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Why do I get sharp stabbing pain inside the bone?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am unable to bear weight on my healed ankle. I had a fracture of the same ankle four years ago. This problem has been there for six months. Climbing stairs is a problem. I get pain inside my bone, sharp stabbing pain, and some burning sensation. This stabbing pain stays for a week or so with no movement and goes away after a week of rest, but returns when I climb stairs (put weight on the ankle). The bone is feeling sore all the time. Please advise. The X-ray and MRI reports are normal.
Answered by Dr. Akshay Kumar Saxena

Education:

MBBS

Professional Bio:

Dr. Akshay Kumar Saxena is an Orthopedic surgeon, Traumatologist, and Spine Surgeon who examines patients to diagnose bone, joint, ligament, or other musculoskeletal problems, including diseases or injuries and is also trained to treat brain and spine conditions. He completed his MBBS from Hemwati Nandan Bahuguna Garhwal University in 2005. He studied DNB Orthopedics at the National Board of Examinations in 2010. He provides support and advice to patients receiving long-term care, and he researches defects, diseases, and disorders affecting the musculoskeletal system. He is currently practicing in Uttar Pradesh with 17 years of clinical experience.

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Hello,

Welcome to icliniq.com.

You have mentioned that you sustained an ankle fracture around four years ago and now you have persistent symptoms in the same ankle joint. I actually need to know the details of your fracture and what management was done at that time. Also right now apart from pain, do you have any associated swelling? Or any other signs or symptoms of inflammation like skin redness and local warmth? Have you suffered any twisting injury in the same ankle around six months ago when your symptoms started? Normally what can happen is that, there can be some post-traumatic ankle arthrosis, which can happen after a few years of the affected ankle injury. It can lead to pain and other associated symptoms, but you have stated that your investigations are normal. Anyway, I would like to see all the investigations reports mentioned, before we can arrive at a diagnosis and prescribe you a treatment protocol. Also, lastly can you tell me whether you take any medicine on a regular basis? Or have you previously taken any long-term medical treatment?

Thank you.

The Probable causes

Previous injury.

Investigations to be done

1. X-rays (digital) of the affected ankle - anteroposterior and lateral views. 2. MRI of the affected ankle which you have already done. 3. Recent blood tests especially serum vitamin D and B12 levels, serum uric acid levels, erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). 4. A clinical picture of your affected ankle.

Treatment plan

Will decide after relevant investigations.
Medically reviewed by iCliniq medical review team
Published At March 25, 2016
Reviewed At January 17, 2024

Education:

MBBS

Professional Bio:

Dr. Akshay Kumar Saxena is an Orthopedic surgeon, Traumatologist, and Spine Surgeon who examines patients to diagnose bone, joint, ligament, or other musculoskeletal problems, including diseases or injuries and is also trained to treat brain and spine conditions. He completed his MBBS from Hemwati Nandan Bahuguna Garhwal University in 2005. He studied DNB Orthopedics at the National Board of Examinations in 2010. He provides support and advice to patients receiving long-term care, and he researches defects, diseases, and disorders affecting the musculoskeletal system. He is currently practicing in Uttar Pradesh with 17 years of clinical experience.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Companion

Ankle Pain After Fracture Companion

How it works

Persistent ankle pain after a fracture can be complex. This section helps you understand common causes and factors related to your symptoms.

1

Fracture
History

2

Current
Symptoms

3

Associated
Signs

4

Recent
Injury

5

Arthrosis
Concern

6

Investigation
Results

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.
Dr. Akshay Kumar Saxena
Dr. Akshay Kumar Saxena

Orthopedician and Traumatology

Education:

MBBS

Professional Bio:

Dr. Akshay Kumar Saxena is an Orthopedic surgeon, Traumatologist, and Spine Surgeon who examines patients to diagnose bone, joint, ligament, or other musculoskeletal problems, including diseases or injuries and is also trained to treat brain and spine conditions. He completed his MBBS from Hemwati Nandan Bahuguna Garhwal University in 2005. He studied DNB Orthopedics at the National Board of Examinations in 2010. He provides support and advice to patients receiving long-term care, and he researches defects, diseases, and disorders affecting the musculoskeletal system. He is currently practicing in Uttar Pradesh with 17 years of clinical experience.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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