[18F] Experiencing severe inner foot and ankle pain post-ACL surgery

Patient Description

An 18-year-old female reports experiencing sharp, constant, and piercing pain in the inner foot and under the ankle, which has been present for more than two weeks. The pain is described as a 9 out of 10 in severity, particularly worse upon waking, before sleeping, and when resting or elevating the foot. The patient has recently undergone ACL surgery on the same side as the affected foot. There are no signs of redness, warmth, swelling, or color changes in the skin, and no fever is reported. The patient has no known allergies or adverse reactions to medications and is not currently on any medications.

Show More

Arora's Assessment

What might be happening

Based on the information you provided, possible causes for your symptoms include:

  • Posterior Tibial Tendon Dysfunction (PTTD): This condition is caused by changes in the tendon, impairing its ability to support the arch, resulting in flattening of the foot. PTTD is often called "adult-acquired flatfoot" because it is the most common type of flatfoot developed during adulthood.

    • Treatment usually involves rest, over-the-counter pain relievers, and foot support devices.
  • Tarsal Tunnel Syndrome: This condition is caused by compression of the posterior tibial nerve as it travels through the tarsal tunnel, a narrow passageway inside your ankle. Symptoms typically include a sharp, shooting pain, numbness, or a burning sensation.

    • Treatment usually involves rest, immobilization, cold compression, and non-steroidal anti-inflammatory drugs.
  • Plantar Fasciitis: This is one of the most common causes of heel pain. It involves inflammation of a thick band of tissue that runs across the bottom of your foot and connects your heel bone to your toes (plantar fascia).

    • Treatment usually involves physical therapy, night splints, and orthotics.

Please note that these are potential causes based on the symptoms you've described, but they are not definitive diagnoses. You should consult a healthcare professional for a formal diagnosis.

What you can do

  1. Rest and elevate your foot when possible. Avoid activities that put a lot of stress on your foot, like running or jumping.
  2. Apply ice to the painful area for 15 minutes at a time, several times a day.
  3. Over-the-counter pain relievers, such as ibuprofen, can help reduce pain and inflammation.
  4. Consider wearing a brace or splint to help support your foot and reduce pain.
  5. Gentle stretching exercises for your foot and calf may help relieve pain and improve flexibility.

What you should look out for

You should seek immediate medical attention if:

  • The pain is severe or worsening
  • You have difficulty walking or bearing weight on your foot
  • You notice any redness, warmth, or swelling in the area
  • Your symptoms do not improve with rest and over-the-counter treatments

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

Show More

1
 Hugs
0
 Comments

Save

1 yr ago

Top picked over-the-counter products for Plantar Fasciitis: Proven Strategies to Recovery

People Also Ask


What is Posterior Tibial Tendon Dysfunction (PTTD) and how is it treated?

Posterior Tibial Tendon Dysfunction (PTTD) is a condition where the posterior tibial tendon becomes inflamed or torn, impairing its ability to support the arch of the foot, leading to flatfoot. Treatment typically involves rest, over-the-counter pain relievers, and foot support devices like orthotics.


What are the symptoms and treatment options for Tarsal Tunnel Syndrome?

Tarsal Tunnel Syndrome is caused by compression of the posterior tibial nerve in the tarsal tunnel, leading to symptoms such as sharp, shooting pain, numbness, or a burning sensation in the foot. Treatment usually includes rest, immobilization, cold compression, and non-steroidal anti-inflammatory drugs.


How can I manage the pain associated with Plantar Fasciitis?

To manage pain from Plantar Fasciitis, you can engage in physical therapy, use night splints, and wear orthotics. Additionally, rest, ice application, and over-the-counter pain relievers can help alleviate symptoms.


When should I seek medical attention for foot pain?

You should seek medical attention for foot pain if the pain is severe or worsening, if you have difficulty walking or bearing weight on your foot, if you notice redness, warmth, or swelling, or if your symptoms do not improve with rest and over-the-counter treatments.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback