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Talus fusions from climbing... 23-Oct-2006 At 5:15:48 PM dougal

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Hi Trogster,

Hope my 5c worth helps. I'm a chiropractor (in Brisbane) and deal alot with peripheral joint problems (shoulders, knees, ankles, feet, wrists etc). One patient (cyclist and climber) had a similar injury followed by necrosis (bone death) of a portion of the of talus. She'd been told by numerous specialists that her ankle was f---ed. She had very limited movement by the time I saw her. The short story is go see an Osteopath or chiropractor but make sure you ask if they deal specifically with this problem. Contact the NZ Chiropractors association and see if they have a sports chiro register. Alternatively some folks trained in manual Chinese medicine are very good at this sort of thing. Because of the damage and subsequent significant scarring in the joint any treatment which aims to physically move the area (I don't mean just stretch it) and break up that crappy tissue might be quite effective. The medical profession and other allied groups rarely use such methods and are therefore unlikely to consider the option. Once you fuse you don't have that option so don't go there yet. Also have you asked what the effect of fusion is on the knee hip back in the future etc.

That patient of mine is riding and climbing again, activities which she had had to give up. Her movement is still incomplete and always will be but it has improved around 60/70%. Fusion was the only other option given to her. She had not taken the option. In her case this was very fortunate.

If I can help further just ask.