Hi! I broke my ankle two years ago mountain biking while trying to clip out. So basically, the bike fell on my turned-out ankle.

I did not have the surgery or the hardware and I have to say, if it were me, I would get a second opinion. With time in a cast and physical therapy, is it possible your injury could heal?

In any case, for me, I only rarely have pain in the ankle any more. Usually I get pain after mountain biking (oddly enough, since I just this summer started back up after 2 years of fear) and / or wearing heels for too long. Other than that, I no longer clip out, I clip in toward the bike. Although I can clip out with no problems, it is the clipping out action (on road or trail) that makes me nervous (rather than any pain or discomfort.)

I hope that is helpful.

Make sure you do everything with your PT - all your exercises all the time - and you'll be back in no time.