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Please help! Ankle pain

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Posted 8/17/2012 1:18 PM (GMT 0)
Unfortunately pain has returned, I got my results of MRI I will share with you kind people for any insight.

Clinical indication: pain all the time below lateral malleolus and base of 5th metatarsal swelling.

Technique: standard

Findings:
There is extensive marrow oedema in the anterior half of the calcaneum, in the navicula and a small portion of the proximal cuboid. No fracture identified. Normal appearance of the talus. No articular surface depression. No bony destruction. Appearances are probably due to osteitis. Osteomyelitis is not excluded. No evidence of tendinitis or tenosynovitis in the area of interest.

Conclusion
See above

Recommendation
Clinical and haematological and microbiological review.
Posted 8/17/2012 2:31 PM (GMT 0)
The great news is that it doesn't look like there are any fractures or tears or anything wrong with the ligaments, tendons, muscles, etc.

There is just swelling which will go down with time. But that can certainly cause pain as it aches when it stretches the skin.

Do they still recommend that you ice it and keep it elevated when not using it? How about any anti-inflammatories or a Medrol dose pack (steroids) to help?

I injured my knee back in May and it still has swelling after walking around even for 10 minutes or so....The hard part is that it takes time to heal, especially with lower extremeties if you continue to use them which of course you have to with walking and being upright..LOL

Will you speak with the Dr. about the results and see what the plan is?

Posted 8/17/2012 2:35 PM (GMT 0)
Theres not much information on osteitis and osteomylistis out there. The latter looks quite serious. Seeing my GP this evening, but hospital appointment with the consultant in a month from know. I can't bear the thought of waiting that long especially that I have to return to work soon.
Posted 8/17/2012 3:03 PM (GMT 0)
they didn't say anything about the ice/elevation. I've had swelling for over 30 days now. Surely something is very wrong. I did do RICE at the beginning and it was of little help.
Posted 8/17/2012 3:12 PM (GMT 0)
With actual Osteomyelitis, there is extreme bone pain, fever, redness, warmth, and uneasy feeling.

They can do blood tests to check on this as well. Because the MRI was not definitive on this, that is a good thing. You had already had an x-ray, correct? That also is the way to determine Osteomyelitis.

I think they will keep an eye on you to hopefully not get to that situation. If the Dr. decides after seeing the MRI that it's a possibility....they will put you on antibiotics as it is an "infection" as the first course of treatment. Many people have it go away after the round of antibiotics...

Try not to project too far into the future or get scared reading things on the internet. I know it's hard...

I would think that if anyone suspects the Osteo...than they would not have you wait a month to get treatment. You can certainly ask your GP tonight...

Keep us posted...
Posted 8/17/2012 3:32 PM (GMT 0)
thanks snow bunny. if it is an infection, could i ask for antibiotics now even if I have had this problem for a longtime, about to go to my GP....
Posted 8/17/2012 3:33 PM (GMT 0)
and yes ive had an x-ray at the AandE department of a hospital, so I don't know if thats something they would look for?
Posted 8/17/2012 3:42 PM (GMT 0)
msx999 they can do a Bone Scan to determine if you have osteomyelitis, has this been done? If not ask for one.

Take care....Susie
Posted 8/17/2012 4:10 PM (GMT 0)
As Susie mentioned....that is another test, along with bloodwork, that can also be done (as you have already had the MRI and X-ray) to see if there is Osteomyelitis.

Is the GP the one who ordered the MRI? If not, then you really should have him speak with the Dr. who did and if they want to send you to get other tests more quickly than the month that hopefully they will.
Posted 8/17/2012 5:52 PM (GMT 0)
wow just went to GP and he's reffered me to the emergency department. Says I might be there for a while, I'll keep you posted. Will ask about the bone scan. Yep GP ordered MRI.
Posted 8/22/2012 1:14 PM (GMT 0)
ok
So i've been diagnosed with artritis in the ankle area.

The doc ordered 10mg of prednisone daily
and Sulfasalazine.

Hope it gets better soon...
Posted 9/7/2014 10:29 PM (GMT 0)
I have had left ankle pain and swelling since May1, it is now September and I still have the pain. After a month of the pain on the inside of my ankle, I went to my orthopedic doctor, who diagnosed as tendonitis. He put in a CAM boot for six weeks which made it worse---now both sides of the ankle hurt and are red. I then had physical therapy for six weeks, which had limited value. I ice my ankle every night and take Motrin at night and during the day. The blood test did not show that I had gout. Since reading the forum, I am wondering should I ask for a MRI ?
Posted 9/7/2014 11:31 PM (GMT 0)
Hello Greygardens & welcome to the chronic pain forum. Please note that you have posted on a thread that has not had any activity in two years. As a result not many people will see your post. We do ask all new members to make their own intro post so that all members will see it.

To start a new thread click Post New Topic, type in a heading & then either copy & paste what you have written here or type a new intro. I will lock this thread so others will not post here. We like to keep the older threads off the front page. Thanks.
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