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Worsening ankle pain after sprain, took Cortisone injections, no help with pain. Any opinions ?

Hi, I am having worsening ankle pain over the last eight weeks. I have no real injury but a bad sprain 10 months ago. I started noticing pain and it increased. 6 weeks ago I saw a foot and ankle specialist and he diagnosed it as peroneal tendonitis . He gave me a cortisone shot and a walking boot and told him to see him in 3 weeks. When I went back the pain had worsened and he sent me for an MRI which showed no tearing. I saw him 2 weeks ( a total of 5 weeks since the first appointment. He gave me two cortisone injections one in the peroneal tendon and one on the top of my ankle where I have been having a lot of pain. After the injection the pain was so bad, but I know that this could be attributed to a cortisone flare, however it has not subsided in 5 days. I am supposed to go back at week 7 for two more injections. I feel like none of this has done any good since my ankle hurts worse than it did when I originally saw him. I need to know if this sounds like the right treatment plan? Also what questions I should be asking when I see the doctor again, to make sure that I am really being heard. Also should I get a second opinion at this point? The other thing the doctor said was that if after the second round of cortisone injetions if it didn;t get any better he would put me in a cast. Should he do this earlier. At this point I can barley walk and pain killers are how I get through the day. I feel like I am just managing the pain not getting any better.
Asked On : Fri, 8 Mar 2013
Answers:  1 Views:  62
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Physical Therapist or Physiotherapist 's  Response
after ankle sprain there is usually muscular imbalance and ur peroneal muscle goes in to the stretch weakness and repeated injury to the stretched tendon will develop tendinitis due to the abnormal loading of the muscle/tendon
visit a physiotherapist and try with ultrasound followed by tapping . it will help u lot
Answered: Fri, 9 Aug 2013
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