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Old 01-30-2006, 02:10 PM   #1 (permalink)
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Location: MD
really did it this time

well i rolled my ankle on saturday, not that big a deal, because my ankles pretty much made of glass, i was on a nice run, 2 months without a sprain or roll, o well. This one was kinda weird, i heard 3 pops, one when it went out, when when it was all the way out, and one when it went back in. now thats quality!


anyways, i've had this unstable ankle for about 2 years now, and im wondering, if my initial gusse that it's a bone chip, is an incorrect assumption. I've been to 2 docotors, and they tell me im fine, but then why is there part of my ankle that looks like it should be round, missing a chunk in the x ray.... o well


so could it be anything besides just a bone chip. I'm not a docotor and im not going to pretend i am, but i have a freind studying in med school that says i may have microfractures. I have no idea what that means, micro means small, and fracture means fracture, so do i have small fractures?!?


what can be done about microfractures, how long do they take to heal, and what the hell is a microfracture?
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Old 01-30-2006, 02:22 PM   #2 (permalink)
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Quote:
Microfracture are tiny fractures in a bone caused when the force applied to a bone exceeds the strength of that bone. This can be achieved through strenuous activities such as running, dance, military training or gymnastics. The result is weakening of the bone which can result in a normal, complete bone breakage or macrofracture. When microfractures occur, the rate of bone formation by osteoblasts is outpaced by the normal osteoclastic bone destruction, as the osteoblasts are now having to form bone to fill cracks as well as their normal bone formation. Hence the bone is weakened and more susceptible to fracture under strain. However if the bone is given rest, osteoblastic activity can catch up and completely repair the bone.
http://www.chm.bris.ac.uk/webproject...icrocracks.htm

Take a break for a few months and make sure you get 100% of your daily allowance of calcium every day.
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Old 01-30-2006, 02:27 PM   #3 (permalink)
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puts me in a weird place, cause im trying to get back in shape and it's the middle of basketball season, i'll take a break in a couple of months, any word on how long i should shut myself down for?
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Old 01-30-2006, 02:29 PM   #4 (permalink)
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Brace the ankle, and wear high tops if your going to play bball on an injured ankle. I'd say stay off it for anything more than walking for a few months (2-3 months), immediatally after basketball season is finished. If you feel like exercising, go jump in a pool for a few hours. Again, tons of calcium.
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Old 01-30-2006, 03:04 PM   #5 (permalink)
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thakns for the advice, i do have a plethera of braces, from active ankles, to ankle supports, to the lace up kind, i'll probably go with the support or the lace up one. and when playing sports, i always brace my ankles at the least, sometimes i tape them and brace them
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Old 01-30-2006, 03:15 PM   #6 (permalink)
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Having had problems with my left ankle for the last 14 years, I think that I can grasp your pain, especially since the times that I've sprained that ankle must be getting towards 100, if I haven't already passed it.

I'm not sure why your friend thinks you have microfractures since that shouldn't cause any inherent weakness, which seems to be the issue. My guess is that you probably didn't recover sufficiently from the original injury before reinjuring it, but you could also just have weak joints. I'd do everthing that I could to strengthen the surrounding muscles and connective tissue. Back in the day, I used to show up an hour to two hours before practice to do physical theapy, which usually consisted of using my foot to "write" the alphabet in the air or under water, doing hopping drills up and downstairs or in grids and using a piece of surgical tubing to do pulls in various directions. I also braced it whenever I went for a run, and I got to be pretty good at doing a heal lock on myself.

The chunk that is missing in the xray could just be a divot (for lack of a better term) where a piece of connective tissue crosses the bone to where it attaches. You'd also feel a bone chip pretty easily since the chip would be causing major irritation once the rest of the injury is healed.

Good luck!
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Old 01-30-2006, 03:47 PM   #7 (permalink)
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Quote:
Originally Posted by pacaveli
puts me in a weird place, cause im trying to get back in shape and it's the middle of basketball season, i'll take a break in a couple of months, any word on how long i should shut myself down for?

If you have microfractures and you continue to play on that ankle you're just asking for a much worse injury. Obviously, I'd see a doctor rather than trusting a med student friend and some people on a forum and get a real diagnosis.
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Old 01-30-2006, 07:55 PM   #8 (permalink)
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i've seen 2 docotrs and they both cleared me to play basketball. I actually don't think i have microfractures, because i'd imagine it would hurt allt he time with that, and it doesn't hurt all the time, only when i injury it.

and yea i'd be suprised if the number of times i've injuried it is below 20 in the past 2 years. Maybe this is just a problem i'll have to live with.

On the other hand if we have a draft mayeb i can site it as a reason not to go

unrelated: i have atheletes foot, boy is that annoying to top off the discomfort im having already
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Old 01-30-2006, 08:03 PM   #9 (permalink)
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What kind of doctor are you seeing. I wouldn't ask my pediatrician if I was fine to play sports. I would go ask someone who specializes in sports medicine.
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Old 01-30-2006, 08:07 PM   #10 (permalink)
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that sucks man .. sounds like it hurts ... but I wouldn't get medical advice from here ... not to knock anyone's intelligence
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Old 02-01-2006, 01:38 PM   #11 (permalink)
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Quote:
Originally Posted by Siege
What kind of doctor are you seeing. I wouldn't ask my pediatrician if I was fine to play sports. I would go ask someone who specializes in sports medicine.

i saw 2 sports medicine specialists, one at my local doctors office, and one with his own clinic thinger
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Old 02-01-2006, 02:29 PM   #12 (permalink)
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Pacaveli: Have they done MRI's on you? Xrays can only show so much, but MRI's can show tendon and ligament issues. Your ankle tendons probably need reconditioning/strengthening so that they can support you properly. Just because you're active doesn't mean they're strong. Do the MDs realize your history? Your frequency of issues? Do they seem to take you seriously? Even in posting, you are speaking as if you don't want to make it a big deal. Make it one - it's your body, and you have to rely on it, thus it's in your best interests to get the help you need to rehab those ankles. They don't HAVE to be weak.
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Old 02-01-2006, 02:55 PM   #13 (permalink)
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Quote:
Originally Posted by pacaveli
puts me in a weird place, cause im trying to get back in shape and it's the middle of basketball season, i'll take a break in a couple of months, any word on how long i should shut myself down for?

i agree with Willtravel... absolutely brace the ankle... i rolled my ankle a few years back and kept on running on it... it's never been the same since, i should have braced it better and given it more rest.

Try to rest it. and look into an orthopedic brace.

Maybe something like this air brace for athletes:

http://www.ankleshop.com/airsport.htm

sweetpea
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Old 02-01-2006, 02:56 PM   #14 (permalink)
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Quote:
Originally Posted by Lyncher
that sucks man .. sounds like it hurts ... but I wouldn't get medical advice from here ... not to knock anyone's intelligence
i also agree... although we may be able to give some advice, a doctor's is always better

sweetpea
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Old 02-01-2006, 03:23 PM   #15 (permalink)
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Quote:
Originally Posted by sweetpea
i agree with Willtravel... absolutely brace the ankle... i rolled my ankle a few years back and kept on running on it... it's never been the same since, i should have braced it better and given it more rest.

Try to rest it. and look into an orthopedic brace.

Maybe something like this air brace for athletes:

http://www.ankleshop.com/airsport.htm

sweetpea
I couldn't agree more. If you decide to put pressure and stress on it, you can do permanant damage to it. You really, really don't want that. My little brother can't bend his foot up because he has had so many ankle injuries.

psst... it's Willravel. Willtravel is what I do when I go on vacation.
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Old 02-01-2006, 03:36 PM   #16 (permalink)
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Quote:
Originally Posted by willravel

psst... it's Willravel. Willtravel is what I do when I go on vacation.
hehe, oh my goodness... i had always read it "will Travel..."

my universe has been flipped upside down

correction noted

sweetpea
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Old 02-01-2006, 03:45 PM   #17 (permalink)
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Quote:
Originally Posted by sweetpea
hehe, oh my goodness... i had always read it "will Travel..."

my universe has been flipped upside down

correction noted

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Don't worry about it! You're hardly the first, and you won't be the last. Besides, people know me the person better than they know my sn, and that's what counts. The ravel part of my name is for my favorite composer, Maurice Ravel. If you've never heard any of his works, take a listen to Daphnis and Chloe or Bolero.

/end threadjack
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Old 02-01-2006, 09:20 PM   #18 (permalink)
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Location: MD
well i was in physical therapy for about 3 -4 months after about the 6th time i did it a couple of summers ago. it didn't seem to help much, it used to be a big deal to me, thats why i did the physical therapy 3-5 times a week, and did exercises they gave me at home for 3 months afte rleaving the PT. But it just never seemed to get any stronger.


i can't rmeeber if i ever did get an MRI i might have not sure on that. I probably should go get one, maybe i need surgery or something serisous to repair this, i sure hope not though

edit: could i have the same problem that NBA player grant hill had. Not sure on the specifics but i know he had a really messed up ankle
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