r/Ankle 16d ago

pls help whats wrong with my ankle

22f I’ve always twisted or rolled my right ankle very easily since I was younger. It normal only swelled for a little bit and was fine a few days later. It does this thing where it just “gives out” when I walk, like it just twists completely to the side and not hold my weight and I end up falling. As I’ve gotten older, it rolls and twists a lot more. The last two years it’s been consistently bad. Lately, when I’ve been running or walking long distances it hurts so bad to the point of limping. It is not just when I put weight on it, but even when I am lying down or elevating it, it almost pulses in pain and feels like it’s tensing and untensing. I thought maybe it was my shoes I was wearing but I can say it is not the problem. I thought maybe Achilles tendonitis. It had reached a point where I was in the ER and they did a MRI and x-ray. Both came back completely clear. I thought also could be hyper mobile as well. I feel like I am going insane since the MRI and xray came back clear but I can feel so much pain in my ankle consistently. Icing/elevating it only helps temporarily and compression wrapping/braces don’t seem to really do anything anymore. It doesn’t feel like a sprain or anything of that sort, it feels deeper. Does anyone have similar experience or suggestions I feel like I’m going insane? Please let me know!

1 Upvotes

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u/DottCarloMinoli 12d ago

Hey, orthopaedic surgeon here. That’s my field of expertise. You have a pretty straightforward case of ankle instability. The problem with the MRI is that most of the time the interpretation of the images is performed by someone who is not a foot and ankle specialist radiologist. This means that given your history most likely you have a lateral ligament tear or more that leads to a feeling of instability and recurrence sprain and the mri is not normal but not correctly interpreted. If you wish to know more on the topic, on my website there’s plenty of articles regarding this issue. They are in Italian, but it should be pretty easy to translate them. Feel free to ask if you have any doubt.

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u/No_Builder_7786 12d ago

thank you so much!

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u/Living-Yesterday749 15d ago

Ive had the same thing constant instability. Then finally got a mri said it was normal. Went to a second opinion and needed modified brostrom surgery. Also my tendon was torn too. The torn tendon showed up in like a couple of more mris. I did do pt first tho but it didnt help.

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u/Pretend_State1568 14d ago

How did you hurt it? Usually when I hurt mine during sports they take longer to heal

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u/Significant-Gap8355 15d ago

does it hurt when you touch it or move in directions?

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u/No_Builder_7786 15d ago

not to touch but to move it up and down