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osteochondritis dessicans

post #1 of 4
Thread Starter 
This is a plea to any orthopods, podiatrists etc. out there, who are skiers. Its been about 8 months since, what I had assumed was an ankle sprain, was diagnosed with osteochondritis dessicans of the talus dome. (thats the top bone in the foot, just below the leg....) Its supposed to be an area of bone which is dying in this critical location. I can't even recall any recent injury in this area. The orthopods just act kind of bewildered and not very encouraging. I've been adsvised to rest it and avoid weight bearing and high impact activities. So far 8 months of this has me getting increasingly out of shape and definitely out of sorts. The thing is still slightly sore. I've been skiing on it a few times, gingerly, but the latest MRI shows it getting worse, not better. I'm told there is an operation which is occasionally sucessful but I have been advised against this for now. I'm wondering if anyone is aware of any progressive measures, wheteher they be therapy, corrective devices, surgeries etc. to deal with this kind of thing. Physicians nowadays are so wary of litigation that, dealing with them, I get the feeling their approach is perhaps overly focused upon their own protection, understandably, but this cautious approach may not be helping me much. Therapies that I have been shown seem to be pretty much useless. They generally involve some very mild exercise involving rubber bands etc, designed, evidently, for people with very weak feet. I can certainly understand the liability concerns involved with, God forbid, helping someone, but perhaps someone out there could point me in a helpful direction.

Thanks in advance for, whatever.
post #2 of 4

I certainly am no physician and am unfamiliar with your condition. In dealing with sports injuries and other maladies in the past I have found that where physicians will protect their legal sides other medical professionals will not. Specifically, I've found that physical or occupational therapists will be familiar with your malady in the how to live and play with it manner. They will not be effective at diagnosing or correcting the problem but they are experts at giving you the ability to function with it at as high a level as possible.

Other people I have found who can be helpful in getting you back in the game are personal trainers. I don't believe you should use a personal trainer to treat a serious medical situation but they can be helpful in some ways and at certain points of your treatment. If you indicate to a personal trainer that you are injured and would like to keep the rest of you fit they should be able to help in that manner while the physical or occupational therapist helps you treat the injury under a doctor's care. If/when the medical people release your injury from care they can help you safely strengthen the previously injured body part.

Anyway, my recommendation is to ask the orthopedist you trust the most to prescribe physical therapy treatment for you. Personally, I look for an orthopedist who handles sports injuries and active people frequently. I find they will work with you to return to your active lifestyle rather than just treat the injury. If they prescribe a therapist ask them for one who will help you work safely towards your active lifestyle goals. Further, ask the doctor what parts of the body a personal trainer is allowed to help you condition. If you condition the rest of the body your natural body usage will place less stress on the injury.

Again, I don't know anything about osteochondritis dessicans and what it allows you to do or not. So, I suggest you do everything your doctor will allow within the guidelines they provide. I have been very successful in the past by suggesting treatments or therapies to my doctors. When I demonstrate to them that I have done the research and my brain is engaged in recovery I find they start talking about the things that I can do instead of those I can't. Once you start the little amount of supervised activity they will allow the next step in treatment will become obvious to you - surgery or increased activity.

Good luck with your recovery. I hope I have not sung to the choir in this post.

post #3 of 4
Try this link for more background info and see an Orthopedist actively involved with SportsMedicine:
post #4 of 4
Thread Starter 
Thanks, AArhead, good advice. Thanks for the link, Ridec58. Good info.
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