Daily Tips and Advice
Sports Injuries: Is it just an Ankle Sprain?
Posted 3 years ago
Ankle Injury & Pain
A patient who we first met 6 months ago has just been given the all clear by the Sports Medicine Consultant to crack on and get super strong and fit for sport.
The lady in question had an unfortunate slip on her way to train in the gym (Oh the irony).
Everything seemed quite straight forwards. A typical sprained, 'Rolled' ankle. Swelling and pain that eased with rest but was worse in activity.
But something wasn't quite right after all...
As so often is the way, we first met the lovely lady 6 months after her initial injury - Some patients just don't know where the best place to seek help with Sporting Injuries is. This really isn't unusual.
So when we first reviewed the patient there were all of the signs of an untreated ankle sprain, stiffness, weakness and reduced balance. All seemed straight forwards!
But within a couple of rehab sessions things didn't seem to be progressing as we would have thought...
All of the new activity had caused the 'real problem' to become apparent. The patient now had pain in the outside region of the ankle and she had developed a tell tale clicking when we tested the strength she had in the muscles around her ankle.
At this point we now had to consider that the patient may have damaged the 'Retinaculum' of the ankle.
The Retinaculum is a band of connective tissue that holds structures down and in place. Think of it like the tongue of you running shoe. You pull your laces tight and your foot is held down and in place by the tongue.
For an online preview of what this is see: The Retinaculum
We sent the lady for review by the Sports Doc and a MRI scan of the ankle was performed, and look what was found...
You will have to take my word for it...
The highlighted area of the scan demonstrates a 2.5cm tear to the Peroneal Longus muscle (a muscle found on the outside of the ankle). It was also noted that the Peroneal Retinaculum was torn and not in a good state (as we suspected)
So what next???
If all else had failed then surgery may have been the only option.
Fortunately a graded and progressive rehabilitation programme and a Cortico-Steroid injection seem to have helped hugely.
It's taken time and dedication to rehab drills, but the patient in question seems to have beaten the odds, and for now the torn Retinaculum and torn tendon are not causing too many issues!
So what's the take home point??
Sometimes it's not just as simple as a sprained ankle...