My osteopath seems to have isolated the problematic neural pathway. Here is an excerpt form Grays Anatomy:
The Posterior Femoral Cutaneous Nerve (n. cutaneus femoralis posterior; small sciatic nerve) is distributed to the skin of the perineum and posterior surface of the thigh and leg. It arises partly from the dorsal divisions of the first and second, and from the ventral divisions of the second and third sacral nerves, and issues from the pelvis through the greater sciatic foramen below the Piriformis. It then descends beneath the Glutæus maximus with the inferior gluteal artery, and runs down the back of the thigh beneath the fascia lata, and over the long head of the Biceps femoris to the back of the knee; here it pierces the deep fascia and accompanies the small saphenous vein to about the middle of the back of the leg, its terminal twigs communicating with the sural nerve.
I have been dealing with this for a year and it getting worse; more shocks more often any time of day, any activity including sleeping.
How are you now?
The sharp pain under the ankle under any circumstance seems to be a common theme.
I don't notice inflammation but I can trigger it by pressing hard under the ankle. I am in my forties and very active. The pain is random and debilitating BUT only ever in my right ankle. I have scar tissue and broken bones all my body from extreme sports? Why my right ankle and why now?
This sounds so familiar. I have scar tissue and broken bones all over my body due to extreme sports but I've never had nerve pain before until this year.
How are you now?
I started with this pain 2 days ago whe I thought I was bitten by a bee or something ..until this pain has repeated itself for the last few days. I feel like I'm going to lose my mind...I have trigiminal nerve pain on my left side, pulsating tinnitus for 2 years now in the left ear...and I think it's all related..some how. I have disk issues in c 4, 5, 6 and 7.. Seeing the orthodox surgeon this coming Friday for his opinion I already have the MRI results..also lumbar pain, L2/3 exploded 3 years ago. Um..oh yeah, a mild bulging disk in my thoracic T7/8 which these des seem to think is insignificant but is causing spasms in my mid back that wraps around anteriorly triggering SEVERE esophageal spasms which are so painful, the first time sends you to the ER bc u think its a heart attack...and a Syrinx (fluid cyst) in my thoracic spine.. Now this! Why is it so hard to find a doctor that can connect the dots?
A few years ago a had severe bone loss on my dexa. My pop said here, take a pill.. I'm a Massage Therapist so I understand the bodies systems pretty good...I diagnosis MYSELF with secondary hyperparathyroidism, had the tests done and went to an Endocrinologist. It started from a vitamin D difficiency that caused the parathyroid to run high. Not enough calcium in the blood..the body will take it from your bones. I rebuilt bones and am fine now. Vita,in D causes all kinds of things... I never heard of nerve issues tho. Will look into that. Will see what this ortho thinks of this new symptom...
To everyone with undiagnosed ankle pain. I certainly have empathy for what you are going through with the pain. I also have same symptoms with unsuccessful Dr's diagnoses. I believe it's a pinched nerve in the ankle and therefore I have been extremely happy with no pain since seeing a Chiropractor. He pulls my foot away from my body and does what ever he does, and I have no pain at all for weeks at a time. It has stopped the pain for me. Hope it can help even one person out there with this pain.