chronic ankle pain
2 years ago, I sought the advice of my GP with regard to pain in my right ankle which had been bothering me for several months. He referred me to an orthopedist. I under went several tests, x-rays, bloodwork, mri, and a bone scan. It was determined that I have bone cysts in my ankle joint. Several apparently. My blood work didn't reveal any arthritis, and I don't have pain in my other joints.
I was given two cortisone shots but the second one didn't work very well. The history of this particular ankle is this. In high school(1985), I fell off the bleachers and tore the ligaments in my ankle. I was put in a cast for several weeeks and that was the end of it. I then reinjured my ankle in 2005 when stepping off a 1 inch ledge. I had a knot in my calf muscle the size of my fist, and a dent there for months afterward. They told me that I must have reinjured my ligaments, put me in a boot and sent me on my way.
I manage a fast food restaurant and am on my feet a minimum of 10 hours a day.
The outside of my ankle swells at the end of the day, and I now have a lump on the top of my foot, where the height of my arch is, that is visible. The bone scan showed a small cyst there as well. Every step is painful. I have orthotics but they don't seem to help me much. The orthopedist has since moved away, and my GP suggests maybe I go see a podiatrist? I take tramadol and darvocet which helps the pain but some days I cant even walk. I have a permanent limp now which is affecting my back and my other foot. When I wake in the morning my ankle is so stiff, and recently I have been waking up with a severe cramp in that foot. They tell me that surgery may not help, and unfortunately I can't get that kind of time off work.
I am at a loss as to where to go from here.
Unfortunately when you re-injure a previously injured area you are more than likely always going to have some degree of discomfort. Standing ten hours a day does not help.
I would suggest compression wrapping around the foot and ankle to reduce the swelling during the day and thus reduce the pain.
You can start with an ace bandage, but if you look around you will find devices that are better at stabilizing your foot and ankle and keeping the area compressed, which should reduce your pain.
Marc Mitnick DPM