I am sorry about your ankle, and even more sorry that you were initially misdiagnosed. Rest is always needed for an injury, but doing therapy and rehab exercises are also extremely important. Especially for an ankle sprain it is really important to do certain exercises to strengthen your muscles and help stabilize your ankle. Balance in particular, because your muscles need to essentially relearn proprioception-how you muscles convey to your brain where your body is in space, which is important in muscle coordination and stability.

Feel free to send me the report, I can try to help you decipher. Although I'll admit that radiologists have their own words that are not used commonly throughout the rest of medicine.

I can also dig up some exercises for you.

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Emily Sherrard
@EmSher1
Powered by Accelerate3 Coaching

Was your initial misdiagnosis from your PCP or specialist?

High ankle sprain can mean a couple of things, but if there is any significant diastasis, this may need to be addressed surgically. You can't strengthen or therapy your way out of a structurally unstable ankle. Make sure to get a good 2nd opinion.

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Fatigue is biochemical, not biomechanical.
- Andrew Coggan, PhD

You need to rehab. I have a badly injured ankle, both high and low sprains 15 years ago. The scar tissue is nasty.

I have it functioning well, but "ran" into problems running.

However there is this rubber band compression treatment I have been doing this week. Found it on the net, makes great sense. So far has done a lot of good I will post the video.

You need to build blood flow, circulation, heat and movement/ROM/strength back into the tissues to achieve a full recovery.

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Training Tweets: https://twitter.com/Jagersport_com
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EmSher - PM sent

rroof - Yes my PCP initially diagnosed it as a stress fracture. The oddity being I had no acute trauma when the pain started in July. The same ankle (right) I sprained pretty badly in 2009, but nothing since then. My PCP had an x-ray taken, which didn't show anything. He recommended time off, 4 weeks, during which I iced, stretched and massaged religiously. After 4 weeks I started running again and felt fine the first couple of runs, then the pain crept back in, though not at bad. That's when the PCP sent me to a specialist who also took an xray, again showed nothing. He wasn't so certain it was a sfx, recommended 6 weeks off. My first few runs back and the pain crept back in, not quite as bad, more annoying than anything. Then he called for an MRI, which apparently shows a high ankle sprain, and very possibly old damage likely from my 2009 sprain.

Shark - I've added back in daily icing (3 x day), massage with Truameel. I'll look into some ROM stuff, though my range seems fine and doesn't particularly hurt to move my ankle in any direction.

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The secret of a long life is you try not to shorten it.
-Nobody

What you describe is worrisome that the pain you started having in July was not an acute injury but the manifestation of a chronic problem that finally reached the point where it is painful for you. Since you do not have any bone issues, this puts your problem in the category of a chronic (or acute on chronic) soft tissue type injury, possibly tendinopathy or tendinosis. I echo the advice above: you need to do rehab, including strengthening (centric and eccentric), balance//proprioception. And most importantly, you probably do not want to run until you are completely pain free, and then ramp up very slowly. It is also worth while to ponder why you developed this in the first place - did the original injury never heal? Did you ramp up your volume in July? Did you add intensity or hills? DId you get new shoes? Unless you find out why this started hurting in July, despite rehab it may start hurting again unless you can find out what caused it in the first place. Recovery of chronic soft tissue/connective tissue/tendon injuries can take months/years. Best of luck.

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Two wheels good. Four wheels bad.

Here's the link
http://www.mobilitywod.com/...-junky-tissue/

I used some Pilates stretch bands I have to do the wrap - that worked great. When doing this therapy my lower leg/ankle was exhausted in a such a good way.

My ankle is quite a bit larger than normal- similar to this guy's, due the scar tissue.

However - the ankle, achilles does not respond to icing like muscle tissue does. This area needs compression, heat and circulation and movement in all directions, moreover opposite to repeated patterns such as walking and running.

Note that wrists, neck are very similar in that respect.

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Training Tweets: https://twitter.com/Jagersport_com
FM Sports: http://fluidmotionsports.com

Thanks for the info DrTriKat, I'm fairly certain the original injury healed as I had no problems afterwards and my training really ramped up in 2010 for IM AZ. As for when the pain appeared in July, I had taken a couple of days off for the 4th to travel with family, afterwards I felt the pain, which really didn't bother me while running, but walking down stairs or if getting back up from a squatting position I would get a sharp pain. These days the pain is really a minor annoyance and as before, doesn't actually hurt when running, maybe tender afterwards at times.

could just be being 44 years old and time for things to start breaking down too!

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The secret of a long life is you try not to shorten it.
-Nobody

I have a high ankle sprain (and a mortons neuroma on the same side which i can manage). Had the sprain about 4 months and just started running easy every other day(few twinges when i run but nothing distressing), bit sore after when i'm sat at work, i do ice it in a bucket as soon as i get in office. Doing balancing and band strengthening and calf raises too. Anyway when u returned to running did the soreness stick around for a long time? Just trying to get a real answer from someone who has actually experienced this annoying injury. Please answer, actual experiences are very valuable to my recovery mindset.

I have a high ankle sprain (and a mortons neuroma on the same side which i can manage). Had the sprain about 4 months and just started running easy every other day(few twinges when i run but nothing distressing), bit sore after when i'm sat at work, i do ice it in a bucket as soon as i get in office. Doing balancing and band strengthening and calf raises too. Anyway when u returned to running did the soreness stick around for a long time? Just trying to get a real answer from someone who has actually experienced this annoying injury. Please answer, actual experiences are very valuable to my recovery mindset.