How fabulous you are taking questions again! Just my wonderful luck and timing! Thank you!
Peroneal subluxation. I’ve been scouring your blog looking for info on this. At this point I am self diagnosing (I know, I know) but with my myriad ankle issues I’ve read a lot of information over the years about different ankle esque conditions. I am now 43 years old, still very active. My left foot had the lovely sesamoid fracture which occurred at age 39 I believe. It appears to be fine now but a good year of healing and more time of tenderness ensued. Then I’ve dealt with a 20 + year ankle fracture that occurred during a hard sprain (I thought) while snowboarding. My outer ankle (again left foot) continues on with the multiple fragments hanging out in my subtalor joint. I’ve chosen to forgo surgery since I really have a few occasions a year of periodic swelling and pain.
So today I am writing on behalf of my right foot. Until now I’ve really had no issues with it but am realizing now it’s been taking up serious slack for my left foot. Here’s what’s happening.
I significantly ramped up my yoga routine over the last 8 months and I’ve done a lot of hiking over the summer. A lot of several hour jaunts up steep, very fast elevation gains. Since the trails are fairly smooth and clear with just some uneven areas I just wear Keen brand waterproof lace up low top shoes. Not a ton of support but it’s a nice low shoe that doesn’t bother my left ankle issues and seems to serve well in many trail conditions. Overall comfortable and semi supportive I guess. Have practiced yoga for 20 + years and the yoga I do is fairly strong, vinyasa flow. Lots of odd angles and pressure on the outer ankles doing pyramids, side angles, balancing poses on one foot, warrior I’s etc. etc. Yoga as much as I love it can be oh so hard on ankles and notice more and more pressures/sensitivities while doing it (left ankle is speaking of some Achilles issues at the moment..will save that for another day).
So about mid summer I began to notice this ‘snapping’ happening on the exterior of my right outer ankle, going up my leg a few inches. When I place my fingers over the area and rotate my foot clockwise I feel a band or bands shifting side to side (more over the back portion of the ankle bone). The snapping is especially noticeable climbing steps or hills or pushing off to the left in a side step motion with pressure to outside of right foot. Along with the snapping I found myself waking in the morning and rotating that ankle as I felt like it needed a stretch and multiple cracks sound off from the ankle area as I rotate it clockwise. Lots of cracking. It feels really good but now I’m trying not to do that.
Here’s the thing. There is NO pain in my right foot. Maybe after a long hike I feel a touch of soreness near outer part of ankle but there is no swelling, no pain during any movement. Definitely no pain or tenderness over the snapping areas. But the snapping seems is getting worse and it’s becoming very unpleasant. I haven’t been to a doctor yet because as I’ve mentioned I live in a remote area where each doctor visit begins with the most basic diagnosis, then a long wait ensues for a specialist in an area not usually related to the specific area you are requiring assistance for.
I would love any advice on bracing, exercises, taping, and/or suggestions I could offer to my physical therapist who may know little about the condition. If you feel like this could be masquerading as something else or would like me to get an x ray or consult with a physician before a reply I can do that. Hopefully I’ve done a good job self diagnosing :)
Thanks in a advance for any words you may have for me and thanks for the many you’ve already provided me!