Weird ankle injury-Help

Sounds like it could be Posterior Tibial Tendonitis (PTT). Google it to check the symptoms as well as to find rehab plans. Owen Anderson's Sports Injury Bulletin has a great one. If it is PTT, a tight IT band is one of the causes of the injury.

I thought this too but it's more medial. I tested it out today and still not good running. Any other opinions? I doesn't feel like stress fracture. Does tendonitis/strains take this long. It's been 6 days no running! Argh!

PTT does take a damn long time to heal. Consider not runing for 2 weeks

Not sure if this is PTT. But if I take 2 weeks off....could I run a marathon 2.5 weeks later?

Ankle not doing any better. But I stopped taking NSAIDs so I'm sure this is the reason why it feels worse today. Any other thoughts? X-ray negative. On exam, no real tenderness on tendons. Ortho doc thought maybe impingement of some sore.

Any thoughts...anyone? Its doing better today. I took Aleve last night and woke up to the best its been since 8 days ago.

It's not PTT. Most likely extensor tendonitis along with some irritation/inflammation of the ankle joint. That would explain the "pain on downhills" thing. Take some time off and let it heal. How much time off? Until it gets better, of course....if you get to 2 weeks off and still can't run, see a physical therapist.

I can't even think about running yet. Its better but I wouldn't get very far. I'm on day 9 of no running.

Wow, this is what is going on with me. I've been out for 2 weeks now and just got an MRI today and waiting to here the results. My pain comes and goes but usually is there. It seemed to come out of nowhere after stubbing my toe really bad and the pain moved up towards the talus/ankle while I continue to run on the bruised toes. I'm a bit scared to run at this point, because I don't want it to be some type of bone issue, since the talus is a bad sxf to get. I fortunately don't have swelling but tightness. Hoping it's just some sore of extensor pull of some sort. Try ice massage, that seems to help. I'll let you know what mine ends up being.

My Ortho doc was convinced it wasn't a bony issue. He pressed all my foot bones, fib and tib. X-ray negative and stiffness goes away with NSAIDs. I think I have some tendonitis in a lot of my foot tendons. Just too much for them to handle when training for Ironman. I was in my peak week when it happened. I have 25 days before the race. I'm hoping I get there. I need at least 10 days to get running form back and probably regain some of the run fitness. So that leaves me 15 days to get better to run. I am biking and swimming for 22-25 hrs a week during this time to make up for lost run time.

Your history is a bit confusing… you said its not PTT b/c its too medial? the PTT is medial.. then you said the swelling is more lateral by the tib-talus? the fibula is more lateral than tib..is it along your fibula by your ATFL/CFL ligaments(look up on google to see where they are)

any hx of spraining/rollling/fracturing your ankle?

any pain like this before?

have you switched shoes recently? orthotics/inserts?

does the pain radiate anywhere? down the foot or up the leg or stay in the same spot? can you pinpoint this spot?

no pain on palpation on any of the tendons or bones? any pain on range of motion of ankle or sub-talar?

I'm sure your doc checked all of this

ankle pain can be a million things

-PTT tendinitis

-extensor tendinitis

-nerve impingement--is this pain anteriorly on the foot or ankle?

My guess is its tendinitis of some sort since it improves with NSAIDs/Rest..in which case you need to calm the inflammation down with RICE(rest/ice/compression/elevation)

if you need to get back into it quickly i would suggest physical therapy for ionotophoresis/phonophoresis--delivers steroid thru the skin into inflamed area...

hard to help on the internet and unlikely anyone on here will figure out something the doctor missed..

hope this helps

Let us know what the MRI shows. It could be something as simple as talar joint dysfunction, a problem with the peroneus tertius or even tenosynovitis of the foot and toe extenors at the retinaculum at the ankle. MRI may not show minor issues with these structures, especially if it is mechanical rather than inflammatory.

I guess I used medial wrong. Its more on the center of the ankle (where the foot bends). Although, I do feel some tenderness medial around the inside ankle as well. I first noticed it running downhill right dab in the middle (where tibia meets talus). However, the swelling is also more lateral but doesn't hurt on the outside of the ankle. I have no history of rolling ankle or any pain like this before. I switched version of shoes about 1.5 months ago (Brooks glycerin 11 to 12. It does move from inside of ankle to the middle (where foot bends). It feels very weak and unstable. No pain with any range of motion of ankle. A little tight when I plantarfexion on the inside of ankle and middle.

Thoughts on Cortisone shot? Ortho doc mentioned this.

the doctor thinks I actually have a mild sprain of the ant. talofibular ligament. Probably brought on from compensation from stubbing the toe and always trying to protect it. He is one of the best in the country and said if after one more week I'm still in pain time for an MRI. He didn't believe it was bone related, but didn't think the problem shouldn't last much longer and if so may be a deeper problem. He did say try and run 10 minutes and just see how it goes.

Good luck. I hope you figure it out. I hate injuries that you have no idea wtf is the problem.

I tried doing one legged calf raises on the injured ankle and this cause some extreme tightness and pain. What type of ankle injury would cause this?

I've ever had, but they are qualitatively the most comfortable walking shoe I've ever put my feet into. The shoes were true to size, and were "out of the box" comfortable the first time I put them on. I've experienced such intense foot pain that in the past I had to curtail my gardening activities. orthofeet shoes have given me back my gardening life. I can now stand again for hours without discomfort. I would definitely buy these shoes again.

akshayv wrote:

I've ever had, but they are qualitatively the most comfortable walking shoe I've ever put my feet into. The shoes were true to size, and were "out of the box" comfortable the first time I put them on. I've experienced such intense foot pain that in the past I had to curtail my gardening activities. orthofeet shoes have given me back my gardening life. I can now stand again for hours without discomfort. I would definitely buy these shoes again.

WTF?????