Jul 10th, 2017
Hi – Experienced half/full marathon runner have been experiencing worsening ankle pain when running over a period of months. I have seen Sports specialists on the NHS and have had x-ray, MRI and ultrasound scans but they have been unable to pinpoint the problem.
I have been doing strengthening and balance exercises for a number of weeks now and have had an anti-inflammatory injection however i do not seem to be making any progress. At a standstill now with my running and desperate to find a diagnosis/solution..
Jul 10th, 2017
You sound like you’re doing all the right stuff.
Time, with appropriate rest after a jab is often a great recipe for success. Just continually (over) loading for the right thing is sometimes the wrong thing to do!
It’s a little concerning that your docs can’t pinpoint what, or why. It may be entirely appropriate to ask for a second opinion via a foot and ankle surgeon or a more specialist SEM doc.
Impingement is often diagnosed via US or MRI – it can be soft tissue related, which responds to a jab. Or, it can be due to bone, which may need something a little more invasive….
There can also be a little scuff on your talar dome called an osteochondral defect which can sometimes tricky to see but can give similar symptoms.
If the jab hasn’t helped then it’s telling you and the docs what it’s not rather than what it is, and you need to be reassessed from a differing stand point.
Hang in there, make the system work for you and get your diagnosis nailed.
James thanked the Guru for his advice:
Thank you for the detailed reply, really appreciated. I have a follow up appointment next week so will see how I go from there.
I have used Six Physio in the past for a knee problem and the treatment/rehab was fantastic, totally transformed my running for the better – should I need a second opinion or further treatment is this an issue Six could look at or do I need something more specialist?
Morning James – I actually think that it maybe more prudent to get a decent interpretation of the imaging and/or a decent overview on “what” is going on.
I think we’d probably say go see a decent SEM/OS that we could recommend – so please let me know what’s been said after next week and I’ll make sure I point you in the right direction, either into or out of SIX.
Thanks for the kind words!!
Knowledgeable, professional and compassionate practice. They take quite a collaborative approach, which is well recieved.
I have been attending Six Physio with a number of different issues for years and…
A very personal approach and creation of a specific rehabilitation program. Constant revaluation and fine…
Having been referred to SixPhysio by an orthopaedic surgeon, I was initially quite sceptical that…
I had the opportunity to be seen by Emily and the advice and support she…
Gilly is amazing! So brilliant at helping me sort out a long term pain in…
Really great physios, very professional and friendly, love the app as an added bonus for…
I have used 6Physio many times over the last 18years or so. From avoiding knee…
everyone is really friendly and informative and also happy to accommodate any change in appointments.
Everyone was polite and caring for my needs. Excellent service and professionalism.
Brilliant experience with Six Physio. I've been seeing Magda for a few weeks and she's…
Brilliant work from Emma whose exercises and release solved a back problem I had been…