Osteochondritis dissecans in ankle

Posted , 28 users are following.

Hi all,

Seems us folks with osteochondritis dissecans in the ankle are not too common.

I have suffered with this condition since 1996, and it's been quite a lonely thing as I don't know anyone else with this in their ankle.

I have had two rounds of keyhole surgery for a grade 5 lesion, although I don't believe my lesion is too big on the grand scheme of things. I used to play an awful lot of sport when my ankle went wrong. My GP at the time failed to diagnose me for a long time, repeatedly sending me away with a muscle strain, eventually I got a second opinion and the x-ray confirmed I had soft bone in my joint. Unfortunately nobody took any action to immobilise itt and the soft bone fractured out into my ankle joint.

Luckily I got an amazing GP when I went to university and she was responsible for me seeing a good specialist and getting surgery in 1998 and again in 2002. This really helped to stabilise my ankle and after a number of years being quite active (I was able to walk upto 8 miles at a time!) in spring 2011 things went wrong again. This time my back was the problem. After not being able to get a diagnosis through all the tests on the NHS I found an osteopath who has diagnosed my problems. I have developed a scoliosis of the spine due to my ankle problems tipping my pelvis forward on the right side (same side as ankle joint affected). This in turn has put my back out of line and has stopped me doing a lot of stuff I used to enjoy. Its frustrating and really has knocked my confidence, as well as painful most days in some way.

The NHS have not ever really known what to do about the chronic pain I have experienced (even after the successful 2002 surgery I've had periods of intense pain in that joint), and now it seems I have chronic back pain to add to the mix. Even getting physio to help mobilise my back has taken 15 weeks.

Has anyone else out there experienced back pain after having osteochondritis in their joints. If so did they find any particular strategy worked in getting help with pain and knock on effects? I'd really appreciate hearing from anyone else with their experiences.

1 like, 31 replies

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  • Posted

    hi, I know its been years since this has been discussed, but I am desperate for info and support for osteocondromas. I'm not even sure if it is related but I cannot find ANY discussions anywhere. I'm a new mom with a 2 year old who is getting multiple spurs it seems every week I find a new one. Now at #4 in her hand/ fingers. And 7 total. I'm getting. A but overwhelmed. Please help

     

  • Posted

    Hey everyone, 

    I sprained my ankle 4 month ago, i was told i had grade 2 ankle sprain .. I exerienced little pain after standing or walking for a long time for about 4 months and finally decided to see a specialist.

    He ordered an MRI since my X-ray showed nothing.

    The mri showed a very tiny fracture at my tala dome (ocd), the doctor told me that i don't need a surgery, all i can do is wait and see

    I really don't think it is getting better, in fact i think it's getting worse..

    I couldn't find any doctor in my country who can do the surgery since i live in Egypt which is a very poor country ,

    So i'll have to live with my ocd untreated. 

    any tips guys ??

    I hope all of you get better soon

  • Posted

    Hi everyone!

    I know it's been a bit since anyone has posted, but I want to share my story and get some advice.

    I've never been a very active person, so first off how I developed OCD is beyond me. My doctor suggests I was born with it.

    I was probably about 8 when my doctor decided to do an MRI and we found I had holes the size of a quarter in both ankles. After a little bit of physical therapy (my doc didn't want to preform surgery at first because I was so young) the hole in my right ankle healed, but the left one did not.

    So far I've had 3 surgeries. The first 2 being a simple clean out and bone graph, which failed miserably both times, and the latest one (I had this one back in December 2014) they did another bone graph, then proceeded to break the ankle where the hole is, plant a cadaver bone, and then sealed it with some plates and screws.

    I have been in pain most of my life, I have never been able to stay active because when I do, the pain isn't tolerable. I've had to quit many jobs because of this, too. It's quite sad, I'm only 19 and have so much trouble already.

    I'm so glad I found this thread, I thought I was alone.

    So what I'm curious is, how do you guys make it through work? Do you have to stand a lot? If so, how do you get through the shift? I desperately need to start working again, but it's hard to find any part time sit down jobs where I live.

  • Posted

    Hello-

    Thank God I found this forum. Yes, my back from recovery and being in a boot for so long!

    My knees hurt so much, I feel I'm falling apart. It's a domino's effect.Yoga and strength is helping, cortisone shots.

    This is very hard and challenging!

  • Posted

    Probably you are not reading the forum now. . I've just been diagnosed with osteochondritis in both ankles, but my orthopaedic surgeon has said nothing about immobilisation . .I'd be interested to hear your experience.  He told me to use crutches and to walk as little as ossible. . and nothing else.  
  • Posted

    So I have had an OCD in my right ankle for probably 8 years now (I am 15) and it was diagnosed a few years back. I decided to put off surgery and continue playing soccer and basketball, until a few days ago I was at the gym and a bone fragment popped loose. I can barely walk and I am just wondering if I should just clean out my ankle or try to reconstruct it. The doctors think that if I only clean it out, it will eventually worsen again and need more surgeries. If we reconstruct, they are worried about messing with the growth plates and I will have one leg shorter than the other and walk with a limp the rest of my life. (Its unlikely the latter will happen) From all of your experiences I just wonder what I should do
    • Posted

      Not a very active thread on osteochondritis, is it. I hope you get the right treatment to avoid insofar as is possible future problems.  Maybe you should reconsider the advisability of continuing with soccer and basketball?  You have a lifetime ahead of you, and your ankles are rather important!  here I am at 71 with OCD, which is such a different scenario . . Wish you all the luck with your problems!

       

  • Posted

    Hi people! Thanks for such a support group. Let me tell you my story with my ankle (talus) OCD.

    I'm Erhan from Istanbul, Turkey. I am 33 years old. In the beginning of 2011, I had a serious ankle sprain during a soccer game. There was a lot of swelling. I had the x-ray and was sent home to rest. 3 months after the incident, I fell duringy snowboarding and hurt my ankle again. My doctor requested a MRI and that was the time I had this OCD in my ankle.

    It was in an erly stage so they didn't give me any treatment. Just some Glucosamine pills and they forbid me to play soccer and other high-intensity sports.

    During these years, I was feeling the pain only after long walks and especially playing soccer. I was very dissappointed for not able to play soccer. Then, I've lost 15 kg of extra weight and the pain was nearly gone. I tried to play soccer again. But the pain came back.

    In the begining of 2014, I was re-diagnoised. The OCD was there again. It grew a little bit i think. And my doctor advised me to try Platelet-Rich Plasma (PRP) injection. Which is injecting PRP from my blood, right into the lesion region, in order to enhance the repair process. It was not a certain cure but worth trying. But i did not go for it. Another doctor adviced me to wear orthesis for a period of time, but also i didn't go for it.

    Now it is the end of 2015 and, I regain all the extra 15 kg of body weight that I lost before. And I have the pain more occasionally. I did MRI, and another doctor advised me that, I did not loose the surface of the lesion, it is still alive, so we can and we must try PRP. If the surface is gone, if the lesion collapses, there is no point for PRP. Then we will think about Mosaicplasty and other options.

    Right now I need to decide whether to take the PRP, or mosaicplasty or both, or nothing.

    I can give you the details about my MRI when I arrive at home, but what would you do if you were in my shoes?

    Thanks.

     

    • Posted

      I was interested reading your post...I wish I could offer you sensible advice, but I think I know a lot less about this than you do by the sound of it!  I quite suddenly got pain in the right ankle, and about a week later, in the left one. . and after I don't know how many tests for different things, they tell me its Osteo chondritis in both ankles, as well as tendinitis of the tendon . . but all they have offered me in terms of treatment is physiotherapy which has done no good at all after three months), using crutches (for the rest of my life???) and lots of rest.   I also wear orthesis for the fallen arches and for the tendinitis. . . The pain is always at its worst when I get up, tends to wear off a bit during the day, and then is worse again after standing on it for too long. . is that your experience too?   I'm not sure what is causing most of the pain . .the tndinitis, the osteochondritis, or the fallen arches!  I'm going to ask the specialist next time I see him about the platelet rich plasma injection. I'm beginning to wonder if he has a clue about this himself. . . 
  • Posted

    My daughter has this condition in both ankles, she has had two surgeries on one ankle and is still in constant pain. Searching for a new doctor who has treated this condition before. Her last doctor was staff physician to a professional football team but had never seen or heard of a lesion as large and severe as hers. She refuses to let him operate again on either ankle. Any advice is appreciated.
    • Posted

      Hi, I have recently been diagnosed with OCD in both my ankles and it is a very severe form according to my consultant. It is symmetrical in both ankles and so I must have just been born with it. I have been referred to many different doctors etc. However I have finally been referred to a top specialist surgeon at Stanmore Hospital in London called Dr Nicolas Cullen. I'm looking forward to meeting him and hopefully I will get a good result from the procedure. It affects my life completely, I remember having pain in my ankles ever since I was about 9 years old and I am now 21. It was disheartening going to the doctors at a young age and being told it is just growing pains etc. I only recently in th elast 2 years have been getting somewhere and to finally receive a diagnosis is such a relief. I hope your daughter is doing okay. What surgery did she have? Something that I have found helps me cope better with the pain when I am walking is by wearing memory foam sole Skecher trainers. They ease the pressure/pain of the weight on my ankles and I can't wear any other shoes now as it is just too painful. I would love to hear more about your daughters story. I haven't met anyone with the same condition as me before, and have only just found this forum today. It's been an interesting read.
  • Posted

    Hi, I'm 21 and have recently been diagnosed with OCD in both ankles of the medial talus bone. It has been a long time coming! I suffer with pain in my knees, hips and lower back... I am aware that is a bit of a domino affect and wondered if anyone else experiences these additional problems? I'm worried that I will develop further problems due to walking in a way that helps my ankle pain. I hope when i receive my ankle surgery that the pain in my ankles goes completely and that the other pains in my joints will ease.

    Let me know any advice, it's such a miserable condition to have when you're so young!

  • Posted

    Alex, what is the Facebook group you wrote about ?? Thanks
  • Posted

    Most of the stories are similar. This is mine. I'll try to be brief.

    Dec 2011, played soccer, goalkeeper stepped on my right ankle.

    Took an X-Ray, misdiagnosed as a grade 3 sprain.

    Year and half later, pain was still there, did MRI, OCD was present on over half of the talus.

    Tried to avoid surgery as long as possible, took supplements plus losing 35lb helped [now I gained 40lb sad ] until I felt amazing and played 1 soccer game, results: nightmare after the game for both ankles.

    MRI again, OCD didn't grow but I had tendonitis on the good ankle, but surprisingly according to the doc, the cartilage on damaged ankle was intact, so he drilled from underneath from the opposite side of the lesion.

    Nov 2015, surgery, non bearing weight for 5 weeks, after that I took everything easy, no crazy stuff done.

    Mar 2016, my pain is double than before the surgery, I honestly don't know what to do since my job is to be on my feet, I've been off work pretty much since the surgery.

    I just hope there was more doctors with extensive knowledge about these lesions, because most of us have one thing in common, we were misdiagnosed.

    P.S. sorry about my English.

  • Posted

    I had a significant case of OCD of the talus bone.  I needed several grafts of pedia bone and cartilage to repair my ankle.  My surgeon was excellent but the communicative relationship between patient and doctor were not ideal.  I had my surgery about four years ago and had begun to bike ride, ice skate and progressed to more weight bearinging exercise.  I love to play soccer so about a year ago I tried to play some.  Initially I could not deal with the pain but became able to play on turf and softer fields.  I also increased the amount of time I could play and the intensity at which I played.  There isn't much information about people with a grade IV lesion and participating in weight bearing exercise, especially something that requires as much agility as soccer. I have to rest my ankle the following day and play somewhat conservatively.  To complicate things I have psoriatic arthritis and my surgeon recognized the arthritis during surgery.  I was wondering if there are other people that have had grade IV repair and have exercised having had similar success.  I recognize that I may be limiting the shelf-life of the repair but also acknowledge the numerous benefits of exercise.  There isn't a lot of literature about OCD and post-surgery weight bearing exercise.  Any insight you could offer would be appreciated.

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