Tuesday, October 1, 2013
Ankle Pain Unknown Diagnosis: Email Correspondance
Over 2 months ago I started experiencing some pain in my left ankle after yoga. Got it checked out. I was told tendonitis/sprain. I did RICE for 4 weeks. Then put it in a boot for 2 weeks. But it still didn't heal.
About a week ago, a new doctor told me I have posterior tibial tendon insufficiency. My pain is also in the surrounding areas, on both sides of my ankle. She told me to get some shoes (I used to wear flip flops 99% of the time) and I also got an orthodic inside (New Balance).
I'm 23 years old, relatively healthy and fit, and haven't been able to workout in over 2+ months. Now, after doing the smallest things (i.e. driving, stairs, etc) my ankles start hurting. Both my left and right hurt now.
I am confused and frustrated, and don't know where to turn next. I've seen 3 doctors and the pain still isn't gone. Can you give me some advice? I'm happy to return the favor in anyway I can, please help me, this has me really down, please e-mail me back.
Dr Blake's comment:
First of all, you need to verify the diagnosis. MRI is a useful tool to help in that direction. I am hopeful you just bruised the back of the ankle, or something else minor, that may take time but will heal completely. Without the MRI, there are too many possibilities to give this much further direction. You are still in Phase I of Rehabilitation without a solid diagnosis. Phase I is the Immobilization/Anti-Inflammatory stage. Use ice twice daily around your ankle for 15 minutes and do one formal contrast bath every evening. Place yourself back in the boot, you may need a lot for the next 3 months, for any situation that produces over level 2 pain. Remember to create a pain free environment as best you can keeping the pain between levels 0-2. Read my blog post on Good vs Bad Pain and memorize. I hope this helps. Rich