Conversation: The conversation between human and AI assistant.
[|Human|] I have had a grade 3 ankle sprain for seven months now. I just changed to a new orthopedic and they finally are doing something for me. They put me in a walking boot on Monday. When I am walking I have this clicking bone popping moving in my ankle. You can litteraly hear popping sounds in my ankle with every step it is very painful. What is causing this
[|AI|]  Painful clicking around the ankle most commonly is caused by subluxation of the perineal tendons. It can occur after an ankle sprain, due to injury to the envelope holding it in place. The pain and clicking is mostly at the lateral aspect of the ankle. Other causes can be due to a cartilage tear around the ankle, which can impinge causing the clicking and pain. A thorough examination and ultrasound can help to achieve the diagnosis.in cases of tendon subluxation, a trial of immobilization can help to allow the envelope of retinaculum to heal. If it does heal then your symptoms will resolve. However, as your symptoms have been present for 7 months, I suspect that you might need surgical repair or reconstruction of the retinaculum.