Ankle Avulsion fracture ---migratory pain

by Jeanie
(Michigan)

I fell down some stairs 8 months ago and sustained an avulsion fracture of the talus and calcaneous bones. The doctor said I had a Chopart's sprain. I was on crutches in a boot cast, then an ASO brace until mid July.
I can walk now but cannot run a short distance without pain. Going down any stairs is painful and I have a lot of pain in different parts of my ankle. I have a throbbing pain in one part of my ankle, have pain in the top part of my foot when I sleep, have pain under my foot and in the heel bone when I stand or walk for more than 5 minutes.
I tried physical therapy but the pain was unbearable.
I have had several x-rays and an MRI that show that everything is fine.
I am not sure what to do now.

Please advise.

Hi Jeanie,
As I am reading your "story" I am thinking to myself that she should probably try Physical therapy and if that does not help then possibly an MRI. I get to the end and of course you have had both.
Have you had a cortisine injection in the area? Quite possibly the MRI is not giving an accurate reading on the prognosis of the fracture. In that case a bone scan might be indicated.
My philosophy is that any time the patient's progress does not match the lab work or radiology findings, then more investigation needs to be done.
Marc Mitnick DPM