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Ankle pain with exercise #280258
04/26/18 02:38 PM
04/26/18 02:38 PM
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miaoli Offline OP
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miaoli  Offline OP
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Hello all,

I haven't posted in some time and actually had a similar post a few months ago. Recently my balance issues have been improving somewhat so 3 weeks ago I decided to start going back to the gym. I'm trying to take it easy, I'm only going twice a week right now and only for 30 minutes. I used to like to run on the treadmill, but am only using the elliptical right now because it's easier on the joints. I'm also using light free weights. I had been having increasing ankle pain a little bit prior to starting going to the gym, but it had been mostly mild ,however, I have noticed that the day of going to the gym and a few days after I'm having huge spikes in ankle pain (and to a lesser extent spikes in knee pain, and new pain in my wrists. My wrists never really hurt much before, I'm assuming this is from the free weights).

I don't know if this is something that will get better overtime as I get used to exercising again or if it's something more going on. I did also have excruciating back pain at week 2 which was a little strange as the pain was in my upper back and not my lower back. After I had a massage the pain lessened somewhat and this week (week 3) I'm noticing that overall my back pain has lessened.

Any tips for my ankles and other peripheral pain? I do stretch before going to the gym and I always rotate my ankles and knees beforehand. Does this seem like something that will get better as I get used to the gym again? I haven't seen the rheumy in a few months because my pain had improved enough that I didn't feel it was necessary. As of now I'm only taking Indomethacin 50mg BID (for AS, I am on some other medications). I don't know if I should wait it out or see the Rheumy. I'm also wondering if perhaps a trip to a podiatrist would be beneficial (I have never seen a podiatrist before).

Any tips on what might help? I don't want to stop going to the gym as this is the first time in over a year that I have actually felt well enough to give it a go. As always thanks in advance!


Dec 2016- Persistent feeling of being "off-balance", no true vertigo but feelings of dizziness.
April 2017- Pain started at first in calves, then back (location random), then knees and ankles. All diagnostic testing tried at this point normal.
Sept 2017- First visit to rheumatologist. HLA-B27+, Grade 2 sclerosis on pelvic x-ray, rheumy diagnosed AS.
Nov 2017- Cervical X-ray narrowing b/t vertebrae
Meds: Indomethacin 50mg BID
Re: Ankle pain with exercise [Re: miaoli] #280259
04/26/18 04:05 PM
04/26/18 04:05 PM
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Winston Online
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The ankle/knee issues could be short-term problems that will improve with your fitness level. Or it could be that the particular elliptical machine you are using is causing the problems. I find that the elliptical machine that I use in my normal gym "fits" me well and causes me no pain, but if I use a different elliptical machine in a hotel gym or something, I often have knee pain for days after using it. In lieu of the elliptical machine, try walking on a treadmill for a couple of weeks to see if your knee/ankle pain improves. If so, the elliptical machine is likely your culprit.

As for your wrist pain, you're likely right that the new weight lifting routine is causing that problem. Add some low-weight wrist curls (3-5 lbs) to your routine to see if strengthening your wrists helps.

Re: Ankle pain with exercise [Re: miaoli] #280268
04/29/18 02:28 PM
04/29/18 02:28 PM
Joined: Jul 2006
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Banana Online
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Banana  Online
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I suggest you see a PT for an educational session. Just one or two. My ankles are quite damaged from over use. Dr suggested execise when it should have been special shoes. Ankles take 100% of your weight and there are not good replacements or surgery to help.


Anna


Actema IV once a month (with pre loading for allergic reaction), Cymbalta x1 daily, Arava 20mg daily. Diagnosed with AS in 2004, suffered undiagnosed since 1982.
Re: Ankle pain with exercise [Re: miaoli] #280273
05/02/18 02:56 AM
05/02/18 02:56 AM
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miaoli Offline OP
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Thanks for the advice guys I appreciate it! I had a gym day yesterday and while the increased pain is still there it is noticeably less than last week so maybe this is something that will get better with time. I did decrease the resistance on the elliptical, but stayed on it for the same duration. Maybe I wasn't easing my way into it enough.

Anna- I actually saw a PT for about 2 months or so before, they suggested NO exercise at all.... I didn't really think this was right.


Dec 2016- Persistent feeling of being "off-balance", no true vertigo but feelings of dizziness.
April 2017- Pain started at first in calves, then back (location random), then knees and ankles. All diagnostic testing tried at this point normal.
Sept 2017- First visit to rheumatologist. HLA-B27+, Grade 2 sclerosis on pelvic x-ray, rheumy diagnosed AS.
Nov 2017- Cervical X-ray narrowing b/t vertebrae
Meds: Indomethacin 50mg BID
Re: Ankle pain with exercise [Re: miaoli] #280277
05/03/18 03:48 PM
05/03/18 03:48 PM
Joined: Jul 2006
Posts: 6,610
New York
Banana Online
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Banana  Online
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Posts: 6,610
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If it is your tendon, exercise WILL cause more damage. You can't just go by pain levels. That is how I damaged mine. Ankles take 100% of your weight. I beg you to listen to the experts. They recommended an exercise to pretend your big toe is a pencil and make the alphabet several times a day. That will fix it without causing damage.


Actema IV once a month (with pre loading for allergic reaction), Cymbalta x1 daily, Arava 20mg daily. Diagnosed with AS in 2004, suffered undiagnosed since 1982.
Re: Ankle pain with exercise [Re: miaoli] #280693
07/02/18 07:18 PM
07/02/18 07:18 PM
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miaoli Offline OP
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So sorry it has been so long since I replied! I forgot my password and wasn't sure if I had access to the email I created my account with to recover my account. Thank you for the advice, Anna, I do want to point out that that physical therapists advice at the time to avoid all exercise was not in regard to my ankles, at the time he was talking about AS in general and saying that I should avoid exercise, since that was contradictory to everything I had read about AS I didn't really think it wise to keep going to him.I do agree with you it's probably long past time I start seeing specialists again though.

I did find I've been able to tolerate the gym better now, been going twice a week for almost two months. The pain in my ankles and wrists did subside (I followed Winston's suggestion and added wrist curls, actually just used a bottle of water for them, my wrist pain went away very shortly after I started doing them), I think that it was at the time of writing this post just not being used to the gym yet. After a couple times my pain everywhere improved and my ankles stopped bothering me almost altogether.

That is at least until as of last week when a flare started I'm hesitant to start a new thread about it because I already have so many going! But I think I'm learning what is a flare and what is not. Last week on Thursday I was like "hmm my knees feel a little bit stiff" Friday was a little worse and my back started acting up more that's when I was like "I think this is a flare", Friday night knee pain was at maybe a 7/10. Saturday was horrid, I ran out of indomethacin and had a long work day and had to settle with ibuprofen, ended up going out and buying medicated patches to wear on my knees to get me through the day, Sunday I forced myself out of the house and went for a long long bike ride. Knees felt better while riding, but standing feels like they will buckle at any time (That's still going on today)

I'm thinking of going to my PCP tomorrow as the indomethacin doesn't seem to be helping and the stiffness is quite annoying. I'd see a rheumatologist but I can't get into any tomorrow. I don't know if the PCP will be able to do anything for me or not, I'm wondering if a course of prednisone will help me out of the flare and plan to ask. I don't want any extra pain medicine as the pain isn't bad anymore, its just the stiffness that is the main issue now, and that part hasn't improved at all since Thursday (except while I was actually on the bike, didn't notice it at all then). I've tried stretches and massage already for the stiffness and nothing. Yikes sorry I went on a long rant again ! And again sorry I didn't reply sooner!


Dec 2016- Persistent feeling of being "off-balance", no true vertigo but feelings of dizziness.
April 2017- Pain started at first in calves, then back (location random), then knees and ankles. All diagnostic testing tried at this point normal.
Sept 2017- First visit to rheumatologist. HLA-B27+, Grade 2 sclerosis on pelvic x-ray, rheumy diagnosed AS.
Nov 2017- Cervical X-ray narrowing b/t vertebrae
Meds: Indomethacin 50mg BID

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