Question - Ankle complications (subtalar subluxation)

by Mallory
(Canada)

Two months ago, I aggravated a previous left ankle sprain by mis-stepping. X-rays ruled out a fracture, and I was diagnosed with an anterior subtalar subluxation. I was referred to physio and their evaluation also picked up subluxing peroneal tendons. There has also been continuing tenderness above the anterior talo-fibular ligament.

Physio has been attempting to properly remobilize the fibula. However, it seems to hit a block where attempts to completely reduce the subtalar problem aggravate the tendons and mobilization of the fibula doesn't take place sufficiently because the talus remains slightly out of place. I've been taping the tendons for support and applying tape under tension to pull my calcaneus forward (putting the joint in a more normal position), both of which help with pain and mobility.

I also tend to have a minor problem with sensory integration, which I've dealt with since childhood, but which is an additional complication to treatment.

It's still about two months before I can get an MRI, and nothing can be determined before that point, but what is the normal healing pattern for an injury of this type and does it usually require surgery?