Question
Dr. Katz, Thank you for your time in reviewing my question. It is appreciated.  I am a 30 y.o. registered nurse, and I experienced an ankle sprain off of my Dansko clog 2x in one week. There was never any swelling after the events.  I tried to ignore the ankle pain and wrapped with an Ace bandage and continued to work at my full-time job.  I gradually became unable to bear weight over the next 3 weeks and went to the ER. There was no fracture found, hoever I was dx'd with a calcaneo-navicular coaltion which I never knew that I had.  An MRI and a CT scan were completed.  The abnormalities were listed as post tib tendonopothy and that was it. Nothing about the peroneal tendons at all.  I was put in a cam walker boot for 3 weeks, non weight bearing and told I had a "moderate ankle sprain.". I completed PT for 3 months and all the while complained of stiffness in my heel and abnormal amounts of pain with wt. bearing and prolonged standing. Told this was "normal" by the pt and the orthopedic surgeon.  I am desperate for help, I have pain on the outside of my foot and into the heel.  I have a strange sensation along the sural nerve area as well.  I have just started Accupuncture 3 weeks ago and have stopped doing the pt.  Do you have any thoughts?  I was told that I have limited ST joint motion, however this never bothered me before my ankle sprain. Do you know anyone in the Philadelphia area that does cryotherapy?  Thanks so much! -Joi
[email protected]

Answer
Hi Joi,

It sounds like you had a coalition and perhaps it was injured or fractured with your ankle injury.  It is common after an ankle injury to have sural nerve damage.  Sections of the sural nerve also go into the heel.

Here is a list of Penn. crysourgeons.  I don't personally know them.  However, I believe that cryosurgery would be agood option for you.  I would also strongly consider seeing a podiatrist for custom orthotic devices.

Pennsylvania
Aliquippa
Beaver Valley Foot Clinic
Christina Teimouri, DPM
2438 Brodhead Rd.
Aliquippa, PA 15001
www.bvfootclinic.com
Phone: 724-375-1577
Fax: 724-857-0855


Philadelphia
Robert Cohen, DPM
255 S. 17th St,
Suite 2404
Philadelphia, PA 19103
Phone: 215-545-0388


Warminster
Jack Gorman, DPM
Suzanne Phillips, DPM
399 N. York Road
Warminster, PA 18974
(215) 672-3222 (office)
(215) 672-6634 (fax)
www.buxmontpodiatry.com

Sincerely,

Marc Katz, DPM
Tampa, FL
Advanced Podiatry
www.thetampapodiatrist.com
www.tampacryosurgery.com


DISCLAIMER:
This information is offered as free advice and as general information. It may not be applicable to the specific questioner and his/her problem.  It is not based on actual knowledge of the questioner or his/her medical history and it cannot and should not be relied upon as definitive medical opinion or advice.  Reliable medical opinion and advice can only be obtained through hands-on physical contact and exam of the patient to establish an accurate diagnosis and treatment plan.  No doctor/patient relationship is created or established here and may not be inferred through answers on this site.  The questioner and other readers must consult his/her own doctor before proceeding or implementing any suggestions contained within this document and answers on this site.  The questioner is only to act upon his/her own doctor抯 orders and recommendations. By reading this posting which follows, the reader fully understands and confirms that he/she holds harmless this writer. If this is not fully agreeable to you, the reader, and/or you have not attained the age of 18 years, you hereby are advised to read no further.