by Kaelyn on Tue Mar 17, 2009 6:26 pm
Skaterchick,
ok, you most likely have a serious grade 3 tear, with broken bones. For you to still be purpling after 8 months is SERIOUS.
GET OFF IT, AND STAY OFF IT! I'M NOT KIDDING!!!
Get to a serious sports orthopedist, and have several ankle x-rays taken, especially oblique lateral angles. I suspect that you are consistently re-fracturing the bones, but only the X-ray will show for sure. I suspect the doc will put you in a fiberglass cast, but if they don't, keep using the ankle cast, and I mean all the time. This goes way beyond PF. How your physical therapist didn't clue in to the probable broken bones is a mystery to me. The sharply painful reaction to an ultrasound should be a dead giveaway. Where are you? If you're in Northern CA, like, going to Sac State, I can send you to a guy.
Chances are, that when this first happened you had an X-ray right away.... right? I'm betting it showed nothing... right? NEWS FLASH..... it takes 2 weeks for a hairline or small fracture to show up on an x-ray. Even then, if you're not shooting from the correct angle, especially in the foot, you won't see it. So the old "nothing's broken" doesn't necessarily mean squat. If you're going to stay a skaterchick/tomboy, you need to buy a tuning fork. They can be had at guitar city or a small music store for $5-15. It doesn't matter what frequency. This is the best investment you will make for along time. A bone isn't really solid. It's porous. Bone doesn't have nerves on the inside. Bone does have a covering called the periosteum on outside, and it is LOADED with nerves. Because healthy bone is continuous it vibrates at the same rate. If it's broken the ends vibrate against each other, and it hurts. So, you take your trusty tuning fork, hold the post, and strike one of the tines against something hard. (not your head) Take the post, and put it on the end of a bone you know to be healthy. This is what it should feel like if the bone you test is actually ok. Now, we're going to use the arm as an example here. Let's say you think you broke the bone on your arm that heads toward your thumb (it's the radius) close to the wrist. Follow the line of the bone up to the elbow, where you can feel the hard end of the bone. Strike the fork, and put the post there. If you feel nothing or the very faintest of vibrations, the bone is solid. If it hurts a bit, sort of like a bell reverberating, for about a minute, maybe 2, you have a hairline crack. How long it hurts is how bad it is. If it really hurts, then you're definitely broken, and it will have to be re-set, and depending on which bone it is, and what direction the break runs, probably casted.
I probably sound a little alarmist to you, but I swear, this is serious, you need to get it taken care of, and I mean now. Invest in a set of crutches, and get used to bumming rides from friends for awhile. It sucks, but it's necessary. You do too much bone damage for too long, they're going to need to put in pins and rods, which I promise you, you don't want.
Once you actually heal, you're going to need the guide to healing plantar fasciitis. It will really help your recovery. Good luck, and keep me posted.