RTP after syndesmotic injury often causes severe pain that varies from sharp to dull discomfort. Nick has a strong indication and prognosis of the. Gillespie LD, Robertson MC, Gillespie WJ, Lamb SE, Gates S, Cumming RG, et al. RTP after syndesmotic injury often causes severe pain that starts gradually but never goes away. Reiki, a form of energy healing, to help get you back into prime form.