Persistent Ankle Pain In A Swimmer - Page #1

Author: Geoffrey Dreher, DO
Co Author #1: David Webner, MD
Co Author #2: Kevin DuPrey, DO
Senior Editor: Mandeep Ghuman, MD, FAMSSM
Editor: Allison Schafer, DO

Patient Presentation:
15-year-old female high school swimmer with right ankle pain.

A 15-year-old female swimmer presented to the office with 2-weeks of acute onset right posterior ankle pain, localized to the posterior medial malleolus and Achilles tendon, described as sharp and throbbing, 7/10, worse with running, stairs and flip turns.

Physical Exam:
Normal vital signs.
Right ankle: no edema or ecchymosis, full range of motion with pain in active dorsiflexion, plantarflexion and inversion. No pain with resisted great toe flexion or extension. Strength 5/5, gross sensation intact and 2+ dorsalis pedis and posterior tibial pulses. Tenderness to palpation along the posterior medial malleolus and medial border of Achilles tendon. No ankle laxity.

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NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

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