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Gym injury? help! :-(

Discussion in 'Ask your questions here' started by Emmigirl, Jun 26, 2010.

  1. Emmigirl

    Emmigirl New Member


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    45 yr old healthy female. Dog walking three times a day. Started fitness routine at Curves - workout comprises alternating between stationnary cardio such as jumping jacks, jogging on the spot etc , and resistance machines each working a different part of the core muscle group. Two machines focus on the hamstings and glutes by pushing either in front with the foot or pushing behind you with the foot.
    After 3 weeks (6 days or 30 minute workouts per week) woke up, put foot on ground and felt sharp pain on the inside of the ankle (sort of where its hollow).
    Went down stairs, felt it worse. DId go to gym and did light workout. By that night I could not put any weight on it at all. That was 3 weeks ago. Drs gave me crutches, and air cast and Naproxen + 975 mg of tylenol /every 6 hours.
    I have been following RICE to a tee- going on week three away fromthe office- cannot put ay weight at all still. Xray came back "normal". ER do suggests possible avulsion tears but can't confirm.

    Referred me to rehab/sports injury clinic waiting for appointment.

    Any other suspcisions?? Zero improvement in 3 weeks. I remove the cast most of the time as it hurts. Swelling has moved form inside the foot, to the top of the foot to know a pocket of inflamation on the outer part of the ankle. So its moving around. Brusing all over as well.
    Tried some heat today. Felt good but still icing since I still have slight swelling. Pain is whats killing me- cant drive, cant walk my two dogs, live alone- cant mow lawn cant do anything except sit here with leg up.

    Thoughts? I did not feel any pull or tear or break. It creeped up on me.

    Also I had a bone density test about 6 yrs ago and it was normal.
     
  2. FootDoc

    FootDoc New Member

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    First of all, suffice it to say that neither I nor anyone else can, simply by reading your account, offer you anything more than a blind guess as to what your problem is. And as is most always the case in medicine, appropriate treatment is determined by the diagnosis. You offer no evidence of overt injury, and simply having pain in a part without a relevant history does not suggest a diagnosis upon which a treatment plan can responsibly be based. I trust that you didn't really need a doctor to tell you to avoid weight-bearing on a painful ankle, take pain meds and employ the principles of RICE for the swelling. Avulsion injuries occur when, instead of a tendon or ligament tearing, the force of the injury tears or "avulses" the portion of bone into which the tendon or ligament inserted. When that is the case, it should really be no problem to see a small chunk of bone on x-ray which is detached from the main body of whatever bone it was avulsed from. So I don't know why your doctor could not confirm or rule that out. I would suggest that you obtain a copy of your entire medical record regarding that incident and see what thought process, if any, your attending had in regard to your problem. It would appear to me, if your description of your interaction with you doctor was complete and accurate, that he/she offered you treatment for your symptoms but not for your condition and that is not likely sufficient.
     
  3. Unregistered

    Unregistered Guest

    Thanks. I agree that something in the diagnosis is missing.

    The Dr. told me that the folks at the sports injury clinic will decide if an MRI is required. I think I will insist on a requisition for one- I"m prepared to pay the 700$ to find out because right now I feel its pie in the sky - and based on the pain, I feel like this would take months to heal and maybe even require surgery.

    The Dr did say that injuries like this happen when people dive into exercise programs and put too much weight , or repetitive motion on their feet/ankles and tears happen from the stress over time. So maybe I over did my workouts in a short period of time and/or my new running shoes aren't suitable to absorb the shock. Just seems weird- one foot not the other etc. Anyway thanks for your reply. Its anyones best guess right now I guess.

    All I can do for now is keep doing what I'm doing and hope and pray I see some improvement eventually. Sad way to live for an otherwise healthy active woman............sigh.. thanks.
     
  4. FootDoc

    FootDoc New Member

    Keep in mind that it is often a misconception by patients that high-tech tests will surely reveal what basic diagnostic skill cannot, and that is frequently not the case. Instead of "insisting" on an MRI, I would think that it would be more appropriate to let the specialist determine its likely value. Be ware of the doctor who orders an MRI, CT scan, etc. simply because he/she has no idea what the problem is and hopes that a test will make the diagnosis. Tests should generally be utilized to rule in or out already suspected problems. It is the rare MRI that does not reveal abnormalities which have nothing to do with the patient's complaint.
     
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