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Injuries and Rehab Tell us where it hurts! Do a quick search before asking about your shoulder injury to make sure your question hasn't already been answered (about 50 times), and read the sticky post first.

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Old 03-15-2007, 04:53 PM   #1 (permalink)
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Bill,
Below is a pic of my right ankle. I sprained it on September 25, 2006 during a pick up game of football. I ran a post pattern and made a abrupt "cut" and basically folded my ankle under me. I heard a audible "pop" and fell. About 4 hours later I went to the ER for x-rays and nothing was broken, however, my ortho confirmed 2 weeks later that I had stretched or possibly torn the calcaneofibular ligament or anterior talofibular ligament (I think...not sure exactly as conversation was months ago). He said it was a Type 2/3 sprain.


So fast forward to today (March 15). It has been 6 months since my injury and I still have pain when I invert the ankle. I have no problem walking or running...however, heavy pounding like plyo's kill me the next day upon awaking. Why am I still feeling pain? I am afraid to run "full speed" and cut, or trip for fear of re-aggravating it. And I don't like to be apprehansive when I play. if you need more info, ask away. Thanks in advance!

BTW...I really do have nice looking feet. DOn't let the pic fool ya.
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Old 03-15-2007, 05:05 PM   #2 (permalink)
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I feel your pain John. I sprained mine very badly on 5/3/06. Mine is still swollen, hurts when I invert it, and my mobility is seriously lacking even though I do mobility work daily. Proprioception is fine, and it's very stable... just still nags at me from time to time.

I'd like to hear Bill's thoughts as well.

I wish I had taken pics of mine... my entire foot and calf was black for weeks. Like Mr Deeds. 'HERE COMES THE FOOOOT!'
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Old 03-15-2007, 07:27 PM   #3 (permalink)
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Ugh! That is one UGLY foot.

Are you at least icing it? By icing it, I don't mean putting an ice pack on it, but submerging in it a bucket of ice water.

Is that pic current or was it taken when you first injured it?
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Old 03-15-2007, 07:42 PM   #4 (permalink)
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Quote:
Originally Posted by Jean-Paul
Ugh! That is one UGLY foot.

Are you at least icing it? By icing it, I don't mean putting an ice pack on it, but submerging in it a bucket of ice water.

Is that pic current or was it taken when you first injured it?
No, no, no..that pic is of when I first injured it. I think it was the day after. My foot/ankle looks fine now. My concern is the pain I STILL feel when I walk for long periods or invert it.
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Old 03-15-2007, 08:13 PM   #5 (permalink)
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I, too, have an ankle issue due to a sprain. I sprained it all the way back in December 2005. Admittedly, I was back lightly jogging on it within a month, but well over a year later, it still bothers me after any run 10-12 miles or longer. I just pop some ibuprofen.
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Old 03-15-2007, 08:15 PM   #6 (permalink)
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I have a similar problem and was wondering the same thing. My sprain is much fresher (not a very serious sprain) about 2 months ago I did it but I still feel pain/discomfort in inversion and I certainly favor it. If I'm walking on snow or an unstable surface and my foot wobbles and pronates, inverts I get the pain/discomfort and it feels like I'm re-aggravating the injury. Thanks for asking the question John.
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Old 03-15-2007, 08:16 PM   #7 (permalink)
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John, there is often a positional fault of the ankle (distal tib-fib joint specifically) after inversion type ankle sprains. There is a quick and easy treatment that helps ... it's a Mulligan technique utilizing mobilization with movement ... and also a taping technique to reinforce.

Here's a short video ...



Do you have a therapist you normally use? If they are familiar with the technique, it can literally be done in less than 10 minutes and can make a HUGE difference. If you don't have a therapist ... I can recommend some that could help ... I know many excellent therapists in the state ...
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Old 03-15-2007, 09:03 PM   #8 (permalink)
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Julie is on it. Mulligan may help as may tradition mobes of the talus.

Another thing that you must consider is the fact that with an ankle sprain you also have a strain to the fibularis longus and/or brevis (AKA peroneals). It's also common to find adhesions at the site of injury, at the retinacula that hold the fibularis tendons in place, and the retinacula that hold the toe extensors in place across the front of the foot.

A good manual therapist or chiro with ART skills will be able to straighten you out pretty quick. You may also need some unstable training and progressive return to more explosive activities. It you're not fully confident in your ankle function, you aren't fully rehabbed.

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Old 03-15-2007, 09:24 PM   #9 (permalink)
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Quote:
Originally Posted by UConnJulie
John, there is often a positional fault of the ankle (distal tib-fib joint specifically) after inversion type ankle sprains. There is a quick and easy treatment that helps ... it's a Mulligan technique utilizing mobilization with movement ... and also a taping technique to reinforce.

Here's a short video ...



Do you have a therapist you normally use? If they are familiar with the technique, it can literally be done in less than 10 minutes and can make a HUGE difference. If you don't have a therapist ... I can recommend some that could help ... I know many excellent therapists in the state ...
Thanks Julie. Can you re-post that video?
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Old 03-15-2007, 09:25 PM   #10 (permalink)
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Quote:
Originally Posted by Bill Hartman
Julie is on it. Mulligan may help as may tradition mobes of the talus.

Another thing that you must consider is the fact that with an ankle sprain you also have a strain to the fibularis longus and/or brevis (AKA peroneals). It's also common to find adhesions at the site of injury, at the retinacula that hold the fibularis tendons in place, and the retinacula that hold the toe extensors in place across the front of the foot.

A good manual therapist or chiro with ART skills will be able to straighten you out pretty quick. You may also need some unstable training and progressive return to more explosive activities. It you're not fully confident in your ankle function, you aren't fully rehabbed.

Bill
Thanks Bill. I am actually glad I asked this. Didn't know so many post ankle sprain sufferes were out there.
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Old 03-16-2007, 12:01 PM   #11 (permalink)
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wow...that looks almost exactly like mine did about a month ago, except mine was on my left foot. same type of swelling and bruising...

i actually ran a few blocks the other night and now my ankle and foot is killing me - hurts to do anything..
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Old 03-16-2007, 12:38 PM   #12 (permalink)
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Hmmm ... sorry about that John ... I can't figure out how to embed the video here ... well, here's the link ...
http://www.youtube.com/watch?v=TEjKhf-qDJU&eurl=
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