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what would cause electric shock -like pain in ankle?

Posted by photofred

it happened repeatedly over the course of an hour.
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Hi! I don't know when you posted this question but am wondering if you ever received a dx? Below is an explanation of what I have been experiencing. I sure hope maybe you have had some answers that you can share with me. 

Since March 3, I have been experiencing extreme pain in my left outside ankle, right on the bone. The pain feels like I'm being electrocuted, lasts only a few seconds but can repeat in short intervals for hours. EXTREMELY painful and debilitating! Brings me to my knees, literally screaming and anything and everything that I may be holding or on my lap if I am seated goes flying. If I am lucky, I may get 1 - 2 full days/week without pain. I have learned to love these days w/out the Percocet!!! I am not a fan of pain medication. The shocks occur at all times of the day, whether I am sitting, standing, walking, running, laying down - doesn't seem to matter. There does not seem to be anything that 'triggers' the shocks, nor is there any type of precursor or inclination that they are going to 'start' up. 

I am on Gabapentin and Percocet for the pain.  I only take the Percocet when the 'shocks' are really bad and am taking 300 mg. Gabapentin per day. These meds do not seem to be helping. The percocet at best dulls the pain a bit to where it is an 'undercurrent' of electricity. For those who haven't experienced this, I am sure it is difficult to even imagine this feeling. 

I  had nerve/muscular tests on Friday the 18th of March, which showed nothing. Bloodwork showed negative for autoimmune diseases, (for which I am thankful), and normal in all other areas. X-rays of my ankle showed nothing. My PCP scheduled me for an MRI Tues. the 29th. He is convinced it is a nerve issue due to the pain. 

I am at a complete loss. I am a healthy 41 year old personal trainer, very active and fit. I do not smoke or drink, I eat a well-balanced diet. This is completely interfering with my work and my livelihood. How on earth can I continue to help keep folks healthy when I am in so much pain? Very frustrated, discouraged.

I have been having the exact same thing -feels like someone is putting a taser to my foot/ankle.  PCP said that he thinks it is a nerve issue related to my spine - my reflexes are "brisk" also which is a concern.  having an MRI and neuro work up at Dartmouth Medical Center in May - earliest they could get me in.  No pain meds but may ask for some as I own a country store and am on my feet all day and when it starts I can barely walk.  Never had anything like this - am 49 and in good health and very physically active.  Any word on your test results?

I'm 55 and have just started having excruciating pains like those described here once or twice a day centered on the lateral maleolus (the distal rounde part of the tibia that sticks out on the outside part of each leg) and running straight up the lower leg for a variable distance over the 5-10 seconds that it is occuring.

I know that nerve entrapment syndromes can cause such pains, e.g., tarsal tunnel syndrome does this, but on the other side - the medial maleolus. It occurs to me that something similar is happening here, though from the nerve that supplies the lateral (outside) parts of the leg, the peroneal or fibular nerves. These nerves branch off a large nerve trunk that you can feel just below and to the side of the knee. I suspect that it is at the ankle, though, where it runs beneath one of the 'retinacula' on it's way into the foot that the entrapment occurs. Nerve entrapment syndromes (think carpal tunnel) often are treated surgically. A nerve conduction test will reveal the source of the problem.

It just occured to me that chronic swelling in my lower legs and feet caused (probably) by venous insufficiency (poor venous return caused by, well, many things) is probably what is causing my problem. If you have swelling in your lower legs/feet, this could also be a cause of the nerve compression-related pain you're experiencing. Treating the cause of the swelling - lymphedema, water retention, venous insufficiency, whatever, should help. I had first noticed swelling a few weeks ago - before the pain started. I spoke with my family physician and we arranged that when I get back from the trip I am currently on, I will have a ultrasound to determine the state of my veins. In the meantime, I'll take steps to reduce the swelling (e.g., elevating my legs when I'm sitting, working the muscles in my legs to help pump the blood back to my heart, etc.) and hope that this will help.
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