Achilles tendonitis AND??
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From what I have learned from my chiropractor, who does adjust ankles as well as backs, the Achilles tendon pulls on the heel bone/calcaneus, which tugs on the talus, the bone in the center/front of the ankle. When that is out of place, you have pain all the way around. Ice where it hurts. Take the rest time they tell you to take.
gwolf,
What did you do to get the tendonitis? That will go a long way to helping us understand the pain in the front of your ankle. Without that, we'll have to guess a bit, but I think the answer is fairly simple.
You most likely have an overtraining injury that involves other tendons and perhaps the ligaments of your ankle. It's not a sprain but an inflammation and a strain. This is a sports injury? You ran too hard too soon, without sufficient previous training or perhaps even a good warmup? You ran hard and twisted as you turned perhaps? All these would do what you describe, both front and back.
Depending on what you did, it would not be unusual for you to injure the front as well as the back of your ankle. This isn't as weird as it sounds.
The basic answer is rest and Aleve. I like Aleve because you can take up to 1200 mg a day of it and you only have to take it twice a day, but any antiinflammatory will do. The rest is important, too. Without it the tendon won't heal.
Now, your doctor will very likely have you see a physical therapist. OK. Do what the therapist says, but by all means, rest that foot as much as you can. If you don't it will take you much longer to heal. I once had a case of plantar fascitits (tendonitis under the arch of the foot) and because I didn't know what it was it took years to heal. I have since had tendonitis in many different places and cured each one in a mater of a few weeks, three weeks in one case. Some of us runners have had tendonitis that took seven to nine weeks to heal. Ick. Rest it and take those antiinflammatories, even after you think you don't need them any more. But always take them with food, or you could irritate your stomach, and that hurts, too.
Depending on how long its been, it could be bursitis. Sometimes that can go hand in hand with tendonitis, where the fluid sacs of the joint start to swell, and it can be very unformfortable/painful. I had it in my ankle a while ago, lasted a few weeks. Im used to tendonitis in my elbows due to a repetitive stress issue from a previous job, so i know that pain pretty well. When my achilles got messed up the way i shifted my weight from the pain it started to cause the front of the ankle to hurt, and from what i was able to research it appeared to be bursitis. The best course of action is similar to the tendonitis itself, take over the counter anti-inflammitories and if possible find a brace to help keep everything in place properly so it doesn't shift and aggrivate the injury. If it gets worse i would definantely contact your doctor who diagnosed the achilles tendonitis to see if he has come across similar cases and knows the proper procedure to remedy it. In most cases bursitis only lasts a few weeks
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