Osteochondritis dissecans (OCD) ankle - no more running !!

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Advice on ankle issue- I'm a triathlete and have a dozen Ironman races under my belt. Last may 2017 I sprained my ankle running. After physio, osteo, rest and slow progression to running my pain remains after 8 months. I recently had an MRI that revealed the following diagnosis (translated from french report from Montreal, canada): Osteochondritis dissecans (OCD) tidio-astragalienne laterally to the astragalien dome and the tibial ceiling with Subchondral Cystic Lesions. No osteochondritis fragments present. Just the sound of it makes me cringe. My physio said to stop running immeadiately and seek orthopedic advice. He said that most likely i would never be able to run again. After almost passing out at the news...i started researching and what i see is rather depressing. Im trying to find out a potentiel prognosis for getting back to running . Im on awaiting list to see a specialist. Any advice or experinces from others on similar problem. I just cant wrap my mind around the fact i may need to stp running altogether. thx

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2 Replies

  • Posted

    I had an osteocondural defect of my ankle, with lesion after an eversion sprain when I was 14yr, the cause was a fracture that went undiagnosed.

    I’m looking at my 8th op in May, I had an ankle fusion in May 2017 and I now have pain in the centre of my ankle and I’m waiting for yet another set of MRI scans.  

    I would certainly listen to your Physio, rest it and get an appropriate assessment from an orthopaedic surgeon. Let us know how you get on. Xx

  • Posted

    I;m so sorry for your news. Having done a couple marathons, I would have been devastated at the news I could no longer run. Those days are behind me and right now I can't even imagine running on this ankle ever again, with all the hardware in it now.

    ?If indeed you can't run again, you could do what some of my friends and I have done , and do triathlons in the team division. You can still do the bike and swim part and be a part of triathlons. Not the same I know, but its something.

    ?Don't accept the worst prognosis until you see a specialist. 

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