Ankle and Foot Pain: Causes and Treatment Options - Orthopedics

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Understanding ankle and foot pain can be quite complex, as there are numerous potential causes and treatment options. Based on your description, it seems that your pain began after an incident where your left foot twisted inward while using an escalator. This type of injury can lead to various issues, including ligament sprains, tendon injuries, or even stress fractures, depending on the severity of the twist.

The fact that you experienced pain the day after the incident suggests that there may have been some soft tissue damage, such as a sprain or strain. When you visited a traditional Chinese medicine practitioner, their treatment approach may have involved manipulation and massage, which can sometimes exacerbate pain if there is an underlying injury that requires rest and stabilization.
The X-ray findings indicating an extra bone in your foot, often referred to as an accessory bone, can indeed be a source of discomfort, especially if it is pressing against nearby nerves or structures. However, it is also possible that the pain you are experiencing is primarily due to the recent injury rather than the presence of the accessory bone itself. The body can sometimes react to injuries in ways that lead to chronic pain, even after the initial injury has healed.

In terms of treatment options, if the pain persists, it is essential to consider conservative management first. This may include rest, ice application, compression, and elevation (RICE), along with over-the-counter pain relief medications such as NSAIDs (non-steroidal anti-inflammatory drugs). Physical therapy can also be beneficial in strengthening the muscles around the ankle and improving stability, which may alleviate some of the discomfort you are experiencing.

If conservative measures do not provide relief, further evaluation may be warranted. This could involve additional imaging studies, such as an MRI, to assess soft tissue structures, including ligaments and tendons, which may not be visible on X-rays. If it is determined that the accessory bone is indeed contributing to your pain and conservative treatments have failed, surgical intervention may be considered to remove the bone or address any other underlying issues.

Regarding your question about which specialist to see, it would be advisable to consult an orthopedic surgeon who specializes in foot and ankle injuries. They can provide a comprehensive evaluation and discuss the best course of action based on your specific situation.

In summary, your foot pain could be attributed to a combination of the twisting injury and the presence of an accessory bone. It is crucial to approach treatment conservatively first, and if symptoms persist, further evaluation by an orthopedic specialist may be necessary to determine the best treatment plan moving forward. Always listen to your body and seek medical advice when pain persists or worsens, as early intervention can often lead to better outcomes.