Ankle pain is worse 4 months post op than before surgery!!!

Posted , 5 users are following.

*VERY long post but could use some advice!!**

Ok, so here's my deal. I'm kicking myself for ever having ankle surgery and unsure if anyone else has felt the same or if there is a light at the end of the tunnel for me. Any help/advice would be appreciated!

I fell down a mere 2 steps spraining my ankle last May. It only hurt for a second but swelled up. The Urgent care took xrays that were normal and sent me home with a little velcro ankle brace. A week later I went back to same place because the swelling was getting worse. Again, no pain. They referred me to a month of PT. When the month was over and the swelling was not as bad, I resumed my daily activities...including working out 5 days a week , using the elliptical etc. The only discomfort I experienced for some reason was the feeling of my ankle giving out whenever I would go down a flight of stairs.

Months later, in September, at my routine physical my doctor noticed the swelling and wanted to get me checked out. Referred me to an ortho surgeon who ordered a round of Xrays and an MRI.

Again, the Xrays were fine. But did show I have hypermobility syndrome. .which would explain why I didn't really feel pain. Everything just stretches out and moves around. The MRI however, showed not only inflammation on the inner side of ankle but the lateral ligament was so frayed and thin it was barely holding on ! Surgery was a must.

The surgery was on November 30th..called Lateral Ankle Reconstruction. .with the use of Arthrex Internal Brace implant to act as a ligament. No metal or screws. Fibers with two anchors that within 2 years will dissolve into bone.

I was told that while performing surgery, the ligament was in much worse shape than surgeon thought and my non-weight-bearing time went from 2 weeks to a 4 week span.

After the 4 weeks I was able to finally stand on that foot in the boot. Mid January I could begin to slowly ditch the boot, and crutches. I used the boot at night only and a velcro brace during the day and begin PT. In February I was told to wean off the brace during the day, using it at night, during light exercise or whenever I'm going to be out and about walking for awhile.

Then came the real pain! I was diagnosed with post-op Plantar fasciitis. I was told that would go away but didn't start getting better until just recently. Now it comes and goes, mostly in the morning or if I'm sitting for awhile. My body was rejecting the internal stitches that would open the wound just enough to spit out a stitch here and there. Both physical therapist and surgeon said it happens, so long as it heals up after. Which it does. Mid February the surgeon put me on a week of prednisone to jump-start my recovery since it had slowed down and I was still sore. It helped, but was a temporary fix.

We are now in April. PT is done, I wear orthotic inserts in my sneakers, the brace whenever i workout ( which is only 30 minutes on bike or slow treadmill) surgeon says everything looks good. Yet, still have ankle pain. Worse than I ever did before surgery. Rainy days kill me. I limp. I also recently am experiencing ankle pain on that inner part that showed inflammation...800mg Ibuprofen prescription 2x a day doesn't even touch it. Sometimes just walking is difficult. Between the end of November till now, I lost muscle and gained 15lbs. I'm so discouraged!

Last week I had an appt with my regular dr and explained it all to her. She ordered an xray abs did bloodwork to see if my SED rate was elevated. If the inflammation level was up then I would see a Rheumatoid arthritis dr. But xray and bloodwork was good.

So there's my very long story and I'm so discouraged at the moment. I just want to feel normal again!

0 likes, 3 replies

3 Replies

  • Posted

    I suggest that you go back to wearing the lace-up ankle support full-time. I had a different kind of surgery, but when I got out of the boot and into the ankle support I was told that I might need it for several months, and possibly forever when working out. I'm 3 months post-op at this time.

    I also was beginning to develop plantar faciitis, which the doctor said was from the boot. I did get a gel insole for the boot when the pain first started and that helped. I've had surgery on both feet for heel spurs in the past and I didn't want to risk that again. Anyway, the doctor told me to do the standard stretches that are supposed to help the condition. I don't have anymore problems with it.

    I've also realized that when my foot starts hurting I tend to start doing my "peg leg" walk instead of the heel-to-toe movement that I should do. When I force myself to walk heel-to-toe the pain usually subsides after a bit. It's worse after I've been sitting a while so I also force myself to get up from my desk and walk about every half hour, even if it's just to the other side of the room.

    All of the muscles and joints in your foot are having to adjust to the new "normal" since the tendon was worked on. In my case, a joint was fused so the same thing is happening. Generally surgeries like this take about a year of recovery time so don't get discouraged.

     

    • Posted

      Thank you so much for your response! I think I AM going to put the lace up brace back on for awhile and see if that works. I know my gait is all out of whack which doesn't help and I have to constantly remind myself how to heel-toe walk. On a way, I'm happy to hear it can take up to a year because at least that means nothing serious is wrong and they don't have to go back in. That first month of recovery was just awful!

  • Posted

    I had a modified brostum Gould procedure using an internal brace. I am about a year post op and seeings that you posted this 9 months ago hoping that you have a little improvement now. I have Elhers Danlos Hypermobility. Your programme of physio seemed pretty short for someone with hyper mobility. I also had hydro and wasn't allowed back on a bike until 7/8 months. It is a very slow process of healing with a hyper mobile joint, it can take double the length of time to hit the normal recovery goals. I also had plantar but that disappeared at 10 months post op once I had proper insoles and had completed my physiology (I had physio for 10 months post op due to my EDS Hypermobility.) Hope that helps you a little. It does take longer for Hypermobile joints to heal. 

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