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Why do I get sharp stabbing pain inside the bone?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At March 25, 2016
Reviewed AtJanuary 17, 2024

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.

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.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Akshay Kumar Saxena
Dr. Akshay Kumar Saxena

Orthopedician and Traumatology

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