Impossible to walk, nothing on the MRI

Hello,

I will try to explain my best everything; I am on my twenties.

The story:
Week 1:
Less than two days after a usual weekly run I started to have pain in my ankle and difficulty to walk. I went skiing for two days with the pain; it was not all smooth but doable. However, it was so hard to walk before and after skiing

Week 2:
I went to the hospital; they tell me it is a tendinitis. And leave me without crutches and a band, it was almost impossible to walk.
I go to see an Orthopedist, who confirm the previous diagnosis and give me crutches.

Week 3:
Orthopedics provides me an ankle air cast.

Week 4:
I walk with my aircast and crutches. And see another Ortho back in my country who tells me to do an MRI

Week 5:
Chrismas break, nothing better.

Week 6:
Nothing on the MRI, French Orthopedist never see something like that and send me to a sport and osteopath doctor.
The previous doctor would advice a scanner with an injection to reveal a cartilage issue (not done).

Week 7:
Foot surgeon said it is due to a chronic anterolateral rotation instability of the right oter spinal joint (no need to de the scanner). Make me leave my air cast with whom I was starting to feel comfortable (almost no pressure with my crutches) and gives me an ankle arthrosis in replacement. Just went for a walk little walk with it, I had to come back entirely with my crutches I am all in pain.

Symptom always the same:
Increase in pain with the walk to the point that I cannot use my ankle (the time span before it arrive increased dramatically from the first week)
Pain located in the front of my ankle. I can move it by myself all around without feeling a thing, same with standing on it.

My question is, should I trust the surgeon who leaves me by myself one month and a half before seeing me again.
If it starts to be better, I should start doing physio. If it gets worse, then he will do an operation. The problem is that it got worse after a day. And the advice stop putting your the fit on the floor when you feel that is not good is hard to follow when you cannot do a hundred meter. However, I was more and more confident to have no cast in my room previously to that.

Do you agree with the diagnosis? What should I do?

Thank you so much, I wish you an happy new year

3 Responses

  1. Foot-com

    Hello and thank you for your response. I’d honestly need to see that MRI report to accurately conclude based on this information. The above information is your doctors conclusion based on what he read on the MRI report but his summary may not be accurate. I also find it very incomplete with too many questions based on the above information. You may want to proceed to email me separately to do a consultation – dremily@ebfafitness.com

    ==============
    Dr. Emily Splichal
    Please be advised: we do not provide medical advice, diagnosis or treatment.
    By law, we cannot give specific medical advice over the Internet.

  2. Foot-com

    Hello Doctor,

    Thank you for your answer.
    Some update of my case :

    French doctors disagree totally with the operation and the idea of an instability.

    This is the translated report of the specialist in Munich

    The above-mentioned patient was introduced on January 12, 17 in our speech session for foot and ankle surgery.

    Diagnosis: chronic anterolateral rotation instability of the right upper ankle

    Therapy Recommendation: Due to the clinical examination findings and the inconspicuous MRI, the described symptoms appear to be due to a chronic instability of the right upper ankle joint.
    An ankle orthosis and walking sticks are prescribed. You can also start with the physiotherapeutic exercise. Control should take place in four weeks. If no improvement then a new MRT with contrast medium should be made.

    Patient history complains about existing pain for almost 6 weeks.

    Clinical findings: The study reveals an irritable upper ankle without relevant swelling or redness. There is an increased instability, an increased lateral fold-out, a medial fold-out and a slight valgus deficiency.

    Back in France, they wanted me to do a scintigraphy till one of the osteopath of the clinic told them that I had many functional problems. For a result, I have a new soes and see if it is better in one month or so. After two weeks, I cannot walk outside with this soe, only with the aircast and crutches.

    For your question, I had at the beginning NSAIDs that I cannot support (ototoxic) but no injection. Most of the activity was stop, I keep going to do core and upper body exercise. There was no joint sepsis.

    Any thinking of what I should do ?

    Many thanks

  3. Foot-com

    Hello and thank you for your question.

    This of course is difficult to answer without examining you however I will do my best. In addition to the brace and crutches have you done any NSAIDs or steroid injections? Have you eliminated all activity outside of walking? What type of surgery is the surgeon suggesting? That sounds a bit extreme to go to surgery after 6 weeks of an injury – unless you have a clearer diagnosis you can provide me.

    Did you rule out joint sepsis (joint infection)? This can be done with joint aspiration. If you can provide additional information this will better help me help you.

    Thanks.

    ==============
    Dr. Emily Splichal
    Please be advised: we do not provide medical advice, diagnosis or treatment.
    By law, we cannot give specific medical advice over the Internet.

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