[20F] With chronic ankle pain and numbness
Patient Description
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Arora's Assessment
What might be happening
Based on the symptoms you've described, there are a few potential explanations for your ongoing ankle pain and related issues:
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Chronic Ankle Instability: Given your history of ankle rolling or twisting, it's possible that you have chronic ankle instability. This condition can develop after repeated ankle sprains and may lead to persistent pain, swelling, and a feeling of instability.
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Tarsal Tunnel Syndrome: The numbness and tingling in your feet, especially during or after activities, could suggest tarsal tunnel syndrome. This condition occurs when the tibial nerve is compressed as it travels through the tarsal tunnel near the ankle.
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Tendinitis or Tendinopathy: The throbbing and sharp pain, especially with activity, might be related to tendinitis or tendinopathy, which is inflammation or degeneration of the tendons around the ankle.
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Flat Feet or Overpronation: If you have flat feet or overpronation, it can lead to ankle pain and instability, as well as contribute to back pain due to altered biomechanics.
Typical treatments for these conditions may include physical therapy, orthotic devices, bracing, or in some cases, surgical intervention. Diagnostic tests like MRI or nerve conduction studies might be recommended to further evaluate your condition.
What you can do
Ankle Pain and Instability:
- Rest and Elevation: Try to rest your ankles and elevate them when possible to reduce swelling.
- Ice Therapy: Apply ice packs to your ankles for 15-20 minutes several times a day to help with pain and swelling.
- Compression: Consider using an ankle brace or compression wrap to provide support and reduce swelling.
- Footwear: Wear supportive shoes with good arch support to help stabilize your ankles.
- Physical Therapy: Engage in exercises to strengthen the muscles around your ankle and improve balance and stability. A physical therapist can guide you with specific exercises.
Numbness and Tingling:
- Avoid Prolonged Pressure: Try to avoid activities that put prolonged pressure on your feet and ankles.
- Stretching: Gentle stretching exercises for your feet and ankles may help alleviate symptoms.
Back Pain:
- Posture and Ergonomics: Pay attention to your posture and use ergonomic supports if needed, especially during activities that trigger back pain.
- Core Strengthening: Strengthening your core muscles can help support your back and reduce pain.
Consider using MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider for a more comprehensive evaluation.
What you should look out for
While your symptoms are concerning, they do not appear to be immediately life-threatening. However, you should seek medical attention if you experience:
- Sudden, severe pain or swelling in your ankles or feet
- Inability to bear weight on your feet
- Significant changes in sensation, such as increased numbness or tingling
- Any new or worsening symptoms
It's important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan. They can provide further insights and recommend appropriate interventions based on your specific condition.
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27 d ago