Originally Posted by amy122978
I've had this diagnosis after having constant ankle sprains on legs since 10 yrs old (once, sometimes twice/thrice a year). Fractured left ankle in 2001 (pins & screws, removed in 2010). Ortho. doc wants to do surgery-ankle implementation but has been postponed since last year. They had me undergo MRI's & CT Scans of ankles, brain, and now waiting to do a spine (lumbar) MRI.
(probably because if I ignore my ankle pain, my low back hurts, and to rule out collapsed disc)
Question is, could the MRI-Lumbar Spine diagnosis affect my need for the ankle implant surgery?
Sorry if this doesn't make sense, but hope it does to those who reply.
Not sure if I understand some of your issues, but here goes.
I have suffered from lateral ankle instability since my early teens. After numerous ankle sprains/tears, I had surgeries (now 20 years ago) on both sides. Those repairs have since failed and I am completing a two year process of figuring out what is really wrong and having some additional surgeries. The first one is complete and I am very pleased.
The question I have for you is why are you spraining your ankles. For me, the obvious answer was sports injuries. The not so obvious reason was very high arches. (Plantar flexation of the first ray) For 25 years nothing made sense until I understood the second part of the equation. My poor alignment made me more suseptable to sprains. The two primary ligaments that support the lateral side of the ankles (ATFL & CFL) were completely ruptured on both feet.
The first surgeries I had were called Evans procedures. The Evans procedure is a non-anatomical repair using the peroneous brevis tendon to provide additional lateral support. Because of my poor alignment, they ultimately failed. But, more importantly, they compromised the function of the tendon leaving me with additional problems. In retrospect, there are much better procedures today and I would not recommend the Evans.
I have read any number of articles about the Brohstrom repair. It is an anatomical repair of the actual damaged ligaments. The surgeon I found does a Brohstrom reconstruction using a part of a tendon out of the hamstring. I could not find nearly as much information on the reconstruction but it made all the sense in the world to me. This is the surgery I had done along with a 1st metatarsal closing wedge osteotomy. The osteotomy was done to change the shape of the foot, lower the arch, and align my body weight over the heel and take presure off of the lateral side of the ankle.
For you, I can only recommend that you do your homework. There is tremendous benefit in knowing the anatomy of the ankles- the names, pieces and parts, and how they are supposed to work. You can then translate that into what you feel and describe it best for an orthopedic surgeon.
I would also recommend seeing only orthopedic surgeons that specialize in foot and ankle.
Unless you have some issue aside from the ankles, I do know the benefit of the spinal and brain CT/MRI. (However, I am also not a doctor)
I would be happy to share anything else I can. It has been over 25 years of misery and finally some relief.
Best of luck.