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» Hatrack River Forum » Active Forums » Books, Films, Food and Culture » So* I’ve been having problems with my ankle....... (now with two diff doc opinions)

   
Author Topic: So* I’ve been having problems with my ankle....... (now with two diff doc opinions)
Jay
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So* I’ve been having problems with my ankle since I twisted it in a basketball game on March 19th. Of course I tried to walk, errr… I mean, run it off. I’ve done numerous races and been keeping my training going. Well, a couple of weeks ago I aggravated it pretty bad doing yard work. Was sort of pushing on some roots I was digging up and the roots gave way with my toes and foot hyper extending forward, which I guess was the wrong way to move cause it shot a pain through that sent me to the ground. After that runs would start to hurt after a few miles. Tried wrapping it and wearing a brace. Seemed to be ok on flat but hills are bad. And we all know West Virginia has a hill or two. So* went to the docs. I think I mentioned the BP thing, but anyway. They x-rayed it and got me an appt with a bone doc. She saw me again Friday and looked at it more along with BP stuff. Said she doubted that the bone doc would be able to do anything and asked if I wanted to see a sport’s doc. Which of course I was like well yeah, I want to keep running. So* she scheduled an MRI (Sunday afternoon) and an appointment with the sport’s med guy which is this Wednesday.
Also, Saturday a friend of mine who is an athletic trainer professionally wrapped it and I ran on it like that. Not sure how well it went though. When I ran it started clicking sort of like a knuckle cracking with each step. Didn’t really hurt though. Wasn’t sure how long to go with it doing that. So* I maybe went a mile. It hurt later in the day and the next day felt funny to walk on. He told me after that popping shouldn't be anything. Just my normal tight feeling when I run uphill, with the tape it just increases the pressure around my ankle so the swelling in there just was tighter. That's part of what tape does when you have a little swelling. Who knows.
So* today I get home and there’s a message about the appt. with the bone doc tomorrow. I thought she (Dr. Ola) was talking about canceling the bone doc for tomorrow, but they called today to remind me of the appt. She kind of confuses me at times. So* I guess I’ll go just in case. She also called today and said she was calling about my results for the MRI, but I tried to call back and she had left already. Dang.
Guess I’ll know more tomorrow. Maybe. And then should know a lot Wednesday after seeing the Sport’s Doc.
Yeah, yeah, before you say stop running. I haven’t been. Ran last Tuesday, but not much. And then only that mile on Saturday.
So*….. that’s the story of my ankle woes.

[ June 16, 2005, 12:33 PM: Message edited by: Jay ]

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MidnightBlue
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Ankle problems suck.
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El JT de Spang
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A high ankle sprain, it sounds like. These can take up to six months to fully heal.
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Peter
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Hey, i have the ankle popping too! I used to sprain my ankle all the time, when i was in sports, but i quit, so now i don't. the popping is really no big deal, at least for me.
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Ryuko
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I sprained my ankles so much that I've weakened the tendons and if I cross my legs and lean too far onto them, I pop them out of joint.
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sarcasticmuppet
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I had a high ankle sprain...

seriously. get it looked at.

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Jay
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So* I got the results of my MRI from the hospital today to take with me to the sport’s doctor tomorrow. No one could really interpret the results for me though there, at least nurse wise. And of course the bone doc was like well, you hurt yourself here go to PT. Glad I’ve got an appt with a sport’s doc tomorrow!

So see what you think of the MRI reading:

MRI LOWER EXTREMITY

This is bone marrow edema of the medial and superior aspect of the talus. On the sagittal images, there is some irregular appearance of the superior medial aspect of the talus possibly related to a small osteochodral defect. Cartilage signal over the talar dome I believe is within normal limits however. There is a small ankle joint effusion with joint fluid extending anteriorly and laterally. The anterior and posterior tendon groups as well as peroneous longus and brevis and Achilles tendons appear normal. No abnormality is identified within the sinus tarsi area.

Impression: Abnormal signal of the talus involving superior lateral aspect possibly related to bone marrow edema and a small osteochondral defect anteriorly. Correlation with clinical history of trauma recommended. Joint effusion is also seen. No definite tendonous or ligamentous disruption.


[ June 14, 2005, 03:19 PM: Message edited by: Jay ]

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Jon Boy
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"Doctor, it hurts when I do this."

"Then don't do that."

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Haloed Silhouette
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I have never sprung, damaged or broken any bone in my bode. And the worst I ever had was a muscle-seiseure at the neck.

Hehe!

(P.S. Yes, I do play basketball. I still have virgin bones!)

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Jay
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Yeah, silly me wanting something a bit more specific.
How to get it better quicker so I can get back to running sooner. I guess PT will help and maybe some specific stretches or exercises.

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Jon Boy
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quote:
Originally posted by Haloed Silhouette:
I have never sprung, damaged or broken any bone in my bode.

I'd hope not. Bones aren't supposed to be made out of springs.
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Jon Boy
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quote:
Originally posted by Jay:
Yeah, silly me wanting something a bit more specific.
How to get it better quicker so I can get back to running sooner. I guess PT will help and maybe some specific stretches or exercises.

I went to a podiatrist when I had a really bad ankle sprain a few years ago, and he gave me a brace and some instructions for stretches and exercises. Of course, it was so bad that I was on crutches for a few weeks, but yeah—stretches, exercises, and physical therapy are the way to go. And above all, be nice to your ankle. It's going through a really hard time right now.
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Farmgirl
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quote:
And we all know West Virginia has a hill or two.
We do? I have no idea anything at all about it. Where is West Virginia again? [Evil Laugh]

quote:
No one could really interrupt the results for me though there
Jay, I'm assuming you meant the word "interpret" not interrupt.

Hope you get it feeling better soon. I don't think you should run on it until they decipher for you what the MRI said.

FG

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romanylass
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Really, I know it's like going off drugs for you but stay off it! Go to the PT and see what they say.
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Elizabeth
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Jay, when you have rested your ankle for a doctor-approved time, they will give you strenghtening exercises. Do them! I played soccer for years, and sprained my ankle quite abit, taped it up, and played again before I should have. I have terrible problems with my ankles now.

So, take it from an aging ankle abuser: take care of your ankles!

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El JT de Spang
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I second Elizabeth. I have abysmal ankles, thanks to returning from injury too soon, both in high school and college.
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Astaril
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Not sure what sort of translation you're looking for, but as for the technical words:

talus - one of your 7 tarsal (foot) bones - search google for a diagram to see it
osteochondral - literally 'bone joint cartilage'
superior - upper side (facing the sky when standing)
anterior - front side (facing same way as your face when standing)
posterior - back side (facing behind you when standing, opposite of anterior)
lateral - right side of a right foot bone or left side of a left foot bone
medial - left side of right bone or right side of left bone (opposite of lateral)

For your actual problem, look up the bone marrow edema and joint effusion; I'm not sure what they are. The osteochondral defect just means some sort of problem with the ankle cartilage I assume.

And yes, look after them. Go to physio if need be and DO what they tell you even if it hurts or is annoying. My knees are in wretched shape because I didn't know my ankles were messing them up for years. Now my ankles have started up too. I haven't seen my ankle bone in 3 months now because it's been swollen with tendinitis. I'm 23. Look after yours.

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Raia
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Just make sure you get it properly looked at. My failure to do so resulted in my being on crutches for three weeks...

...three times.

<-- stupid

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Haloed Silhouette
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quote:
Where is West Virginia again?
Is this about my virgin bones? [Big Grin]
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Jay
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So* the sport’s medicine doctor trip yesterday.
Ok, get there. Didn’t have to wait long. They had a resident talk to me first and get all the info. Then the Dr. Stoll came in and said he wanted to talk to another doc who was their resident ankle expert. I guess they could see some sort of lesion on the bone burse or something. That he wanted to see weather he thought we should scope it or try to let it heal. Came back in and said wanted to put me in this immobilizer thing, didn’t want PT, and wanted to see me again in 4 weeks. Let them put me in this big thing that would have been worn instead of my shoe. I was heading out when they handed me a form saying if insurance wouldn’t pay for the contraction that I’d pay $500. I was like hold on. What? They kept saying insurance “usually” pays for it. And I kept saying no. Either they pay for it and they don’t. Couldn’t get a hold of the insurance so they told me to get a hold of them and let them know. They kept the immobilizer though.

Fast forward about an hour. My regular Doctor calls. Telling me some other test results and also talking about the MRI and visit to the bone doc Tuesday which was before the visit to the sport’s doc on Wednesday. Told her that the bone doc wanted PT and the sport’s doc wanted this immobilizer and the whole insurance thing. And that I was very confused and not sure what to do. She said that she thought I should do the PT since they have things to help it heal right (treatments, ultrasound, work with you, won’t heal back stiff) and she made sense. So that’s what I think I’ll do.

Thoughts? Opinions? Questions?

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Jay
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ouch... .just bumped my ankle
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