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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain On The Front Of The Foot?

I play hockey about 3-5 times a week and in recent events I went to a practice on monday and felt a lot of pain on the front of my foot by my ankle. I went to 2 more practices that week and pushed my self through the pain, but on wednesday before practice I was in way to much pain to skate and got off the ice. My coaches told me it was lace bite and that I should ice it. Since Wednesday I have been icing it like crazy and it has not gotten better at all, I am still in the same amount of pain as I was on wednesday. I even bought a lace bite pad to put in my skates so i could get back on the ice, but when I tried my skates on at home and did some movement it was still in a lot of pain. Do you know what I could do so I can get on the ice as soon as possible?
Wed, 27 Apr 2016
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Physical Therapist or Physiotherapist 's  Response
Hi,

Thank you for providing the brief history of you.

A thorough Neuromuscular assessment is advised.

As the pain is in the front of the ankle, it can be related to a anterior tibiofibular ligament sprain. For which you may have to first immobilize the ankle, as ligament injury takes a little longer time. Proper rehabilitation and training is needed to get the efficient torque.

As you a ice hockey player, the chances to get the ligament sprain are high and needs a thorough musculoskeletal assessment so the sport can be continued with high scale of fun.

I will recommend you to undergo an MRI of the ankle post musculoskeletal assessment by which the soft tissue status is noticed. As there is a saying -"prevention is better than cure" so why not come to the proper diagnosis and get helped.

Also, later stages you might need to visit a sport physical therapist for proper retraining of the ankle to get the maximum torque during the play.

For detailed suggesstiom/queries/inputs/rehabilitation plan - contact me and i will happy to help you.

Regards
Jay Indravadan Patel
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What Causes Pain On The Front Of The Foot?

Hi, Thank you for providing the brief history of you. A thorough Neuromuscular assessment is advised. As the pain is in the front of the ankle, it can be related to a anterior tibiofibular ligament sprain. For which you may have to first immobilize the ankle, as ligament injury takes a little longer time. Proper rehabilitation and training is needed to get the efficient torque. As you a ice hockey player, the chances to get the ligament sprain are high and needs a thorough musculoskeletal assessment so the sport can be continued with high scale of fun. I will recommend you to undergo an MRI of the ankle post musculoskeletal assessment by which the soft tissue status is noticed. As there is a saying - prevention is better than cure so why not come to the proper diagnosis and get helped. Also, later stages you might need to visit a sport physical therapist for proper retraining of the ankle to get the maximum torque during the play. For detailed suggesstiom/queries/inputs/rehabilitation plan - contact me and i will happy to help you. Regards Jay Indravadan Patel