fall into your lap, because by that time, you're screwed.
Hi! Welcome to the Boards! Glad you found them, there is so much helpful info and knowledgeable people in here! I'm so sorry you've sprained your ankle so badly! Been there done that on several occasions unfortunately and with 2 surgeries as parting gifts! . I've also had a 5th metatarsal fracture (Jones fx) and I at first thought they might be looking to see if you had this, but it would've shown up in the bone scan especially with as long as it's been. What were the actual results of the scan? An MRI is a great idea and I'm glad to hear they are ordering it. If there's no fracture, the MRI will be able to tell what's going on with soft tissue injuries (ligaments, tendons, cartilage, etc). You should know a lot more after it. For now, wear that boot, keep it iced and elevated and stay on those crutches! Baby it! Did they give you anything for pain? Feel free to ask all the questions you need! Thats what we're all here for! I've personally been through so much with my ankle and foot so I will be happy to answer if I can!
Also biggest advice I can give you at the stage you're at is to find a great FOOT/ANKLE ORTHOPEDIC SURGEON to diagnose and treat your ankle injury. I didn't do that after my first major injury and surgery and it was one of,the things that lead to many more injuries and my recent 2nd surgery!
Yea I am already seeing a orthopedic doc but I am seriously starting ot question his lack of compassion or giving a damn in my apts. I feel like all he wants to do is send me off and when I have qns they are very fague. I honestly mentioned ot my husband that when my mri results come in I would like him to come with me this time and see how he treats me.
If after the MRI he cannot answer my qns and nothing is done and he sends me off with no explanation I will switch doctors.
Wearing the "boot" makes the pain 50x worse than having it off and just sitting and relaxing. The most I do is go up and down stairs after my 2 kids. When I told him that cold makes my foot hurt he had nothing to say about it and kinda snubs me off. He seriously makes me feel like he doesnt care and is just wanting my $.
He has not given me anything for pain I keep being told just to take 4 200mg ibuprophen for the pain :S I hope the mri shows something anything really at this point I am worried whatever it is waiting this long will only make matters worse for me. The email he read to me from the bone scan said my ankle was "hot" I cant recall the name but it was at the top of my foot by the ankle in the middle and it started with a C. Maybe I will call and get the exact name again.
Ill for sure keep you all updated I appreciate any advice I can get at this point
Yeah if you keep getting attitude like that from your doctor, you need to find another one. This guy is an ortho surgeon, but is he foot/ankle certified?? Definitely take your husband to your next appt. I think the MRI will give a clearer picture of what's going on. As fas as your bone scan, sounds like your cuboid may be fractured, but could be a deep contusion too. Just states injury so may just be deeply bruised.
I understand he's a certified ortho/sports med, but does he ONLY do ankles/feet? If he does, that's where you want to be. If he's general (does ankles, knees, shoulders, etc) then it isn't where you want to be. I'm sorry, I don't think I was communicating very well! I wasn't using the correct emphasis!
You would most likely either keep wearing the boot or get a short leg fiberglass cast. Depends on how the cuboid does in walking or whether or not you'd be non weight bearing. Are you on crutches now? Can't remember, I apologize!
As for surgery, it would again depend on if it's fractured and what type of fracture it is and whether or not it has disturbed anything else, etc. I would think typically no surgery for that bone, but never know. For a contusion-no.
I went for my MRI yesterday now I am waiting for my apt with my new doc who is a ortho surgeon I have my fingers crossed that he is a good one I am told he is blunt and to the point, one of the oldest working docs they have so he probly knows his stuff. Can't wait to find out whats wrong!
The main question I'm asking here is does the new orthopedic surgeon specialize in ANKLE/FOOT ONLY?? Just because he's an OS doesn't mean he specializes in foot/ankle. Chances are he's just general since there aren't as many foot/ankle ones. I'm trying to get you pointed in the best direction to cut down on your risk of having to see more than one doctor. Do you know if this doctor is foot/ankle or general (I'm aware he might see patients that have foot/ankle injuries, but that doesn't mean he's a board certified foot/ankle surgeon who only sees from the start of the Achilles tendon to the toes. If not in that region, the patient doesn't come through his office doors). Does that make sense?
I very much agree with Hollywood. You need to be sure that the ortho surgeon you see specializes in foot and ankle. There truly is a big difference between a general ortho and one who specializes in foot and ankle. I know it is so frustrating to get a dx. Problem is, there are so many bones in our feet along with the tendons, ligaments. You can go to the doctor's website and see in what area the doctor specializes in. If it is a bigger practice, usually each doctor specializes in a different area (body part). I am glad to read that you have had the MRI. It can be so helpful when it comes to the ligaments and tendons.
Last edited by Missyluke; 07-28-2012 at 04:08 AM.
Reason: add info
I'm going to chime in with what Hollywood and Missyluke said, in the hopes that you'll really believe the point Hollywood has been trying to make: Ankles are extremely complicated joints, and only foot/ankle specialists truly understand them! You want an orthopedic surgeon who is a foot/ankle specialist. Trust us!
My first doctor was a very well regarded orthopedic surgeon, and he's one of the reasons my OCD is so bad now ten years later. I didn't choose him, he just happened to be the only doctor in my health plan who was available ASAP to put a cast on when I first broke it, so the ER set up an appointment for me with him.
I actually wound up diagnosing my OCD myself, because just being an OS did not make him an ankle expert, and he didn't know enough to figure it out. He kept ignoring me in followups and had me walking and doing (very damaging) PT despite the fact that my pain kept getting WORSE. Finally, after researching it myself online, I figured it out and insisted on an MRI because I thought it was an OCD. Let's just say I hope he learned a lesson at my expense.
If you have osteochondral damage, it is CRITICAL that you get the right treatment ASAP before it gets worse.