Several years ago I did a very good job of spraining my ankle with the classic pronation - inversion type injury. Ever since I've suffered with a non painful clicking every time I pronate my foot and the expected ligamentous instability associated with this form of injury. The best explanation I have recieved for the clicking is from an orthopaedic consultant. He told me it was a tendon snapping over the bone which was causing the clicking. Firstly can anyone be more specific about which tendon snapping over which bone and why my injury would cause this? I am concerned that the tendon will degenerate and snap is this feasable? What is the best solution for this?
Sedondly I suffer from decreased ROM in dorsiflexion and pain when the head of the talus jams against the tibia at or about end range. Is there any way of increasing this ROM because stretching jams bone on bone and hurts?
Lastly I went for a run on the tredmill last week on a steep incline which a have never done before. My ankle swelled up and I had excruciating pain after sitting down for dinner (do chillies affect the inflammatory response?). After getting to sleep with the help of some cocodamol the pain competely resolved in the morning. Now one week later the swelling is still present with tenderness on dorsiflexion end range. Is this due to a tendon or ligamentous irritation or irritation of the mortice joint itself brought on by years of instability? Can anyone explain the injury mechanism to me with some appropriate treatment please?
Sorry about the long message, any information and advice would be a great help.
Thanks a lot.
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