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    Old 06-02-2004, 11:26 AM   #1
    rush-rulz
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    Ankle woes

    I've posted this elsewhere with no response. Maybe I'll get lucky (STS) this time.

    My right ankle's been bothering me for months. On the inside, under the bone, it's sore. It feels like a bruise, but nothing's there. Occasionally, I get the same thing on the left, but mostly it's on the right. Actually, a few times, on the left, I've woken up to find the ankle red with a yellowish patch under it. Anyway, none of this affects my ability to walk. It's mostly when I poke it, sometimes not. This morning, my right Achilles tendon hurt me for like 15 minutes. Every so often, both my feet burn (doing nothing special).

    My doctor declared it was tendinitis (she only knew about the right one) and gave me Vioxx. It was a 2-week supply. I took too many the first few days, so it didn't last 2 weeks. Anyway, it did nothing.

    I don't think they're swollen. Occasionally, my shoes feel a little tight, but it's never anything major if they are. Sometimes, the top of the left one hurts. Anyway, I have what's presumably a superficial thrombosis in my left leg that's been there for almost 3 years now. I don't know if that matters. My blood tests were fine (clotting, diabetes, thyroid, cholesterol, and so forth).

    Any ideas? Anything I can do for myself to fix it so I don't have to keep whining to the doctor? Thanks.

     
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    Old 06-02-2004, 02:23 PM   #2
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    Re: Ankle woes

    Ankle's are a tricky business. Do you have flat feet? Could it be a bone spur? X-Rays? MRI? Have you seen a podiatrist?
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    Old 06-02-2004, 02:27 PM   #3
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    Re: Ankle woes

    No. They're not in very good shape, archwise. I manage to push my shoes out at the sides a bit. But it's not actual flatfootedness or anything identifiable like that.

    No podiatrists, MRIs, x-rays, or anything of that nature. I don't think there's a spur. Nothing palpable, anyway.

     
    Old 06-02-2004, 06:36 PM   #4
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    Re: Ankle woes

    Might I suggest that you make an appt. with a podiatrist who is a foot and ankle surgeon. It might be as simple as getting some orthotics to provide arch support, maybe your ankles are rolling in too much, causing the soreness.

    I had an ankle that would swell up during the day, it progressive got worse but did not hurt. I went to a foot dr., after an MRI is showed that one of my tendons was blown, and as a result the other tendons and muscles were being over worked to compensate for the one. My shin did feel bruised, I just wondered what I kepy running into, I had no bruises. It turned out I had shin splints due to my ankle.

    As I said feet and ankles can be complicated. Best wishes.
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    Old 06-02-2004, 07:07 PM   #5
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    Re: Ankle woes

    Hi Eko
    Interesting about your shin splints. I have a case of those now and since I no longer run (due to major reconstructive foot surgeries), I've been hard-pressed too about its cause. My only theory is that I have spasticity in the calf muscle that is over-powering the shin....been on various anti-inflammatories and to no avail yet.

    Are yours gone? What did it take to rid them? Painful, eh?

    Cheers
    prisc1125

     
    Old 06-02-2004, 09:06 PM   #6
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    Re: Ankle woes

    It is possible that your gait is causing your pain, and that can easily be fixed with an appointment to a podiatrist or ankle specialist. If you have flat feet, you ankles may fall inward, causing the pain. I had ankle surgery about 3 months ago, and have found that my gait has changed slightly because I am trying to avoid inversion. This often causes me pain when I walk for a while. Your best bet is to go get it checked out. Good Luck!

     
    Old 06-03-2004, 05:32 AM   #7
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    Re: Ankle woes

    Prisc1125, to answer your queston regarding my shin splints (I felt I was bruised from ankle to knee along my shin), yes they are gone. They went away while I was in an ankle brace before I had a Brostrom Repair on my ankle and have not come back yet. Best wishes!
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    Old 06-03-2004, 09:12 AM   #8
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    Re: Ankle woes

    Hi Eko
    Thanks for responding!
    Glad your shin splints cleared up and that you are better on that front!
    What exactly is a Brostrom Repair and why was it done?

    Prisc1125

    Last edited by prisc1125; 06-03-2004 at 09:13 AM.

     
    Old 06-03-2004, 10:24 AM   #9
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    Re: Ankle woes

    The Brostrom Repair is a repair of damaged ligaments on the outer ("lateral") side of the ankle. In my case I a blown a tendon unknowingly. A cut is made over the outer side of the ankle. The remains of the ligament are found. Either a hole is drilled thru the ankle bone and the ligament is pulled through and then stitched or small grooves are made in the bone on the outer sde of the ankle and placed in the bone and stitches attached to these screws are used to fasten the ligaments back in place. This procedure takes you out of commission for about six weeks while it heals.

    If there is anything else you want to know, ask. -eko
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    Old 06-03-2004, 10:38 AM   #10
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    Re: Ankle woes

    Hi Eko
    Wow, that is something! Do you have to keep the hardware in forever or is it temporary? Did you need PT to strengthen the area?

    Also, just wondering a tad more about the shinsplints: did the doc attribute them primarily to the other instabilities of your ankle? I am asking mainly to determine to what extent shin splints result from a problem elsewhere in the LE vs the pounding of athletics. The former might be my case because I certainly haven't changed the type of activities I do.

    I had a bunch of surgeries where tendons were entirely transferred (part of where my tension is in the ankle) or lengthened. Also had major bone work -- 1st metatarsal osteotomy and calcaneal heel slide. The recovery and rehab were quite extensive so I am quite familiar with that part.

    Are you recovered now?

    Thanks --

    Cheers
    Prisc1125

     
    Old 06-03-2004, 01:10 PM   #11
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    Re: Ankle woes

    I was lucky, my Dr. was able drill the hole an ankle bone, pull the tendon through and stitch it back onto itself, no hardware. My Dr. did attribute my shinsplints to the instability of the ankle, and again, once I was in a brace, they started clearing up. Of course I didn't like the brace and within six months chose to have surgery.

    Am I recovered now, depends. When I had the Brostrom done, I also have a bunion corrected. While recovering, the big toe which had the bunionectomy dislocated. My Dr. attempted to correct that, but it dislocated again, so about six months later my big toe was fused. So I am three months post-op on a fusion. Because of the complications with my big toe, I was not able to walk correctly on the ankle, nor able to have PT. So now I am suppose to start PT to strength and increase the flexibility of my ankle. I have no pain in my ankle, just some swelling that is expected to go away with PT.

    Let me know of there is anything else I can help you with. -eko
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    Old 06-03-2004, 01:21 PM   #12
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    Re: Ankle woes

    Hi Eko
    You certainly were lucky! Still sounds complicated.

    Interesting then about the shinsplints.....I've had mine about 4 months now and have not been put in a brace. I am quite active with swimming, Pilates, etc and my ortho wants me to do all of that to keep my muscles flexible. The spasticity tends to make them tight and it is the calf that I am most concerned about, esp as it may play into or cause the shin splints. We'll have to see how it goes.

    As for the bunion, sounds like that has been a nightmare too. Bone work and its recovery are painful, worse in many ways than soft tissue. I have a small bursa now where the osteotomy was done and am not sure whether it is the result of my walking wrong or from the surgery. Hope it does not turn into a bunion, which I know can be a typical course.

    That is great you have no pain now. PT and modalities will definitely get the swelling down.

    Prisc1125

     
    Old 06-04-2004, 03:32 AM   #13
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    Re: Ankle woes

    Braces are not usually a treatment for shin splints unless the splints are being caused by another problem which can be treated with braces. The most common cause of shin splints is overuse (it is a common injury in runners and soccer players. Many times pain in the shin (muscle pain) is misdiagnosed as shin splints. True shin splints are generally on the inside of the shin (medial side) over the tibia, and are caused by microtears in the muscle connecting to the bone. Usual course of treatment includes rest, ice, and NSAIDS (nonsteroidal anti inflammatory drugs). Taping helps relieve the pain for some people during activity. The best way to eliminate them is to stop doing the activities that aggravate them. Hope yours get better soon!

     
    Old 06-04-2004, 05:02 AM   #14
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    Re: Ankle woes

    Hi Spacey11:
    I used to be a runner before my foot surgeries but am no longer. It seems that my shin splints are coming from just walking -- normal get-from-here-to-there kind of thing. The ice and NSAIDS (rx strength) are not working for me and stretching makes it worse. The shin splints are in the medial shin with hard, painful bumps. Fortunately, I've not reached the stress fracture stage. I also get them posteriorly and laterally on the calf as well as in the front where my anterior tib tendon now crosses in front of the shin.
    Thanks for your reply.

    Cheers
    Prisc1125

     
    Old 06-04-2004, 08:00 AM   #15
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    Re: Ankle woes

    The posterior and lateral pain may be due to inactivity due to your decrease in activity. It sounds like you have a pretty serious case of shin splints, and some muscles that are fighting back. While I would not advise stretching your shin muscles (say by pointing your toe down) I think that stretching the calf may help aleviate some of your pain. When muscles experience a sharp decrease in activity, they often release their tension in the form of spasms. I know when I was in a cast after ankle surgery, my calf was crampnig left and right, just becasue I wasn't using it. streching the calf should stll keep you safe from aggravating the shin. Hope things get better!

    - spacey_11

     
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