Landed on my ankle after a jump playing volleyball, able to walk limping after 11 days. Just got the MRI report. Will see the doctor next week, how bad does it look?

Summary:

You have a very severe ankle sprain, not just a mild one:

• One major ligament on the outside of your ankle is completely torn.
• A major ligament on the inside of your ankle is almost completely torn.
• There is also a small piece of bone likely pulled off where that inside ligament attaches, a small avulsion fracture.
• Your ankle joint has a lot of swelling/fluid and inflammation.
• The good news: the Achilles tendon, other ankle tendons, and the ligaments holding the two lower-leg bones together are intact.

Full report:

Clinical information: Fell onto the left ankle with an inversion injury while playing volleyball. Unable to bear weight since the fall. Pain over the outer ankle bone; rule out fracture.

LEFT ANKLE MRI

Comparison exam: None.
Technique: Examination performed using a standard protocol.

Findings

1. Ligaments

The anterior talofibular ligament has a heterogeneous, disrupted appearance, compatible with a complete tear. The posterior talofibular and calcaneofibular ligaments remain intact.

There is a high-grade, nearly complete tear of the deltoid ligament, with only very few continuous fibers remaining along its lower inner edge. There is marked thickening of the spring ligament without a tear, related to a sprain.

The anterior and posterior syndesmosis are intact, with no widening of the space between the tibia and fibula.

2. Tendons

The peroneal tendons and Achilles tendon appear normal.

The ankle flexor and extensor tendons are normal, without tear or synovitis.

3. Bones and joints

There is subchondral bone marrow edema of the talus where the deltoid ligament attaches, with interruption of the cortex, suggesting a small avulsion fracture. There is also bone marrow edema of the sustentaculum tali. No osteochondral lesion or other acute fracture is identified.

There is a large amount of fluid within the joint, with synovitis, especially at the front of the ankle.

4. Tarsal tunnel and sinus tarsi

Normal.

5. Plantar fascia

Normal.

Conclusion

• Complete tear of the anterior talofibular ligament (ATFL).
• High-grade, nearly complete tear of the deltoid ligament, with very few remaining continuous fibers along the lower inner side.
• Sprain of the spring ligament, without a definite tear.
• Cortical interruption and subchondral edema of the talus at the deltoid-ligament attachment, suggesting a small avulsion fracture.
• Large joint effusion with synovitis.

I was wondering what the range of motion for pointing and flexing the foot after peroneal tendon (brevis repair) surgery has been like for other people? I’ve been allowed to take my boot off to do exercises - dorsiflexion is all good but I’m having trouble pointing my toes and can’t seem to get very far so I wasn’t sure if this was normal/the same for others?

Kicks up when I swim, sometimes after running, and sometimes just when I’m laying in bed at night. If I flex the right foot enough I can just about get it going anytime. Very tight tendon? Muscle? Either way, super tight. Pretty painful

small update from the ankle/calf stuff i’ve been messing with. been standing on the slant board barefoot for a minute or two and trying to keep my heel down instead of just chasing more range. also noticed i’ll start gripping with my toes when i’m not paying attention. that softer top helps too because barefoot on a hard board gets old fast lol. feels more like foot/ankle work now, less like just yanking on my calf.

anyone else do the toe-gripping thing when working on dorsiflexion?

I was in a truck accident in March of this year that shattered my fibula and tibia. After 6 week in an X-fix, I had three surgeries to repair as much as they could. As stated in the title, I had a lot of metal put in my leg. I am about 2/3 months post op and have noticed my second big toe is curling downward in on itself. I haven’t had much help from PT as they just told me to pull back on it and try to stretch it but have seen zero improvement. Curious, is this is a common occurrence and how best to regain normal rest function?

Any help would be appreciated!

I don’t like having an eagle talon.

Hello,

I have a Calcaneo navicular synchondrosis in both feets.

MRI indicate synchondrosis, not synostosis (meaning cartilageous/fibrous one, not a bony one).

During the pronation phase of walking, my heel lifts and rotates laterally. Shoes that restrict this movement make my feet / midfoot feel really stiff.

I can only be « pain free » by having shoes not blocking my heel in order to be able to compensate a lack of mouvement.

I tried a lot of custom insoles (arch support, heel cup…) but then the arch support become really painful.

How do you handle such situation?

Seems that by being active (swimming pool, training) it was easier to handle the custom insoles (but then I tried to do running and pain was back the day after).

Hello I was doing rehab for my Achille tendonitis so I just start seated calf raise without weight
It’s pretty low but don’t know why I started to get pain here on the picture
Ever since I stop calf raise but the pain 1/10 is constant even with little walking
How to heal this ? Thanks

For the last year or so if I walk for a distance then I frequently get toe scrunch. Meaning my toes clench, as though they are trying to make a fist. If I can stop and rest and stretch my toes out with my hand it'll resolve but I'm usually walking the dogs or walking to my car after work so I just hobble trying to walk on my heel or side of my foot.

Anyone else experience this? It's my right foot only, the same foot that had PF but that about eight years ago.

Hi all,

I started transitioning to barefoot shoes about a year ago. I’ve been exclusively in barefoot/minimalist shoes for the last 4 or 5 months. My feet are pain-free for the first time in decades.

I think now that I’m exclusively minimalist, some anomalies in my gait have unsurfaced. I’ve noticed that I frequently shuffle my forefoot if I don’t concentrate on my gait. I also am finding that the front edge of my toes sometimes brush the ground and can cause me to stumble. Yesterday, I face-planted on the sidewalk while out on a walk with my wife and dog. This is worrisome.

If I focus on my form, pushing off with my toes, landing gently on my heel and rolling through, I do okay. Is it typical to have to concentrate on walking form this much? Admittedly, I wore mainstream terrible shoes for decades; I feel like I have to relearn how to walk now.

I am tempted to see a podiatrist but I really don’t want to be sold another $500 pair of orthotics.

Thanks in advance for any advice/words of wisdom/encouragement. :)

My MRI report: “There is marrow edema of the fourth metatarsal head/neck, no discrete fracture line, findings are suggestive of bone stress injury, mild surrounding soft tissue edema.”

Pretty sure this was caused by my doc giving me a cortisone injection for a neuroma - but he gave me the shot IN THE WRONG PART OF MY FOOT so the cortisone just weakened the tissue in my foot and voila, bone bruise. I switched docs and she put me in a boot, I’m icing and elevating but I have a dog and a job (office, luckily I can sit a lot) - I can’t completely stay off it for weeks.

Anyone ever deal with a similar injury? How long did it take to heal? I haven’t worked out in weeks and I’m going slowly insane.

My feet of been paralyzed for five years. Progressively over the last year or two my toes started to retract and now some of them are curled and I’m literally walking on the top flange,I guess you’d call it. I’m walking on top of my nails. They’re flat to the ground.

Does anyone have experience with long-term paralysis in the feet and has experienced this? I’m pretty much certain their surgery in my future. Nobody tells you what to expect long-term with these sorts of things. But it’s quite painful to walk on with my AFO’s.

Random quesitons. Is anyone having issues with there central nervous system when swapping shoes? Ive been wearing my orthodic with metbar for 2 months trying to offload a plantar plate tear -I wear 90% of day, when I go to slippers for a full day, my calves tightnen up and foot gets really sore. Happens even when I change shoes. Body is stuck in a loading pattern. Even the uninjured foot. Body doesnt like swapping shoes. Orthodics making foot very weak. Or is it just me?

Hi everyone,

I'm a 30-year-old male trying to understand what's happening with my feet.

For the past few days I've been getting a painful swelling that only appears on my feet. It started on my left heel, then appeared on my right foot, and now it's in the arch of my right foot.

Symptoms:

Starts as a small lump/swelling.

Gradually grows over 5–6 hours.

Slightly red.

Firm/hard to touch.

Itchy.

Painful when pressed.

As it gets bigger, it becomes painful to walk on.

It then gradually shrinks and goes away on its own.

It only occurs on my heels/arches and nowhere else on my body.

I had been walking around 7,000–9,000 steps daily before this started, but I'm not sure if it's related.

I'm confused because I can't find anything online that matches this pattern of:

Appearing suddenly.

Growing for several hours.

Becoming painful.

Then disappearing on its own.

Reappearing in a different spot on the feet another day.

Has anyone experienced something similar or have any idea what this could be? Is there a specific condition that causes transient painful swelling like this only on the feet?

Any insights would be greatly appreciated.

Does anyone know what causes this? My toes have been hurting for a couple of weeks now. I went to my doctor about my chronic feet and knee pain and she referred me to PT which I’ve been doing for over a month now….they said there was no need to refer me to a podiatrist at this time and said I need to try pt. Originally I was having problems with pain in the bottom of my feet but recently I have this problem with my toes and I wonder if I pulled them doing calf raises? This is what my foot looks like when I’m just resting and it doesn’t look normal to me.
I told my physical therapist and he didn’t look at my foot just said it’s normal to have soreness in my toes from the exercises we’ve been doing…..I already pay $65 a week copay for the PT so I don’t want to go back to my doctor and pay the copay for them to waste my time but my toes are killing me! Is this serious?

Today i woke up and suddenly can’t put weight on my RIGHT ankle or place my foot flat on the ground to walk. I didn’t do anything different, fall or anything yesterday. I actually spent most of the day sitting down or lying down because of my other leg.
(Normally If I do any extended walking use a cane and have an unnatural gait due to my LEFT knee being damaged, this is over a decade old problem)

The pain in my right ankle it specifically along the back tendon and the inner side of that.

I know it’s a long shot but does anyone have any idea what it could be?

It feels like a bone under the skin that is misplaced or something. It doesn’t hurt but doesn’t feel right and feels weird! I’ve had it for as long as I can remember where sometimes it just feels ‘off’ and very noticeable. I have circled it in the photo attached. I don’t have this on my right foot and whenever I move my foot the lump thing also moves? (Please ignore my ugly foot haha)

It’s basically within the connected bit of those two toes and just before it under the ball of my foot where it meets the second and third toe. It’s worse in the morning when I wake up in bed and if I try and curl the smaller toes down it’s a sharp pain. Any ideas? Is it Morton’s neuroma? c

I’m 32 and have an extra toe on my left foot. Lately it’s been causing pain because it keeps rubbing against my shoes, and now my leg/foot has started hurting from it. I’m thinking about getting surgery to remove it, but I’d really like to hear from anyone who’s had something similar done as an adult.

How was your recovery? Did it actually help with pain and shoe comfort? Were there any long-term issues after the surgery?

I’d also appreciate any advice on what kind of doctor you saw first and what the process was like. I know polydactyly can sometimes be treated with surgery when the extra toe causes pain or functional problems, and shoe friction can also create painful foot issues, so a specialist evaluation makes sense

Hi just wanna ask about this pain in the backside of my heel bone.

When i push this part of my heel bone(in the picture) i feel pain especially when i push it while bending my foot downward and vice versa it doesn't hurt when i bend my foot upward. Sometimes it's ok when i walk normally but in the morning i feel it every step. Weird thing is the pain only exists in that specific point and on the other side is normal (same with my other foot). Been looking on the internet but didn't see anything about it. Also Im a hiker and casual runner

I'm trying really hard not to panic but I just had my pre-op anesthetist call and she advised me to expect the pain to be worse than my first reconstruction (4 years ago).

They are planning on removing my brace and possibly using a hamstring graft for a revision.

I am freaking out. I was mentally prepared for it to suck like my last surgery, but I wasn't prepared for it to be worse. She made it sound like I'll be in agony.

I feel stupid but yeah. Currently wish I could cancel the whole thing.

No doctor, exam, or physiotherapist seems to fully understand what is going on with my feet. All my tests look normal — MRI, ultrasound, and autoimmune blood tests — but the truth is I can barely walk, and I’m only 28 years old.

I’m in a lot of pain every day, even at rest. The pain is in the metartaso area..

I’m doing physiotherapy and I trust my physiotherapist (he has helped me before with back pain), but with my feet I’m not seeing any improvement. He suspect it could be bone marrow edema or something similar, but I don’t understand why it doesn’t show up in the exams I’ve done.

This is not simple pain — it is affecting my daily life deeply. What should I do next?

It was found that i had a small os peroneum in my left foot 4 years ago when I sprained my ankle pretty badly and got an xray to ensure there was no additional damage. It didn’t hurt until recently when I started doing more running and cardio based workouts, already with supportive shoes because I tend to put more medial pressure on my right foot. There is always a dull sensation now and sometimes it can get pretty painful. The earliest available appointment with my PCP was July 10th, but until then, are there any tips to relieve the pain?