Hi
I'm a 44yr old female with reduced mobility due to chronic lumbar back pain ( Areas L2 -S1, 3 degenerative discs, 3 X Wikipedia reference-linkFacet joint arthopathy, end plate changes, unilateral pars defect L5 with large osteophyte, Mild spondlolisthesis L4 ) I'm advised that I have absent achilles reflexes. Although I have no neuro defecit I have recently fallen four times - I suspect because my balance is altered and my focus is on avoiding pain. The last time I fell I managed to severely sprain my left ankle. I heard a snapping noise at the time and was unable to weight bear. Despite RICE overnight the swelling and bruising were severe and extensive and I was still unable to weight bear the next day so went to A&E. Xray showed a small chip fracture of the talus (don't know which area) and the extremely busy reg said it was small and I should treat it like a ligament rupture , NWB 48hrs then WB with crutches and get physio. I've done so, attended an excellent sports physio weekly for the last 3 weeks and am able to walk on it. After the initial very severe pain it became virtually pain free which didn't tally with how it looked.Can anyone reassure me that conservative treatment is appropriate for this injury please? It is still swollen and feels like deep toothache (although I'm on 240g of codeine daily for my back ). Thanks for any info.

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