 [ Symptoms ] i had severe pain 4 hours after having sex went to the er and was diagnosed with dyspareunia is this really what i have the pain is not so much during sex but afterwards and its moderate to severe [ Disease ] hi is this x ray 8 years ago if yes you have malunioned fibula fracture causing osteoarthritis in contact with ankle joint inflamation on lateral outside aspect of ankle can cause numbness as it is close to anterior tibial nerve the tibial nail and screws have nothing to do with your pain i recommend physical therapy or surgical reconstruction of fibula good luck