Almost 10 years ago I either twisted my ankle or

Patient : Almost 10 years ago I either twisted my ankle or sprained my ankle. Honestly, I am not sure how it happened. I saw a podiatrist a few times before but unfortunately I was unable to gain treatment or surgery due to some medial insurance issue. Fast forwarding to 2015, both of my ankles give out. My left ankle is inflamed, swelled, and in pain. I cannot stand nor walk for more than 30 minutes without the pain taking over. I believe the arch of my left foot has collapsed because my foot is flat, in addition to that I can feel the hard surfaces I walk on (I guess you can say scrapping). My ankle throbs all hours of the day, especially throughout the night. An x-ray was done a few days ago, with no signs of a broken bones. I have had cremes and specialized insoles made and now I am currently wearing an air brace and a cast shoe; however, the pain can be unbearable. I have an appointment to see another podiatrist June 1, 2015. My question is, what can be done in the mean time (waiting for my podiatrist appointment) ? Does my condition indicate that surgery is necessary?
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