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Podiatry/Ankle tingling since severe sprain 1 yr ago
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QUESTION: I fell Aug 08 and sprained both ankles very badly. I took a step down into the garage and the light was out and totally missed it. Had to use a walker for a week and then crutches for another couple weeks because left ankle was worse off. Had both ankles xray and mri on left ankle, nothing broken. Still to this day I have pretty bad pain in left ankle, resulting in decreased activity, as well as off/on or constant tingling. Did go to P.T. for 3+ months and am starting to feel that there is something else wrong. Is there possible some nerve damage? The most painful spot is about 2 inches up the chin from the top of the ankle. Many times my ankle make an audible 'pop', which is quite painful.
What other tests could I ask my primary doctor to perform? Is this something treatable? Surgical or therapy?
ANSWER: Please see an expert. A board certified or board eligible podiatrist in surgery is what you want.
Your primary care physician is probably a wonderful guy-but not a foot and ankle expert. I usually make a diagnosis after a thorough orthopedic and bio-mechanical exam and then do an MRI to confirm. The MRI may need to be repeated in the area of pain. An MRI is composed of visual slices in millimeters of a certain area. If the specific area is not visualized by those "slices" then the injury will be missed. Sounds like you make have injured a tendon. These injuries may respond with physical therapy and possible surgery. Does not sound like a nerve injury.
The first step to recovery is a good diagnosis.
You should not be asking your doctor to perform other tests!
If he/she doesn't know-see an expert.
Hope this helps
Dr George Tsatsos
Chicago & Elmhurst Podiatrists
Board Certified in Foot and Ankle Surgery & Orthopedics
New Chicago South Loop Location
AnkleNFoot.com
---------- FOLLOW-UP ----------
QUESTION: What would the difference be in seeing a orthopedist vs a podiatrist?
First of all-Thanks for the excellent rating! I appreciate it.
A Podiatrist who is Board Certified in ankle surgery has to submit a minimum of 25 cases for evaluation and a minimum of 50 cases for the foot to become Board Certified.
An orthopedist whom is Board Certified only submits 12 foot/ankle cases at the most.
An orthopedist who did a Foot and Ankle Fellowship has about equal training to the Board Certified Podiatrist In Ankle Surgery.
This is a general guide and not an opinion towards anyone's training.
Hope this helps
Dr George Tsatsos
Chicago & Elmhurst Podiatrists
Board Certified in Foot and Ankle Surgery & Orthopedics
New Chicago South Loop Location
AnkleNFoot.com
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Answers by Expert:
Dr George Tsatsos
Expertise
All questions related to surgery, orthopedics and medicine of the foot and ankle-Adults and Children. Second Opinion specialist in Foot and Ankle problems including fractures and revision surgery. All questions relating. to foot and ankle problems in children Sports medicine of the foot and ankle Runner's and walking problems
Experience
PRIVATE PRACTICES:
Ankle N Foot Center.com, 2220 W Belmont Ave., Chgo., IL 60618 since 1979
Ankle & Foot Center of Elmhurst, 401 N.York Rd., Elmhurst, IL, 60126, since 1989.
Physicians Suites, Bethany Hospital, 3435 W. Van Buren, Chgo., Il, 60624, 1980-201.
HOSPITAL & SURGICAL AFFILIATIONS:
Bethany Hospital, 3435 W. Van Buren, Chgo., Il.- Podiatry staff since 1979-2010
Glen Oaks Medical Center, 701 Winthrop, Glen Dale Hts, IL – Podiatry staff since 1997.
Elmhurst Medsurge, 401 N. York Rd., Elmhurst, IL, 60126, since 1999
Resurrection Health Care Surgery Center, 3101 N. Harlem Ave., Chicago, IL, since 1999
Chicago Neurologic & Orthopedic Hospital, 4501 N. Winchester Ave., Chicago, IL, 2008-2010
Organizations
Member of the National & Midwest Academy of Ambulatory Foot Surgery.
Member of American College of Sports Medicine.
Member of American Medical Athletic Association.
Member of Chicago Metropolitan Ski Council.
Publications
Prolotherapy in the Treatment of Foot Problems Clinical Correspondence, June 2002. Vol 92- no. 6 Journal of the American Podiatric Medical Association.
Paper on Treatment of Delta-Phalanx of the Foot – submitted for publication to Journal of Foot and Ankle Surgery & for Fellowship of ACPPS., September, 1998
Sports Medicine Consultant for the book-Triathlon 101 Essentials for Multisport Success by John Mora – 1999 ISBN 0-88011-811-3
Windy City Sports – October 1996 Marathon Issue “Keeping Your Feet Happy”
American Running & Fitness Association, Clinic Advisor & Lifetime Member – Editorial Staff since 1990.
Education/Credentials
Fellow-American College of Foot & Ankle Orthopedists, since 1991.
Fellow-Academy of Ambulatory Foot Surgery, since 1980.
Fellow- American Institute of Foot Medicine , since 1987.
Fellow-American College of Foot & Ankle Pediatrics, since 1998.
Certified in Laser Surgery- by Wenske Laser Center, Ravenswood Hospital, 1991.
Certified in Foot and Ankle Arthroscopy – by Doctor’s Hospital, 1991.
Certified Preceptorship Director-Scholl College of Podiatry 1993-2006
Board Certified in Foot & Ankle Surgery-A.B.M.S.P., since 1987. Recertified 8/08 till 3/31/2012
Board Certified in Podiatric Foot & Ankle Orthopedics-A.B.P.O.P.P.M., 1991. Recertified 10/2003 till 12/2013
Board Certified in Pain Management-A.A.P.M., since 1990.-retired
Clinical Instructor – Department of Medicine at Rosalind Franklin University 10/2007 until present
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