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  #1  
Old 13th January 2011, 07:06 PM
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Default Inturned Ankles?

can scoliosis cause you to get inturned ankles leading to inturned knees?

i was wandering a it become an issue since my spine has been straight as its causing my ankles to sprain and pain in my knees it was fine when i was curved but it didnt look this bad
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Old 13th January 2011, 07:21 PM
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Default Re: Inturned Ankles?

If you're hypermobile - which many people with scoliosis are, you may be more prone to loss of the arch in your feet, which can lead to valgus deformity of the ankles:

and knees:


The inward turn can happen anyway, but for me it's definitely gone hand in hand with loss of the arches. I've got significantly less arch now on my right foot, and my right ankle has collapsed inward and is giving problems with my knee. I'm *supposedly* being referred for orthotics to help with the arches, but have yet to hear anything about this.

I'd think it's worth bringing up with your gp as they should be able to refer you to get checked to see if something simple like shoe inserts would help.
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Diagnosed at 15 with 50 curve, but probably juvenile IS. Fused in kyphosis (by non-specialised ortho) with a/p surgery T10-L2 @ 21, posterior only revision surgery to correct kyphosis @ 29. Now 38 with further revision surgery and extension of fusion to sacrum required to correct residual kyphosis, restore lordosis and address spinal stenosis.
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Old 13th January 2011, 07:24 PM
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Default Re: Inturned Ankles?

Are your feet flat Bronte? I know this can cause the ankles and knees to turn in ('pronate'). I wouldn't know if this is something that can occur after fusion though. You can have things like Orthotics and insoles made for your feet which can really help. I know Toni has experience of this so perhaps she'll see this and offer some advice
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I'm Sally, 31, and I have congenital kyphoscoliosis in association with Spina Bifida, Diastematomyelia and tethered cord. Surgery to detether spinal cord and remove bone spur at Addenbrooke's in 1984 aged 3. Developed 'pes cavus' and weakness in legs, various foot surgeries between '92 and '94. Decompression of spinal cord, hemivertebrectomy and fusion L2-L4 with instrumentation by Mr Crawford and Mr Laing (neurosurgeon) in 1998 aged 17. Had two stage anterior-posterior T10 to pelvis fusion surgery on 27th February 2012 at NNUH by Mr Crawford and Mr Lutchman. Fused well but now curving over top of fusion, so facing fusion extension up to T1. Trying a brace first in order to put off surgery til next year
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Old 13th January 2011, 07:45 PM
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Default Re: Inturned Ankles?

Wow, I never knew this, I wouldn't call myself hypermobile, not these days anyway but I do have flat feet/no arch and pains in my knees and ankles from time to time - interesting and something to keep an eye on

Sorry Bronte, I have no help to offer, but hope you find some useful info on this thread
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Old 13th January 2011, 08:11 PM
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Default Re: Inturned Ankles?

i have an arch if i force my ankles straight

and sally i didnt mean it started after surgery it just feels worse its causing me more pain and im finding it harder to live with now im straight
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  #6  
Old 13th January 2011, 10:53 PM
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Default Re: Inturned Ankles?

I have a more inward turned left ankle, obviously caused by my scoli, but my left side is generally weaker I think from the first surgery - still lessened sensation in thigh... I have fair arches. I think the left side of my lower body, SIJ etc has just taking a beating from leaning constantly and badly on that side so physio next Friday, here I come indeed!

ETA: It bugs me well not bugs me because I walk off my shoes, especially when I'm for instance wearing sandles or flip flops and slippers, my feet, more the left sort of totally turn off the shoes. So this means filthy feet!
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Old 13th January 2011, 10:59 PM
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Default Re: Inturned Ankles?

Yes, as Sally said I have very flat feet due to having EDS, and it causes me to overpronate and makes my knees turn inwards too. I now have wonderfully comfy custom-made orthotics and they have made a huge difference - I no longer get horrible aches in my lower legs.

DO see your GP about this Bronte, and show them what's happening. A referral to get some shoe inserts made could really help you!
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37 years old, diagnosed with infantile idiopathic scoliosis at 6 months old with curves of 62(T) and 40(L) degrees. Casting and Milwaukee braces until surgery at 10 - ant release/pos fusion T1-T12, halo traction. Post op cast and then TLSO. Further surgery at 18 (ant release/pos fusion extended to L3 to include lumbar curve, costoplasty) and 25 (another costoplasty). Fusion extended to L4 at 33 (XLIF with 4 pedicle screws and two short rods). Pre-op curves: 76(T) and 70(L). Post-op curves: 45(T) and 35(L). Diagnosed with Ehlers-Danlos Syndrome aged 34; scoliosis almost certainly due to this rather than being idiopathic.
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Old 29th July 2011, 02:00 PM
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Default Re: Inturned Ankles?

I've finally found time to go to the doctors about this but tbh they weren't very helpful as they said my spinal specailist will have to sort it out which means going to Liverpool. The thing I dont see is why I have to go Alder Hey for it when there are enough walk-in centres and Hospitals near to my house that all have orthotic teams.

The doctor said when I stand I have almost flat feet but on my toes I have an extremely good arch so a moulded insole should correct it.

So I'm stuckfor a little longer with aching ankles, knees and flat feet with serious cramp in them =/
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Old 29th July 2011, 03:16 PM
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Default Re: Inturned Ankles?

Oh Bronte, I know this sort of pain is miserable I also don't see why you need your spinal consultant to refer you for this, how silly! You could be waiting ages for that appointment, and then it's not really a spinal issue so you'd be taking up his valuable time

I wonder if you could contact your consultant's secretary over the phone and ask if they can make a referral to an orthotics team near your home without you needing to see the spinal team first?

Or, if you like, we could write a letter to your GP asking them to refer you to a local orthotics team.....I bet we could get results! Let me know if you think this would be helpful.

Toni xx
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37 years old, diagnosed with infantile idiopathic scoliosis at 6 months old with curves of 62(T) and 40(L) degrees. Casting and Milwaukee braces until surgery at 10 - ant release/pos fusion T1-T12, halo traction. Post op cast and then TLSO. Further surgery at 18 (ant release/pos fusion extended to L3 to include lumbar curve, costoplasty) and 25 (another costoplasty). Fusion extended to L4 at 33 (XLIF with 4 pedicle screws and two short rods). Pre-op curves: 76(T) and 70(L). Post-op curves: 45(T) and 35(L). Diagnosed with Ehlers-Danlos Syndrome aged 34; scoliosis almost certainly due to this rather than being idiopathic.
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Old 29th July 2011, 09:18 PM
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Default Re: Inturned Ankles?

I was thinking about contacting Karen about it as I really dont want to be going up and down to the alder hey orthotics department. the doc I saw asked me when I was next going and was like well ask him. I'm ment to be going in September.

But their isnt going to be anything Mr Dematas is going to be able to do for me as he just deals in spines.
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Old 30th July 2011, 09:10 PM
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Default Re: Inturned Ankles?

I'd definitely call up and ask for him to write to the GP asking that you be referred - that can be done, as Mr Webb asked my GP to refer me to someone for an unrelated surgery I possibly needed. That way you get a local referral and it all gets handed over.

I definitely think it should be pursued - the difference my orthotics are making is quite amazing, and we've not yet finished working out what I need. It's only a shame that the problem didn't get recognised 20 years ago when I was your age, because in my case the connective tissue disorder I have means that my joints are fragile - not only hypermobile, but with extremely weak cartilage, and as a result I have severe arthritis in my right knee and will be lucky to get past 50 without a bloody knee replacement despite now having the supports that I need.
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Diagnosed at 15 with 50 curve, but probably juvenile IS. Fused in kyphosis (by non-specialised ortho) with a/p surgery T10-L2 @ 21, posterior only revision surgery to correct kyphosis @ 29. Now 38 with further revision surgery and extension of fusion to sacrum required to correct residual kyphosis, restore lordosis and address spinal stenosis.
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  #12  
Old 7th August 2011, 12:24 PM
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Default Re: Inturned Ankles?

Just a quick question would ankle weights help me out at all? Should I wait till I have seen orthotics about my ankles? Its just that the inward tilt has weakend them so my ankles are prone to spraining and my cheer coach wants me to get ankle weights to strengthen them up so the amount of injuries is reduced alot. Our main fear is a repeat of what happened at nationals this year when I sprained my ankle on the warm up mat but as you know I still compeated. The ankle thing is really effecting me during cheerleading I'm holding back in jumps not being a great back spot for fear I'll loose my footing when following to catch my flyer and spraine them again
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  #13  
Old 7th August 2011, 01:06 PM
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Default Re: Inturned Ankles?

I should think doing strengthening exercises / using small weights would be beneficial, but do be very careful. Ideally this is something you'd go through with a physiotherapist if you can. I would wait until you've been seen for the orthotics, as the foot specialist who you see will definitely be able to give you some good advice about this.
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37 years old, diagnosed with infantile idiopathic scoliosis at 6 months old with curves of 62(T) and 40(L) degrees. Casting and Milwaukee braces until surgery at 10 - ant release/pos fusion T1-T12, halo traction. Post op cast and then TLSO. Further surgery at 18 (ant release/pos fusion extended to L3 to include lumbar curve, costoplasty) and 25 (another costoplasty). Fusion extended to L4 at 33 (XLIF with 4 pedicle screws and two short rods). Pre-op curves: 76(T) and 70(L). Post-op curves: 45(T) and 35(L). Diagnosed with Ehlers-Danlos Syndrome aged 34; scoliosis almost certainly due to this rather than being idiopathic.
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