sharp pain in ankle months after sprain

I would definitely wait a couple hours. Gentle release of connective tissue restrictions.Foot Mobilisation Therapy (FMT) helps break up adhesions that prevent joint mobility operating at its best. This surgery is done arthroscopically. Again, please seek evaluation by an orthopaedic surgeon. Many people don't even see a doctor for the injury. Or are there some rehabilitation exercises I should perform? So youve sprained your ankle, done the rehab and its been months but your ankle still doesnt feel right. To support your Foot Mobilisation Therapy (FMT) treatments your practitioner will prescribe specific exercises focused on strengthening, stretching and proprioception. There may be swelling. This could lead to the development of persistent pain and swelling in the ankle, which does not settle despite a course of physiotherapy or rest. While it is normal to have a little bit of motion between these two bones, a sprain of the interconnecting ligament would result in too much motion, and this persistent motion would cause pain. The pain is not located where the original sprain was (outside of the ankle). There is tenderness around the lateral malleolus. Avulsion fracture. Grade 2. Neither your podiatrist nor your primary care physician may be able to diagnose and treat chronic pain caused by issues of nerve entrapment or damage. Discomfort commonly comes in the form of swelling and bruising for 1. Managing your healthcare is easier than ever before with Zocdoc. Now, the pain is located on the inside of the ankle and on the heel of the foot. Nerves may also become entrapped in scar tissue following a surgical procedure. Severe sprains may cause excruciating pain, crutches may be needed. Many of those who suffer from this kind of ankle pain find that they have good and bad days or good and bad periods. It may also occur with ankle sprains. The injury usually occurs when someone lands awkwardly on their foot. However, more often there is pain that prevents walking without a slight limp. High ankle sprains are a serious injury, and usually require surgery in the form of a screw or tight rope that spans the two bones, essentially serving the function of the injured ligament. RICE is an acronym that stands for: Rest, Ice, Compression and Elevation and within a week or so they are starting to walk again and within 4-6 weeks they are usually back to full activity again. Articular surface injury may involve cartilage alone (chondral) or cartilage and bone (osteochondral). If you continue to have ankle pain weeks after an ankle sprain, how can you know if something is wrong? The keyhole surgery is associated with less post-surgical pain and allows more rapid return to function and activities. There are also those us who are unfortunate enough to have stubborn ankle pain without an immediate sprain injury. It may also occur with ankle sprains. Achilles tendon rupture. While tears can definitely be a cause of sharp ankle pain that comes and goes there is a much more likely cause hidden away in the soft tissue of the ankle. These patients can be treated symptomatically. Injury to any of the ankle bones, ligaments or tendons and several types of arthritis can cause ankle pain. Required fields are marked *. There is usually immediate pain with significant swelling and bruising at the time of injury due to bleeding. What if you are still in a substantial amount of pain? Anterior impingement secondary to spur formation is quite common in athletes especially in soccer, rugby and basketball. Scar tissue that causes sharp ankle pain to come and go can develop through repetitive strain or through specific injury. Hannah Martin 14:01, Dec 05 2022 Sungmi Kim/Stuff. What women dont want over the Christmas holidays! Maybe you only twinged your ankle, there was no significant pain or injury at the time and you could walk normally pretty much straight away. How do you know when physical therapy has failed you? But why is that? Sharp, sudden ankle pain that comes and goes without warning can seriously effect your ability to enjoy exercise. Tumors: These can form in and around the ankle joint, causing pain and swelling. Normally, we dont need to think about being able to walk; our brain automatically knows the position of our feet, and how to move them. Internal shoulder dislocation, what should I do? (08) 8239 0800, 5 Cowper Street, Glenelg, South Australia 5045 When you sprain your ankle, it is possible for a nerve to become compressed against a bone or other tissue. The Problem May Involve Entrapped or Damaged Nerves Ankle sprains happen at one time or another to almost everyone from the serious athlete playing their sport competitively to the office worker who simply missteps on an uneven floor. Obese people leading a sedentary lifestyle may also show painless ankle swelling. Over-the-counter pain medications. www.footandleg.com.au/foot-mobilisation-therapy/. The os trigonum usually does not cause any problems. You may find yourself limping in high heels, struggling to sit on the ground with crossed legs, or or even experiencing secondary problems such as sore knees and lower back pain, ever since you injured your ankle. Many who have sharp ankle pain that comes and goes have no obvious swelling. A sprained ankle usually takes between two and six weeks to heal, so it's not necessarily worrying if you're still suffering pain after a month. Drugs such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve) can ease pain and aid healing. With these lesions, the talar dome is more frequently injured than the tibia. Treatment Taking adequate rest and staying away from activities that trigger ankle pain is the mainstay of the treatment. A ankle fracture is a break to any of the bones which make up the ankle joint. Weightbearing x-rays of the ankle are useful as an initial test. Tracking down the problem is the first step to providing relief from the pain. Damage to the ankle joint (intra-articular) includes injury to the joint surface of the ankle, anterior ankle impingement and posterior ankle impingement. It is not intended as, and Zocdoc does not provide, medical advice, diagnosis or treatment. If this pain fails to settle, an ankle arthroscopy may be performed to remove the inflamed tissue. Kneed help, Foot Mobilisation is a manual therapy specific. Ankle sprain. I heard what sounded/felt like a snap. However, that is not always the case, and generally, there is a poor correlation between the extent of an injury and the . If ankle pain after a sprain persists beyond four to six weeks, it may be an indication of a chronic ankle sprain. If the diagnosis is delayed then a trial of a walking boot for 6 weeks is helpful. Ankle sprains are common injuries when the ligaments around the ankle tear or stretch. There are several different types of arthritis, including rheumatoid arthritis, osteoarthritis, gout, etc. While it's difficult to be very specific without actually examining you or looking at x-rays, I suspect that you may have had either a very bad sprain (for example, a high ankle sprain) or a minor fracture (break) of the ankle, both of which should be evaluated by an orthopaedic surgeon. Skiing is a common cause of peroneal tendon dislocation. Kent Town, South Australia 5067 Its simple, secure, and free! Grade 3. More on Ankle sprains. This could lead to the development of persistent pain and swelling in the ankle, which does not settle despite a course of physiotherapy or rest. Better BalanceAs your base of support becomes more stable this promotes the bodys balancing system (proprioception) improving your balance and coordination. Surgical repair of the peroneal retinaculum is required to stabilise the tendons. Is it possible that you have a worse injury? The pain is often worse with stairs or uneven ground. Causes Of Persistent Pain Following An Ankle Sprain ANKLE CONDITION An ankle sprain may result in damage to the surface of the ankle joint or to structures around the ankle joint. Ankle synovitis is inflammation of the soft tissue lining of the ankle joint. The first thing you should do when you have a sprained ankle is to ice it. Ankle sprains happen at one time or another to almost everyonefrom the serious athlete playing their sport competitively to the office worker who simply missteps on an uneven floor. I sprained my ankle (inversion) pretty badly playing basketball 4 months ago. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Level 2, Suite 4, 58 King William Street, Your foot inverts or rolls out, stretching or tearing the ligaments and tendons on the outside of your ankle. In women this often occurs in female ballet dancers who place the ankle in extreme equinus to assume the en Pointe position. Ever since I had that sprained ankle, my foot has never been quite the same. To find the relief you need, your next step should be to find a peripheral nerve surgeon who can make the proper diagnosis and has the experience and expertise to address the problem. Rare and unusual ankle pain causes. Perhaps stairs are a challenge or you cant squat or stretch your calf muscle like you used too and maybe your ankle just feels stuck. Simply, call Raquel at our Kent Town centre on 8239 0800 or Wendy at our Glenelg centre on 8294 0100 for an appointment today or CLICK HERE to book your no-obligation ankle pain assessment today. That said, in most cases, you should expect to get back to feeling normal in six months or fewer. a break that has not moved or displaced) can be treated by casting depending on the pattern or break, but the key here is that even these most minor of fractures should be protected by cast and non-weight bearing. It may also show the presence of fractures around the ankle. Arthritis is pain and swelling of the joints. Now that it is months after the injury, there have been some days that I don't have any discomfort when walking, or even when jumping or running. There's a risk of injuring your ankle again, especially in the first four to six weeks. Complications of ankle sprains can also occur, causing lateral ankle pain long after your injury occurred. Some people find the scar tissue that causes their sharp ankle pain doesnt like mileage and will hurt during or after they run or walk longer distances. Your email address will not be published. I also did "tight rope" walking where I walked heel to toe forward and backward for as far as you want to go. This accessory movement is often restricted or lost after an ankle sprain. It may not identify joint damage as x-rays visualise bone but not cartilage.Magnetic Resonance Imaging (MRI) is the most useful investigation looking for damage to the ankle joint surface, synovitis or peroneal tendon damage. Featherston Street Pain Clinic Worse, what if your treating physician cannot find anything wrong to explain the painlet alone treat it effectively? Fortunately, most sprains are fairly minor and heal reasonably quickly. As a result, the your ankle can still hurt and just not feel right months after the original sprain. with #footmobilisation Pain, swelling, bruising, started after intense or repetitive exercise: Sprained ankle: Pain in ankle and heel, pain in calf when standing on tiptoes: Achilles tendonitis: Redness and swelling, dull aching pain: Bursitis: Sudden sharp pain, swelling, a popping or snapping sound during the injury, difficulty walking, ankle at odd angle: Broken ankle 2022 Dr. Eric H. Williams, All Rights Reserved, Reproduced with Permission Privacy PolicyWebsite Built by Foster Web MarketingWebsite Powered By Dynamic Self-Syndication (DSS)Site MapDSS Login. With early diagnosis a short leg walking boot for 6 weeks will allow the fracture to heal. Grade 2: The swelling, bruising and pain will likely be significant. The old saying goes Everything works best when its in the right place. The patient will often complain of discomfort in the region of the fracture for up to 3 months following the injury. This injury represents an avulsion fracture of the base of the fifth metatarsal, which is where the peroneus brevis tendon inserts. We encourage you to contact us with any questions or comments you may have. The peroneal tendon may remain dislocated or it may reduce and cause repeated dislocation episodes with activities. However, there are a few things you can do to help support your ankle and make the healing process go a bit quicker. If the pain is anterior then articular (joint) surface injury and anterior ankle impingement should be considered. From Mayo Clinic to your inbox A peroneal tendon tear is commonly associated with lateral ligament instability. Pain Six Months After an Ankle Sprain? Dont be too tempted to get into self diagnosis though, the subtleties that distinguish a bit of scar tissue causing sharp pain to come and go versus more serious issues are for the professionals. What weve noticed is that there are 3 main reasons why people are experiencing ongoing pain and discomfort months after they sprained their ankle: The foot is incredibly complex and sometimes the twisting and rolling action of the initial injury causes displacement and mechanical changes in the bones and joints in your foot leading to compensation and ongoing issues. They may include: Pain, especially when you bear weight on the affected foot Tenderness when you touch the ankle Swelling Bruising Restricted range of motion Instability in the ankle Popping sensation or sound at the time of injury When to see a doctor Foot pain may be caused by nerve damage in the foot due to an injury, diabetes mellitus, hereditary diseases or peripheral vascular disease. However, it may also be a sign of more severe ligament or tendon damage. Dr. Eric H. Williams is a highly trained and fully certified surgeon whose areas of specialty and expertise include an emphasis on nerve injuries and nerve entrapment. In these cases, the surgery intended to correct the problems caused by the ankle sprain has introduced a new problem. Unfortunately for some people they do all the right things, the injured tissue has healed but their ankle and foot just doesnt feel right. Some people find that the scar tissue that causes their sharp ankle pain to come and go doesnt like certain types of activity, certain specific movements, certain types of running surfaces or certain types of footwear. In the case of the high ankle sprain, this represents an injury to the ligament that connects your two shin bones (the tibia and the fibula) directly above your ankle joint. Fracture of the tuberosity of the fifth metatarsal follows an inversion injury to the ankle. Most ankle sprains are mild and only need ice and elevation. However, bruising of the bone on the inside of the ankle can also occur from compression. So, if you are suffering with a sore ankle several months after a sprain, dont put up with or just accept it as it is what it is or blame it on old age. My foot went inwards, as in the sole of my foot was facing inwards towards my other foot. You Don't Have to Suffer With Chronic Nerve Pain in Your Glutes! Youand your physicianmay not realize that a location apart from the ankle was damaged in the initial incident. And if you have been struggling with pain following an ankle sprainwhether or not you have had surgerycontact us for an appointment. While fractures and sprains cause ankle pain, others are coping with an ache of a different origin. The good news is that scar tissue is WAY more common than tears. Ankle pain can be but doesn't have to be the result of an injury. The patient can usually localise the pain to the front (anterior), back (posterior), inner side (medial) or outer side (lateral) of the ankle. The pain is worse with activity especially on uneven ground. Address: This can vary from wearing sneakers with a compressive tubigrip to a walking boot. If this happened to you, I suspect that you putting weight on it either prevented it from healing or from healing correctly. Even with the best of care, you may have some ankle swelling, stiffness or pain, particularly first thing in the morning or after you've been active, for several weeks. A surgeon has been found in breach of the Code of Health in a case the . Only rarely will the fracture be sufficiently displaced to require open reduction and internal fixation. Gentle swimming and cycling may commence 2 weeks post op and light jogging may commence 3-4 weeks post surgery. If you can relate to any of this then its important to find out why because in our experience if the ankle doesnt feel like its functioning normally within 3 months of the injury then it usually wont just get better on its own. Mild sprains typically begin to feel better in a few days to a week and heal by six weeks. The waters can get a little more murky when you consider the fact that both a tear and some scar tissue can come from an initial injury, and also that you could have some combination of a tear and scar tissue that causes sharp pain to come and go. Sharp ankle pain that comes and goes can get to the point where it even hurts at rest, but most people find it is only when they are actually putting weight through the foot. If symptoms persist then surgical excision of the fracture fragment for persistent pain may be necessary at a later stage.In a patient with a fracture of the lateral process of the talus, displacement of the fracture (as seen on CT scan) will determine if surgery is required. If you have a microscopic scar tissue build up in your ankle you can develop a kind of 'catchy' 'irritable' scenario where the ankle finds certain movement irritating. Fracture of the anterior process of the calcaneus can occur with a lateral ankle sprain. Share on Linked In Equally importantly, he treats each patient as an individual and approaches each diagnosis and procedure with his full attention as he seeks to improve the quality of life of every person he treats. I attended A&E as my ankle became incredibly swollen and painful . If there are repeated dislocation episodes then there will be a snapping or popping sensation. Posterior ankle impingement may be secondary to repetitive injury. Even severe sprains should be healed and pain-free after 8 weeks, so if pain persists (with inflammation) there is likelihood of an undiagnosed fracture, cartilage tear, or ruptured tendon. Please call our office or use the quick contact form below. I having ankle/foot pain 4 months after ankle sprain, what is wrong with me? Injuries to structures around the ankle (extra-articular) include peroneal tendon tears, peroneal tendon dislocation and occult fractures. An ankle sprain is one of the most common musculoskeletal injuries. "Shooting pain up leg" means that the pain shoots from the injured area into the thigh. Happily, there may well be a solution. Of course, if the injury you have suffered is more severe, the road to recovery from an ankle sprain is likely to be longer. Broken foot. Others with this type of sharp ankle pain that comes and goes find that it has certain triggers which can relate to certain activities or movements. You can help prevent chronic pain from developing by following these simple steps: Follow your surgeon's instructions carefully and complete the prescribed physical rehabilitation program. There is a higher incidence of ankle sprains in females compared to males, children compared to adolescents, and adolescents compared to adults (2) The injury occurs when one or more of the ligaments in the ankle are stretched or torn. By Mayo Clinic Staff. Ankle movements are often limited. These corrective exercises ensure that you achieve the best possible results. The patient presents with persistent lateral ankle pain following an ankle sprain. Specializing in reconstructive surgery and pain relief in the Greater Baltimore area. An ankle sprain may result in damage to the surface of the ankle joint or to structures around the ankle joint. Often you will experience immediate pain and then swelling around the ankle area, it can be difficult to stand and walk and this usually indicates youve sustained some sort of ligament or muscle damage. Full ligament healing takes about 12 weeks if there is no reinjury of the tissue. Your ankle joint is swollen. This is done as a day surgery procedure. The persistent pain you are experiencing long after the initial sprain should have healed may be due to an entrapped or damaged nerve. Tendon Injury: The patient with post-inversion sprain pain This patient has nagging pain at the side and back of the ankle months after an inversion ankle sprain. There may be associated ankle swelling or loss of joint motion. Signs and symptoms of a sprained ankle vary depending on the severity of the injury. In the case of a minor fracture (break) of one of the bones making up your ankle joint, not all broken ankles need to be fixed surgically. More on Eversion ankle sprains. However, an ankle sprain can interrupt these messages between the brain and foot. Medical professionals who provide responses to health-related questions are intended third party beneficiaries with certain rights under Zocdocs Terms of Service. By far the most common cause of sharp ankle pain that comes and goes is scar tissue at the outside of the ankle! Zocdoc Answers is for general informational purposes only and is not a substitute for professional medical advice. The peroneus brevis is more commonly torn than the peroneus longus. The tuberosity of the fifth metatarsal has an excellent blood supply and a fracture of the tuberosity of the fifth metatarsal will heal readily. In men it often occurs in the leading foot of fast bowlers ie left foot in right handed bowlers and right foot in left handed bowlers. Please refer to the section on ankle arthroscopy. Squatting (eg with weight lifting) and landing after a jump (eg gymnastics or acrobatics) may make this pain worse. Bursitis (joint inflammation) Save my name, email, and website in this browser for the next time I comment. Depends: Ankle 'popping' can occur after sprains due to scar tissue, cartilage damage, or possibly from a dislocating tendon. For your ankle to be able to move through its full range of up and down (plantarflexion and dorsiflexion) range of motion it must be able to slide back and forth slightly in the ankle joint. Dr. Barg: Usually, right after the injury, almost everybody who has ankle sprains cannot bear weight. (08) 8294 0100, Share on Facebook The content provided here and elsewhere on the Zocdoc site or mobile app is provided for general informational purposes only. It goes without saying that the most common kind of problem people have with their ankles is the pain and immobility that comes after a, I meet heaps of people who havent got a sprained ankle, but who do experience ongoing sharp, Causes of scar tissue in the ankle include problems with the way your ankle moves, problems related to high arches, problems with flat feet or a history of, Some people find the scar tissue that causes their sharp, Pain that relates to a tear in the ankle is often more constant than the type of, Dont be too tempted to get into self diagnosis though, the subtleties that distinguish a bit of scar tissue causing sharp pain to come and go versus more serious issues are for the professionals. There may be start up pain where the patient has pain when he/she starts an activity such as running and the pain eases as the patient continues. The quick answer is no, you should not lift weights with a sprained ankle. This is the un-united posterolateral tubercle of the talus. They want to get back their confidence, be able to walk and exercise freely and wear their heels again and they just cant seem to find an answer. The incidence is 2.15 per 1000 person-years in the United States (1). Orthopedic Surgery 26 years experience. I was walking across a road and stepped in a pothole. These techniques focus on improving and restoring the normal range of pain-free joint motion. Grade 2 Ankle Sprain With a grade 2 ankle sprain there is moderate damage to the ligament results in a partial tear. A converntional ankle sprain will likely cause most pain on the outside of the ankle. Some people with repeated or severe sprains can develop long-term joint pain and weakness. More severe ankle sprains could take more than a few weeks or months to fully recover. There are 26 bones and 43 joints in each foot so there is a lot of potential for something to go wrong with an ankle sprain! Scar tissue build up causes irritation to the surrounding soft tissue which then leads to sharp pain in the ankle that comes and goes. Bone scans can identify fractures of the anterior process of the calcaneus or lateral process of the talus if the x-rays appear normal and these fractures are suspected. Home / If Your Sprained Ankle Is Still Sore Months Later, Read This Now! Grade 1: The ankle will likely be less swollen and tender at the site of the ligament injury. And it can be truly frustrating when a doctor cannot seem to provide any answers (or appears to discount your pain as imaginary or less severe than you claim). I meet heaps of people who havent got a sprained ankle, but who do experience ongoing sharp pain in their ankle that comes and goes. The patient will often complain of discomfort in the region of the fracture for up to 3 months following the injury.In acute peroneal tendon dislocation/subluxation, nonoperative treatment with immobilisation is ineffective. If the damage is on the inner side of the ankle then the pain is usually on the inner side. It can also occur in other athletes following ankle sprains. Ankle fractures. For specific advice regarding chronic ankle pain, please book an appointment with Dr Peter Lam on (02) 9884 9499. Foot mobilisation therapy is a manual therapy treatment specifically developed to improve your foot and ankle function by targeting stiff, mal-aligned or dysfunctional joints to improve the function of your lower limb. Hi everyone, I am so desperate for advice, please! You are most likely to be suffering from arthritis. The most common ankle injury is a sprained ankle. With anterior ankle impingement, the pain is worse with walking or running up hill, inclines or stairs. This can be associated with an ankle sprain. The initial treatment of patients with anterior, lateral or posterior ankle pain after an ankle injury is physiotherapy and to avoid activities that aggravate the symptoms such as running and jumping sports. People with this kind of ankle pain have often sprained or rolled ankles in the past. It will identify the presence of anterior bone spurs in the ankle joint or the presence of an os trigonum. 3 Possible Causes of Sharp Pain In Your Ankle When Walking. What will happen after I have my cyst removed? A completely torn ligament causes severe pain, making it difficult to Causes of scar tissue in the ankle include problems with the way your ankle moves, problems related to high arches, problems with flat feet or a history of ankle sprains. This type of sharp ankle pain that comes and goes can be so sharp and stabby or twingy that its easy to wonder if something is seriously wrong. Just search for a doctor in your insurance network, see available times, and book an appointment on the spot! It may just be that you have a rather more severe sprain that will take a little longer to get better. This is followed by a course of physiotherapy.Articular damage, synovitis and painful anterior bony impingement problems require ankle arthroscopic (key hole) surgery. Pain messages are reduced.This is achieved by stimulating the mechanoreceptors of the joint and preventing the Type IV nociceptor impulses. When your feet are correctly aligned and functioning as nature intended the incredible power of your bodys restoration system can work its magic. The lateral pain is located behind the lateral malleolus. If this sounds all too familiar then keep reading. That situation can be truly discouraging. If you have a microscopic scar tissue build up in your ankle you can develop a kind of catchy irritable scenario where the ankle finds certain movement irritating. Thank you. Rehabilitation (rehab) exercises are critical to ensure that the ankle heals completely and. Share by Email, #naturaltherapy to FIX #footpain The patient presents with localised pain, swelling and bruising anterior to the lateral malleolus. No treatment is needed if the po. If you think you may have a medical emergency, call your doctor (in the United States) 911 immediately. Woman suffered 'severe' pain for months after injury during surgery. This pain is caused by torn tendons. Prolonged Pain Prolonged or chronic pain is the most common complication of an ankle sprain 2. Sometimes the patient may be able to localise this pain to the inner or outer side of the ankle. Is Your Bursitis Trying To Tell You About Wear And Tear? That said, even with good rehab some people do not regain normal joint motion after a sprain, and you appear to be . Always seek the advice of your doctor before starting or changing treatment. You shouldn't have to live with intractable pain. Healing may take 4-6 weeks. These techniques focus on improving and restoring the normal range of pain-free joint motion. I sprained my ankle around 18 months ago. Do You Have a Sharp Pain in Your Ankle That Comes and Goes? Mild sprains typically begin to feel better in a few days to a week and heal by six weeks. After all, we all want to be able to enjoy an active lifestyle without persistent pain. The pain is usually worse with activities such as stair walking and running and relieved by rest. Can a sprained ankle heal in 4 days? If its really sore x-rays are often ordered to rule out broken bones. Understanding the Symptoms of Superior Cluneal Nerve Entrapment, Questions to Ask a Peripheral Nerve Specialist Before Carpal Tunnel Surgery, How Nerve Decompression May Help People With Diabetic Peripheral Neuropathy, How Our Baltimore Nerve Specialist Treats Diabetic Peripheral Neuropathy Nerve Compression, Treatment Options for Meralgia Paresthetica, from the serious athlete playing their sport competitively, Tracking down the problem is the first step to providing relief from the pain, Pinning Down the Primary Causes of Post-Ankle Surgery Pain, What a Patient May Expect From Nerve-Related Ankle Surgery. Nerve Decompression Operation For Occipital Neuralgia, 2022 Dr. Eric H. Williams, All Rights Reserved, Reproduced with Permission. It goes without saying that the most common kind of problem people have with their ankles is the pain and immobility that comes after a sprained ankle. Posterior ankle impingement may be due to several causes. It may be difficult to walk and the ankle may feel slightly unstable. Most heal on their own, and people return to sports and exercise without any trouble. This and the fact that the plain radiographs often do not show the fracture or have only subtle changes are the reasons why this fracture is frequently diagnosed late in patients who have had a presumptive diagnosis of an ankle sprain. The pain may be associated with ankle swelling. The most common symptom of nerve injury is pain, which may be accompanied by numbness and tingling. Ongoing pain and an inability to find and solve the problem are not experiences anyone would voluntarily choose. 23 Waring Taylor St, Wellington, 6011 (Level 3). DM 4 Q&A! If articular damage does not heal after an arthroscopy then cartilage transplantation may be required.Posterior ankle impingement pain from an os trigonum requires surgery to excise the os trigonum. While most ankle sprains heal, pain lasting 6 months or more after an injury is less common and warrants evaluation by a foot and ankle orthopaedic surgeon. Rare and unusual causes that may lead to severe ankle pain include: Loss of blood supply to the bone: This can follow trauma, blood vessel blockage, or certain diseases, and causes bone damage and pain. It could be the. Diagnosis and treatment are made more difficult by the fact that the entrapped nerve may not be located in the ankle area at all. Created for people with ongoing healthcare needs but benefits everyone. I'll go through each of these. Ankle edema is common in people suffering from kidney disorders or heart problems such as congestive heart failure (CHF). A nerve in that situation is said to be entrappedand an entrapped nerve is often the cause of ongoing pain or other discomforts. This can occur following an ankle sprain, with pain and swelling felt just in front of the lateral malleolus (end of the fibula). You can read real doctor reviews from other patients, see the doctors background and education, view photos of the office, and more. The cause of the anterior spurs is unknown and they most likely are the result of repetitive minor injuries. The damaged or entrapped nerve rather than the ankle sprain itself is what must now be addressed. Most people with use the RICE principle to treat their ankle sprain. Ankle pain from a tear will also often have some swelling that goes along with it. 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