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Pain and inflammation after ankle injury. Physiotherapy worsened case. What can help immediately?

I slightly tweaked my ankle over 1 year ago, and have experienced persistent inflammation and pain--primarily when walking. I ve had two x-rays and an MRI, all of which have come back negative. I cannot stand for long periods as the discomfort increases in intensity. I have gone to physical therapy , and the inflammation has become worse with inactivity (I am currently recovering from shoulder surgery ). I am an active 23 year old male, and have had ankle injuries much worse than this which responded immediately to treatment. The exception with this case was that I continued to play basketball on it, as the nature of the initial injury was one that any athlete would try to walk off. I am now treating it with hydrotherapy , and alternating temperatures. I am also wearing a brace, and am meeting with a surgeon to discuss the possibility of a cortisone injection. The resilience of this injury has become ridiculous, and through research I have come up with the possibility of anything from synovitis to rheumatoid arthritis . Any information would be much appreciated. Thanks.
Asked On : Sun, 3 Jun 2012
Answers:  1 Views:  45
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Orthopaedic Surgeon 's  Response
If your MRI scan was normal then it is unlikely that you have any significant pathology in your ankle joint. Either you did not rehabilitate the ankle properly following your injury or you could possibly have chronic regional pain syndrome?
Answered: Fri, 11 Apr 2014
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