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Molly Maloof, MD

Director of Clinical Content
@DoctorBase

Unexplained & unprovoked pain in ankle with 5yo trauma (RSD, hardware concerns?)

Injury May '10|Surgery Sep '10

-snapped end of fibula, pins

-shattered a chunk of the joint, anchor

RSD dx July '10, level 9-10 daily pain & on crutches through June '11

RSD lingered, but greatly improved. Flare ups limited to new bodily trauma (wisdom teeth removal, sprain, etc) with low pain level.

Last 2 weeks, severe ankle pain (lvl 8-10).

Burning, slicing, &shocks through joint to knee (akin to RSD pain)

Deep joint pain, feel clicking/moving on movement

What's going on?
Poster
  • Female | 21 years old
  • Complaint duration: 16 days
  • Conditions: RSD
October 26, 04:11 PM

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Sounds like an interesting case. Do you have pictures? Post them on my fb page.
Gennady Kolodenker
Gennady Kolodenker, DPM
Podiatrist in Irvine, CA
Level: Master Contributor (97)
Website: Foot and Ankle Specialist
October 18, 06:27 PM
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You definitely want to see a pain specialist. The flareups from RSD should be handled quickly with sympathetic blocks or Ketamine Infusion. Dr Rich Blake.

Sorry for how much you are suffering.
Richard Blake
Richard Blake, DPM
Podiatrist in San Francisco, CA
Level: Top Contributor (33)
Website: http://www.drblakeshealingsole.com
November 26, 03:59 AM
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More examinations and possible consult with pain management for work up of RSD again . Not enough info otherwise.
Flavio Cordano
Flavio Cordano, DPM
Podiatrist in Rockford, IL
Level: Master Contributor (54)
November 25, 07:25 PM
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Post-traumatic arthritis and RSD secondary to initial joint injury. The clicking in ankle joint upon range of motion is likely secondary to a osteophyte (bone fragment) within the ankle joint. She may also have a nerve compression that has been causing the RSD and proximal pain radiation. Pain management referral to control RSD and arthritis pain, cortisone injection, physical therapy are conservative treatments prior to further surgical intervention including but not limited to a ankle joint arthroscopy may benefit patient. More history like diagnostic tests performed such as X-rays, CT or MRI would be helpful in order to find the best treatment.
Kelvin A. Barry
Kelvin A. Barry, DPM
Podiatrist in North Bellmore, NY
Level: Top Contributor (29)
November 17, 06:09 PM
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There is not enough information to answer what is going on. You do need to see someone yesterday. Letting this go on for weeks is not good.
Jerald Askin
Jerald Askin, DPM
Podiatrist in Paramount, CA
Level: Top Contributor (49)
Website: Askin Podiatry
November 16, 03:41 PM
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It's possible that chiropractic may not be the answer for you due to your case history, however it's definitely worth investigating because in the last 17 years I've had several post operative patients get overwhelmingly positive results with chiropractic care.

www.discoverhealth.us
David Otto
David Otto, DC, DACBN
Chiropractic in Orange Park, FL
Level: Key Opinion Leader (527)
Website: Discover Family Wellness
November 16, 01:52 PM
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get an appoint with your physician stat- get a 3rd ct scan

if you have not already get to a pain clinic well versed in RSD
Irwin D. Cohen
Irwin D. Cohen, DPM, FACFS
Podiatrist in Half Moon Bay, CA
Level: Contributor (15)
Website: Irwin Cohen, D.P.M.
November 13, 07:48 PM
Call
Based on your history, your problems are way too complex and likely multi factorial to give you a simple answer in an online forum such as this. You need to seek a qualified opinion with appropriate objective diagnostic studies at your earliest convenience.
Howard Schaengold
Howard Schaengold, DPM
Podiatrist in Sammamish, WA
Level: Master Contributor (61)
Website: Plateau Foot & Ankle Clinic
November 13, 07:27 PM
Call
It very well could be related to your previous RSD and the prior trauma to your ankle. The hardware may be a part of it. If at all possible, your best plan of action would be to see the doctor who did the surgery in 2010. It is almost certain you are going to need an MRI or other advanced imaging techniques, but the best place to start is with the doctor who is most familiar with your case, have the ankle examined, and at least a set of x-rays taken. It is nearly impossible to tell you anything without that.
Richard Eby
Richard Eby, DPM
Podiatrist in Chattanooga, TN
Level: Master Contributor (73)
Website: Eby FootCare
November 13, 04:07 PM
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That's a great brief history, unfortunately very difficult to diagnose without proper exam and further xrays/possible mri or ct scan. That being said you already know what rsd feels like, if it is the same pain it maybe another flair up. However, a definite answer is impossible. I would recommend seeking certified podiatrist in your area for help
Alex Kheynson
Alex Kheynson, DPM
Podiatrist in Farmington Hills, MI
Level: Top Contributor (35)
Website: http://elitepodiatrypc.com
November 13, 03:48 PM
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