Hi,
Severe pain in the muscle behind the ankle can be caused by several conditions, including
Achilles tendonitis,
posterior tibial tendonitis, and peroneal tendonitis. These conditions can result from overuse, injury, or certain medical conditions.
In your case, it seems like your pain may be related to your prior spinal surgeries and SI joint dysfunction. SI joint dysfunction can cause pain in the lower back, hip, and buttocks, which can radiate down to the leg and ankle. The pain may be worsened with sitting, standing, or walking for
prolonged periods.
Fusing the SI joint is one treatment option for SI joint dysfunction, but as you mentioned, the success rate is not great. Other treatment options may include
physical therapy, chiropractic care, injections, and medications such as anti-inflammatory drugs or muscle relaxants.
It's important to consult with your doctor or a pain specialist to determine the best treatment options for your specific condition. They may recommend a combination of treatments to help manage your pain and improve your quality of life. It's also important to address any underlying
depression or anxiety related to your pain and
disability. Counseling and support from loved ones can help manage these emotions.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Priyanka, General & Family Physician