Question
Well I injured my right foot about 1 1/2 months ago playing basketball.  Now almost 2 months later the mornings are the worse, I can barely walk from the pain in my ankle.  Its not stiff or anything just intense constant pain around the front of my ankle and the sides when I apply pressure (or if I stretch it to the right there is a bit of stiffness and pain).  After a bit of walking that pain goes away and is replaced by a new more intense pain on my heel right before the arch or my foot.  I have replaced my shoes with good quality shoes and i now wear insoles all the time but its still painful.  After I sit down for a while especially its quite painful standing again.  I have had x rays and they show nothing out of the ordinary.  I am really worried this will never go away as I have never had a sports injury like this before and severe joint problems run in my family.

Answer
Sounds like plantar fasciitis-also known as plantar fasciosis. May have some additional tissues and ligaments that are irritated. When you stop activity the tissues try to repair themselves by trying to "glue themselves" in a position that limits movement. As soon as you put weight on the area you tear the healing tissues-which causes the initial pain. As you move around the body lubricates itself and the tissues begin to feel better. However the continued standing movemnent and standing re-injures the tissues after a few hours and the pain intensifies.
Whomever you went to for the x-rays perhaps had not enough training, and should  have been able to give you some info regarding the mechanics of the pathology.For example high arch , low arch etc-which can contribute to the above symptoms.
So really no reflection on the radiologist or the doctor ordering the x-rays
Could also have a small hidden chip fracture-or just irritation of the subtalar joint(the joint just below the ankle)
Get a copy of your x-rays and go see a podiatrist that does sports medicine. Chances of this getting better on it's own have decrease right at about 3-4 weeks and now it is turning to a chronic condition.
Check out our website AnkleNFoot.com for additional info on plantar fasciitis.
If you want to try something before you see a podiatrist,you can try arch supports and a night splint from our store. Our products are medical grade and priced competitively.But if you don't get relief within a few days of trying the above then find a sports medicine podiatrist

We are located in Chicago and do second opinions.
Good Luck!
Hope this helps!

Dr George Tsatsos
Chicago Podiatrist 60618,60661
Elmhurst Podiatrist 60126
Board Certified in Foot and Ankle Surgery & Orthopedics
New Chicago South Loop Location
AnkleNFoot.com

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