Should I See a Doctor for My Ankle Pain and Extra Bone?

Should I go to the hospital for this?

I went to the clinic for an X-ray, and the doctor said that I have an extra small bone or a fragment in my foot.
He mentioned that this could be due to my foot being frequently sprained without proper rehabilitation, which might be the reason for my foot pain.
He indicated that this extra bone is the cause of the discomfort.
He prescribed me pain medication, but I still feel pain.
I'm really worried that I might not be able to walk in the future (specifically, I experience pain when pressing on the inner side of my ankle, and sometimes it hurts when I walk).

Cen, 10~19 year old female. Ask Date: 2022/10/08

Dr. Chen Bochen reply Orthopedics

Hello, the small bone on the inner side of your ankle that you often refer to is known as the accessory navicular bone.
This is a common condition, and generally, it can improve with increased physical activity, soaking in warm water, and stretching.
However, if you also have flat feet, it is recommended to intentionally strengthen the foot muscles and undergo rehabilitation.
You can search for "toe curling exercises" on YouTube for guidance.

Reply Date: 2022/10/08

More Info

It sounds like you're experiencing significant discomfort in your ankle due to a possible extra bone or fragment that has developed as a result of previous injuries. Given your description, it’s understandable that you’re feeling anxious about the potential long-term implications for your mobility.

First and foremost, it’s important to recognize that any persistent pain, especially in a weight-bearing joint like the ankle, should not be ignored. The presence of an extra bone or bone fragment, often referred to as an accessory bone or an osteophyte, can indeed lead to pain and discomfort, particularly if it is impinging on surrounding structures or if there is inflammation in the area.

Here are some key points to consider regarding your situation:
1. Diagnosis and Imaging: While an X-ray can provide valuable information about the structure of your bones, it may not always show soft tissue issues or the full extent of the problem. If your pain persists despite taking pain medication, it may be beneficial to request further imaging, such as an MRI. This can help assess the surrounding soft tissues, ligaments, and any potential inflammation or damage that may not be visible on an X-ray.

2. Physical Therapy: If the extra bone is indeed a result of previous ankle sprains or injuries, rehabilitation through physical therapy could be highly beneficial. A physical therapist can provide targeted exercises to strengthen the muscles around your ankle, improve stability, and potentially alleviate some of the pain you are experiencing. They can also guide you through proper techniques to avoid further injury.

3. Pain Management: While you have been prescribed pain medication, it’s important to communicate with your doctor about the effectiveness of these medications. If they are not providing relief, there may be alternative medications or treatment options available, including corticosteroid injections or other modalities.

4. Surgical Consultation: If conservative measures fail to alleviate your symptoms, or if the pain significantly impacts your daily activities, you may want to consider consulting an orthopedic surgeon. They can evaluate whether surgical intervention is necessary, such as removing the extra bone or addressing any other underlying issues.

5. Monitoring Symptoms: Keep a close watch on your symptoms. If you notice increased swelling, redness, or if the pain worsens, it’s crucial to seek medical attention promptly. These could be signs of a more serious condition that requires immediate intervention.

6. Long-term Outlook: Many individuals with similar conditions can manage their symptoms effectively with the right combination of treatment and lifestyle modifications. However, it’s essential to stay proactive about your health and communicate openly with your healthcare providers.

In conclusion, given your ongoing pain and the presence of an extra bone, it would be prudent to see a doctor, preferably an orthopedic specialist, for a comprehensive evaluation. They can provide a tailored treatment plan that addresses your specific needs and helps you maintain your mobility. Remember, early intervention can often lead to better outcomes, so don’t hesitate to seek further medical advice.

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