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Chronic lateral ankle pain

Hi every body.
  I am a 16y/o female that has chronic lateral (outside) ankle pain. I am currently a marching band member, but not involved in any other high-stress activities. My pain started about 2 years ago (when i started marching), and it wasnt too bad in the begining, easy enough to block out as an common ache. I have had NO ankle sprains, and cant find out what might have started this. My pain is constant and it gets worse when i am on my feet, there is a little swelling but it is not extreme.
  I went to the doc, and she told me it was prob. just tendonitis, and physical therapy would help.... that was three months ago, and PT has had little effect. I was put in a walking boot to help ease the amount of activity and stress my ankle endured, and instead of helping it, the boot made my symptoms worse.
  I have had a MRI  and multiple x-rays taken but both came back negitave for "abnormalities".
  My doc cast my feet for orthotics, and when i started wearing them (around 2 months ago) they did not make a differance good or bad.
I know that there is something that we are missing, that could ultimately provide relief, but i cant figure it out, and i have less than 1 month untill i am on my feet more than 10 hours a day.

any help would be greatly appriceated, and any advice would help too.

4 Responses
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Avatar universal
if it is a torn lig. would it escape the MRI and x-rays?

and how could i originaly done it if i have never twisted/sprained my ankle? could it be from over/repetitave use?
Helpful - 0
Avatar universal
Hello Dear,
It seems you have some ligament injury.
Ligament injuries anywhere in the body are much more serious than muscle injuries.

Ligament injuries are different because most of them do not totally heal Even if the pain resolves, the ligament will not be as strong as it was prior to the injury. Since ligaments stabilize the joints, by definition ligament injury produces a loose joint. If the ligament never heals, chronic joint looseness or instability results.

The symptoms of chronic ankle instability are feelings of the joint giving way, swelling, pain, decreased range of motion or excessive motion, and recurring sprains. The pain is usually chronic or recurrent. Other symptoms include complaints of  increased symptoms after walking or sports, and recurrent sprains.

Any athlete who reports ankle swelling and/or has ligament injury in a joint should consider Prolotherapy as a necessary treatment.

If the ankle instability is not treated, cartilage deterioration with resultant degenerative arthritis develops. This sequence of events occurs everywhere in the body. If a ligament does not heal, instability of the joint occurs and the end-result is arthritis with good prospects for fusion or joint replacement surgery. Prolotherapy at any stage in the arthritis process can stop it. Even after arthritis occurs, Prolotherapy is still the treatment of choice.

Studies on injured ligaments show that at least one year is required before healing has been completed or the total amount of healing occurs.Injured ligaments do not entirely regenerate. Rather, they repair with scar tissue. Repair and regeneration begin at 48 hours to 72 hours post-injury, and continue maximally for six weeks. This is one of the reasons Prolotherapy injections are given every six weeksùto maximize the time of proliferation of the new ligament tissue. From six weeks to 12 months the ligament tissue remodels, contracts, and gains tensile strength. After 12 months the ligament and scar tissue generally matures and achieves 50 to 70 percent strength of the original ligament. On average, ligaments only heal to 50 to 70 percent strength when they are injured. This is why Prolotherapy should be done just about every time a ligament is injured. Pain relief is not a reliable sign that a ligament has healed; perfect function is the sign.

A joint that is strong, without swelling or signs of weakness, is a better measure. On physical examination the injured ligament should be able to withstand at least four pounds of pressure applied to it without demonstrating tenderness.
Athletes, should heal ankle sprains-otherwise up to 42 percent of them may end up leaving your ankles with long-term instability. In those subjects with documented looseness, the majority of athletes have significant symptoms including swelling, pain, weakness, and of course crepitation (cracking noises). Ankle instability is significant because if it is not treated, degenerative ankle arthritis results.

The traditional treatments for unresolved ankle pain are arthroscopy and/or ankle fusion. Both of these, are not the best options when compared to Prolotherapy
You should consult your orthopedic physician regarding this option.
Refer http://www.caringmedical.com/sports_injury/chronic_ankle_instability.asp
Best


• In
Helpful - 0
Avatar universal
Hello Dear,
It seems you have some ligament injury.
Ligament injuries anywhere in the body are much more serious than muscle injuries.

Ligament injuries are different because most of them do not totally heal Even if the pain resolves, the ligament will not be as strong as it was prior to the injury. Since ligaments stabilize the joints, by definition ligament injury produces a loose joint. If the ligament never heals, chronic joint looseness or instability results.

The symptoms of chronic ankle instability are feelings of the joint giving way, swelling, pain, decreased range of motion or excessive motion, and recurring sprains. The pain is usually chronic or recurrent. Other symptoms include complaints of  increased symptoms after walking or sports, and recurrent sprains.

Any athlete who reports ankle swelling and/or has ligament injury in a joint should consider Prolotherapy as a necessary treatment.

If the ankle instability is not treated, cartilage deterioration with resultant degenerative arthritis develops. This sequence of events occurs everywhere in the body. If a ligament does not heal, instability of the joint occurs and the end-result is arthritis with good prospects for fusion or joint replacement surgery. Prolotherapy at any stage in the arthritis process can stop it. Even after arthritis occurs, Prolotherapy is still the treatment of choice.

Studies on injured ligaments show that at least one year is required before healing has been completed or the total amount of healing occurs.Injured ligaments do not entirely regenerate. Rather, they repair with scar tissue. Repair and regeneration begin at 48 hours to 72 hours post-injury, and continue maximally for six weeks. This is one of the reasons Prolotherapy injections are given every six weeksùto maximize the time of proliferation of the new ligament tissue. From six weeks to 12 months the ligament tissue remodels, contracts, and gains tensile strength. After 12 months the ligament and scar tissue generally matures and achieves 50 to 70 percent strength of the original ligament. On average, ligaments only heal to 50 to 70 percent strength when they are injured. This is why Prolotherapy should be done just about every time a ligament is injured. Pain relief is not a reliable sign that a ligament has healed; perfect function is the sign.

A joint that is strong, without swelling or signs of weakness, is a better measure. On physical examination the injured ligament should be able to withstand at least four pounds of pressure applied to it without demonstrating tenderness.
Athletes, should heal ankle sprains-otherwise up to 42 percent of them may end up leaving your ankles with long-term instability. In those subjects with documented looseness, the majority of athletes have significant symptoms including swelling, pain, weakness, and of course crepitation (cracking noises). Ankle instability is significant because if it is not treated, degenerative ankle arthritis results.

The traditional treatments for unresolved ankle pain are arthroscopy and/or ankle fusion. Both of these, are not the best options when compared to Prolotherapy
You should consult your orthopedic physician regarding this option.
Refer http://www.caringmedical.com/sports_injury/chronic_ankle_instability.asp
Best


• In
Helpful - 0
Avatar universal
Hello Dear,
It seems you have some ligament injury.
Ligament injuries anywhere in the body are much more serious than muscle injuries.

Ligament injuries are different because most of them do not totally heal Even if the pain resolves, the ligament will not be as strong as it was prior to the injury. Since ligaments stabilize the joints, by definition ligament injury produces a loose joint. If the ligament never heals, chronic joint looseness or instability results.

The symptoms of chronic ankle instability are feelings of the joint giving way, swelling, pain, decreased range of motion or excessive motion, and recurring sprains. The pain is usually chronic or recurrent. Other symptoms include complaints of  increased symptoms after walking or sports, and recurrent sprains.

Any athlete who reports ankle swelling and/or has ligament injury in a joint should consider Prolotherapy as a necessary treatment.

If the ankle instability is not treated, cartilage deterioration with resultant degenerative arthritis develops. This sequence of events occurs everywhere in the body. If a ligament does not heal, instability of the joint occurs and the end-result is arthritis with good prospects for fusion or joint replacement surgery. Prolotherapy at any stage in the arthritis process can stop it. Even after arthritis occurs, Prolotherapy is still the treatment of choice.

Studies on injured ligaments show that at least one year is required before healing has been completed or the total amount of healing occurs.Injured ligaments do not entirely regenerate. Rather, they repair with scar tissue. Repair and regeneration begin at 48 hours to 72 hours post-injury, and continue maximally for six weeks. This is one of the reasons Prolotherapy injections are given every six weeksùto maximize the time of proliferation of the new ligament tissue. From six weeks to 12 months the ligament tissue remodels, contracts, and gains tensile strength. After 12 months the ligament and scar tissue generally matures and achieves 50 to 70 percent strength of the original ligament. On average, ligaments only heal to 50 to 70 percent strength when they are injured. This is why Prolotherapy should be done just about every time a ligament is injured. Pain relief is not a reliable sign that a ligament has healed; perfect function is the sign.

A joint that is strong, without swelling or signs of weakness, is a better measure. On physical examination the injured ligament should be able to withstand at least four pounds of pressure applied to it without demonstrating tenderness.
Athletes, should heal ankle sprains-otherwise up to 42 percent of them may end up leaving your ankles with long-term instability. In those subjects with documented looseness, the majority of athletes have significant symptoms including swelling, pain, weakness, and of course crepitation (cracking noises). Ankle instability is significant because if it is not treated, degenerative ankle arthritis results.

The traditional treatments for unresolved ankle pain are arthroscopy and/or ankle fusion. Both of these, are not the best options when compared to Prolotherapy
You should consult your orthopedic physician regarding this option.
Refer http://www.caringmedical.com/sports_injury/chronic_ankle_instability.asp
Best


• In
Helpful - 0
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