Case Study: Chronic pain and stiffness from foot trauma

A 42-year-old teacher fell backward over a retaining wall of a swimming pool while supervising children. She sustained severe soft tissue trauma to the ankle and foot with contusions, avulsions of ligaments and tendons and internal bleeding. Eight months later the ankle and foot were still swollen, stiff and painful and she was not able to bear weight or wear her usual footwear. Her doctors told her that it was unrealistic for her to expect further improvement, and she should learn to live with the disability.

She enrolled in an in-residence chronic disorders program in December 1995. During this program, her pain diminished considerably and she was able to resume walking. Twenty-six months later, she was fully ambulatory and there was no residual pain.


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