Question

What is wrong with my ankle?

My left ankle locks up 2-3 times a day with a sharp pain, is it because i injured it last week, it wasn't a sprain or anything.. so what's the problem ? is there anyway i can prevent it

Answers

It is injured and that is main reason, so go get a support for it, and use it.

See a dr. but in the mean time do the following, check the insurance to see what is the case, my insurance requires me to see a Dr. within 24 hours or it will not pay as an accident.

Do this too.

In your case ankle problem.

1). Rest. (do not play sports and lift any thing heavy, go to a pharmacy or medical supply and ask for a ankle support, in your case get it and use it all the time but light exercises are OK ).

2). Cold and Hot compressions, alternately(ice the swelling in your case).

3). Pain killers such as Aspirin/Tylenol/ other.

4). Vitamin B6 it help rejuvenate the tissues.

5). Apply pain killer ointment and massage it lightly.

After healing, do light stretching and slowly get in to usual routing step by step.

Hope you have seen a Dr. and had a X' Rayed taken, or had MRI done (preferably both). Make an appointment for a Dr. and if need be cancel it later in time to avoid visit fees, if you get batter in time.

Treat the scratches with antibacterial. Like Bactine(it does not sting) or Equal, keep it covered and clean

#1

You should definitely go to the doctor immediately to get it checked out :)

You might think it's nothing, and it might get worse :P

#2

Have you tried sitting in a chair and "rolling" out your ankle?

it feels much better to me and it usually doesn't hurt much after.

#3

Orange

<---Not a doctor, sorry

#4

05/17/2013

Hello,

I am a physical therapist, and I may be able to help. After reading through the post, you may ( emphasis MAY) have the following condition:

Read on if this sounds like you: You have sprained your ankle before. If your ankle is plantarflexed and inverted in an open chain position ( point toes and twist ankle in to stretch the outside of your ankle) for longer then an instant, then it has a chance to " lock up" with symptoms such as no pain at rest but if you dorsiflex ( pull toes towards you) your ankle then you experience intense lateral ( outside) pain located just posterior and inferior to your lateral maleolus ( just behind your outside ankle bone, the one that sticks out the most) . Seeing as how we need to dorsiflex to ambulate ( walk) properly, you will demonstrate antalgic gait pattern ( limping) . This symptom will spontaneously vanish after time or after specific stretching or activity, with seemingly no lasting effects ( until it happens again) . If this sounds like you, continue reading.

What is happening: We have a muscle in our calf called the Peroneus longus muscle. As its name suggest, its a very long muscle which crosses many small joints in our foot and ankle. Any muscle tendon that is very long, has more of a risk of being displaced then a shorter muscle tendon. These long muscle tendons require " seat belts" called retinaculum which keep the long tendons secure as the muscle pulls on them to create joint movement. If the seat belt fails, the tendon is displaced when the muscle pulls on it.

Now, the peroneus longus muscle starts at the back of our leg under our calf muscle. Its tendon travels inferior ( towards the floor) behind our lateral maleolous ( that outside bone that sticks out) , under it, and to the bottom of our foot. The few seat belts ( retinaculum) that hold this tendon in place are located along the outside of our ankle. The most common ankle sprain is an inversion ankle sprain which will damage and compromise the outside ligaments including these retinaculum. If damaged, they have trouble holding that tendon in place.

When this tendon is tight ( normal positions of the ankle) it has enough resting pressure to stay in place. If you plantarflex and invert your ankle ( point your toes and bring them inwards to stretch the outside and front of your ankle) you are shortening that muscle and creating enough slack in the tendon for it to fall out of place. If it falls out of place and gets caught on another structure, it will send pain signals, and if you put more pressure on it by stretching peroneous longus ( which is done by pulling your toes towards you and stretching your calf) then you experience very intense pain and discomfort.

TREATMENT: The treatment is complicated, and you should consult an orthopeadic physician or a physical therapist who has experience with this [not all doctors and physical therapist are created equal ] before attempting any self treatment. But I can not resist throwing out some free education * * * ATTEMPT AT YOUR OWN RISK* * * ( please find a good PT to do it for you. if they dont have experience with this, just show them my post and they will figure it out) . Ok, the quick fix is hard to do. When your ankle locks, first you want to create some slack in the tendon so it can be easily moved around. So you will put your ankle in the position that started the whole problem, which is plantar flexed and inverted in open chain ( point your toes away from you and in to stretch the outside and front of your ankle) you must do this passively, that is with your hands so that your ankle muscles are completely relaxed. If you dont relax your muscles, you will not be able to re-position your tendons. In this position you will then keep downward pressure into plantarflexion ( keep your toes pointed away from you the whole time) and roll your ankle outward. You may feel a " pop" or adjustment. Gentile oscillations or shakes or rolls or traction while you do this may help. You will know you have the tendon in the right place when you can dorsiflex ( pull toes towards you) without pain. It may take several tries, but DO NOT force your toes towards you if you have pain. Just keep with the rolling in and out with your toes pointing away and frequently trying to lightly pull your toes towards you every 5 seconds or so. If this does not work after 5 minutes, stop trying and " RICE" your ankle. If this doesn' t work, most of the time the tendon will correct itself with normal activity, however the symptoms may last a few days sometimes.

THE LONG TERM FIXES:

NON SURGICAL TREATMENT: Stop spraining your ankle! the more times you sprain your ankle the more likely it is to happen again. Anytime you stretch tissue, it becomes more flexible. Too much flexibility leads to instabilities, which leads to sprains. Every time you sprain your ankle ( or cause it to lock up) you are stretching and stressing the tissues there and they become more unstable. Its a downward spiral. The treatment is to not stretch the outside of your ankle to allow the tissues to " tighten up" ,... and they will, but with time... lots of time. No quick fixes in physical therapy! Other treatment is to correct for muscle imbalances ( flat foot vs high arches is only the tip of the iceberg. Foot mechanics are VERY complicated and there is not enough space in this blog to cover that subject. Again, just find a good physical therapist )

SURGICAL TREATMENT: Currently I find no surgical treatment in the literature for this condition, but I am sure it exists if your surgeon is familiar with the condition. It must involve either securing the tendon in place, or if it is really depressing your quality of life, you would have a higher success rate with complete release ( cut it) of the tendon. I would not suggest that unless you can not function AT ALL due to the condition, because after that procedure you would be guarunteed to required orthotic arch support in your shoe for life to prevent any other mis-alignments.

Hope this helps somebody out there!

Sincerely,

Michigan Physical Therapist.

#5

Had to edit my post due to 1200 character limit... disappointing. Left out a lot of good stuff!

you may ( emphasis MAY) have the following:

sprained ankle before? locks after pointing toes? pulling toes towards you, experience outside ankle pain? If so, continue reading.

Peroneus longus tendon misplaced due to damaged retinaculum.

Please consult ortho doc or physical therapist with experience [not all docs and PT' s are created equal ; ) ]. * * * ATTEMPT AT OWN RISK* * * When ankle locks, 1st create slack in the tendon by pointing your toes away from you and inward, stretching outside and front of ankle. Must use your hands so ankle muscles relax. If you dont relax your muscles, you will not be able to re-position your tendons. In this position keep downward pressure ( keep toes pointed away from you) and roll your ankle side to side. You may feel a " pop" . Gentile oscillations, shakes, or traction may help. May take several tries. DO NOT force toes towards you if you have pain. If this doesnt work after 5 minutes, stop trying. The tendon will correct itself, however symptoms may last for days.

LONG TERM FIXES: had to shorten this too... just go talk to a physical therapist!

#6

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