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The response to the question below was authored by Marc Mitnick DPM

Inside ankle pain

by Diane
(San Diego, CA )

I had an extreme injury to my ankle in Sep of 2007, I had surgery to repair ligament damage on the outside of my ankle in Jan 2008. I got pregnant and had no pain until I started running again. I now have extreme pain on the inside of my ankle. It mainly feels as though I am coming down on a knife. The pain is on top of the round boney part on the inside of my ankle. If you place your finger there it feels as though the pain is inbetween the bone and the large tendon running down the top of your foot. When pushed on or touched the pain is really really bad. I have been given 4 weeks of physical therapy and the pain actually seems worse after my sessions. They use ultrasound and the heat feels really good, just later in the day and evening I get a throbbing pain that won't go away. any help would be greatly appreciated since my ortho doc simply said to pt more and the pain should get better.

Hi Diane,
The only help I can give you is that if you have gone through 4 weeks of physical therapy and have not experienced any real relief than your doctor needs to start thinking "outside the box". In a similar situation I would order an MRI to see if anything more severe is going on. Unfortunately an x-ray alone many times does not tell the whole story.
Press your doctor to further investigate the problem.
Marc Mitnick DPM

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May 29, 2009
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SEVERE PAIN IN THE....
by: JULIA

DANG, Diane I think that we have the same doctor... I had cosmetic surgery on two toes and planter fiacia, in Sept 2008 come Dec I am still hurting. Then finally comes the MRI, torn tendon, schedule that surgery for Jan 12,2009. Today nearing 5 months I hurt worse than I did before I had the dadgum surgery. And he (doc) says the scar looks good...yeah AND...what about this pain. I just had another mri and am waiting on results, there is fluid around the tendon but a specialist is looking at it now. HUMM thought thats what I had? Anyway, things that help therapy...NOT! I could do what they do at home.
I now have patches called Flector that helps. Soak in empsum salt one day, ice pack the next and always massage your own foot, then put on some icyhot and wrap it in ace bandage and sleep in it. also I have orthotics in my tennis shoe...no more heels...that has really ticked me off. and never go barefoot. Burkies help too.

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ADDITIONAL REFERENCES

Mayo Clinic

Johns Hopkins Medicine

MedlinePlus

Arthritis Foundation

University of Rochester Medical Center

Harvard Health

Drugs.com

American Academy of Pediatrics

Penn State Medical Center

National Institutes of Health

Columbia University Department of Rehabilitation

ScienceDirect

Stanford Health Care

Illinois Bone and Joint Institute

Mount Sinai Hospital

Institute for Chronic Pain

University of Florida Health

American Family Physician

Cedars-Sinai

University of Maryland Medical Center

MY PRODUCT RECOMMENDATIONS(items I prescribe in the office)

Orthotics for multiple types of foot pain best buy in a pre-made orthotic click link below

Orthotics for heel and arch pain for those who must wear dress shoes click link below

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(location unknown)

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Scotland

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(location unknown)

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(location unknown)

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(location unknown)

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Madison, Alabama

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Denison, TX

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Tampa, Florida 33624

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Mansfield Ctr, CT

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Placentia, California

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Unknown

Unknown location

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Unknown location

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Alameda, California

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New Zealand

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Sincerely

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Arizona

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Florida

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Poland

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South Carolina

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unknown location

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Arlington, VA

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location unknown

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location unknown

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Bre

location unknown

Dr. Mitnick, Thank you so much for your reply. I did let my physician know and they took an x-ray - all is well! Also, thank you for providing this wonderful site, it is very helpful with lots of useful information! I appreciate your gift of time! God bless.

anonymous

Dr. Mitnick, Thank you, you were 100% correct. The pain finally brought me to the ER. I spent 8 days in the hospital. The Doppler you spoke of was able to show that there was no pulse in that foot. This was an arterial clot that split and traveled throughout my leg. My leg was almost amputated. I am in rough shape but have all my parts intact!! You certainly know what you are talking about. Thank you for taking the time to answer. Yours Truly!

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Poland

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Seattle, WA

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location unknown

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New Jersey

Thanks so much for answering my question. You've been more help to me than my own Dr. has been lately. Thanks again....I hope to be able to walk without pain someday.

Debbie

location unknown

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location unknown

Thanks so much for this website Dr. Marc! It is so nice that you have this ask the doctor feature..I'm sure I'ts been helpful for alot of people. I will try what you suggested and see if it helps...thanks again!

Tracy

Evansville, IA

Dear Marc

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Jackie

San Diego, CA

Dr. Mitnick, Just want to say thank you so very much for your quick response and very informative reply! After reading what you had to say, I called the doctor's office and was able to get in and see him the same day as my injury. Toe was x-rayed and luckily, it is not broken or fractured. Very badly bruised and will probably lose the toe nail. And although my toe and toe nail are still very black and blue and very sore, they ARE both starting to feel a little better. So again, thank you! I am so very happy that I came across your website. The service you provide is outstanding and immeasurable!

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Albany, NY

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location unknown

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Jackie

Whichita, KS

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Boston, MA

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Colorado

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annielou

Colorado

Wonderful advice

by: Anonymous

This is the best site for foot problem info.

Thank you for this information. This description fits my pain and inflammation behind my 2nd toe perfectly.

by: Max

location unknown

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Canada

I just wanted to say that I am very greatful for this website!! I have had a fusion in my rt foot and am finally getting a little bit better......

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location unknown

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Nancie

Wisconsin

Thank you for your response. You have provided some great insight (to my question)....

Julie

location unknown

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Renae

North Carolina

Many Thanks Dr Marc!
Thank you for your response. It sounds like a good plan to me. He did not cut the wart out first ...

KG

location unknown

Thanks again doc for having this website and we STILL need qualified Podiatrists in beautiful sunny Tampa Bay (Bradenton) Florida.

Bessie Mae

Florida

Dear Dr. Mitnick, Thank you so very much for taking your time to answer my question. You have greatly relieved my anxiety related to the continual tingly I feel in my feet. I will share your response with my podiatrist next week. God bless you for having this question and answer page on your website! Most gratefully,

Lynne T.

location unknown

Your webpage is excellent, I commend you on sharing your knowledge to the public.

Robert

New Jersey

Thank you. you were more detailed than what others have told me they finally called from the last xrays and my son is now in a cast for 2 weeks he did have a fracture that was not noticeable.

a mom

location unknown

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Melody

Lenoir, NC

Thank you so much Doc for a quick and thorough response!

Rustam

Bellevue, WA

I cannot thank you enough for your response, opinion, and suggestions! I want you to know how much it means to me, and I'm sure everyone else who has ever asked you a question! I feel like you're a lifesaver and have empowered me to take a stronger role and stand up for myself and my feet!

Jodi

location unknown

Inside ankle pain

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