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What Does My MRI Scan Test Report Indicate?

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Posted on Tue, 24 Nov 2015
Question: I had an MRI done on my left ankle. A year and a half ago, I had a very small heel spur filed off, and had a sectional surgery for plantar faciitis. The MRI report says 'degenerative subcortical cysts involve the calcaneus emanating from the subtalar ligament attachment site', 'mild inflammation involves the plantar fascia...' , 'mild tenosynovitis of the posterior tibialis tendon insertion'. Layman's terms, please! (that's a lot of googling to piece all of that together. Currently back in my post-surgical boot from last year, with several cortisone shots throughout ankle, tendon, arch.
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Answered by Dr. Aashish Raghu (21 minutes later)
Brief Answer:
Posterior Tibial Tendon Duddington causes flat foot

Detailed Answer:
Hi there.

Welcome to Healthcare Magic.

Thanks for the query.

Usually Plantar fascitis is associated with spurs of the heel bone. This can cause irritation of the XXXXXXX horse or Tendoachilles such can cause pain and tightness of the calf muscle.

The degenerative cysts are mostly age related setting in of arthritis of the ankle, especially in obese persons.

The most common cause of acquired Flat foot is dysfunction of the Posterior Tibial Tendon or PTT. Your report says Tenosynovitis of the PTT. This indicates that there is inflammation if the PTT tendon, so it may not function adequately in maintaining the arch of the foot, thus causing Flat foot.

Orthotic footwear and boots are useful in such cases, shoes inserts as well can offer some relief.

It is advisable to avoid more than 3 cortisone shots for the risk of rupture of the Tendoachilles which can require surgery to repair.

If this treatment does not cause resolution of symptoms in 2 months, we can think of strengthening the PTT by doing tendon transfer surgery. This will help to maintain the arch and normal walking pattern.

It is important to prevent obesity with regular exercise and balanced diet.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Dr. Aashish Raghu

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Aashish Raghu

Orthopaedic Surgeon

Practicing since :2011

Answered : 5482 Questions

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What Does My MRI Scan Test Report Indicate?

Brief Answer: Posterior Tibial Tendon Duddington causes flat foot Detailed Answer: Hi there. Welcome to Healthcare Magic. Thanks for the query. Usually Plantar fascitis is associated with spurs of the heel bone. This can cause irritation of the XXXXXXX horse or Tendoachilles such can cause pain and tightness of the calf muscle. The degenerative cysts are mostly age related setting in of arthritis of the ankle, especially in obese persons. The most common cause of acquired Flat foot is dysfunction of the Posterior Tibial Tendon or PTT. Your report says Tenosynovitis of the PTT. This indicates that there is inflammation if the PTT tendon, so it may not function adequately in maintaining the arch of the foot, thus causing Flat foot. Orthotic footwear and boots are useful in such cases, shoes inserts as well can offer some relief. It is advisable to avoid more than 3 cortisone shots for the risk of rupture of the Tendoachilles which can require surgery to repair. If this treatment does not cause resolution of symptoms in 2 months, we can think of strengthening the PTT by doing tendon transfer surgery. This will help to maintain the arch and normal walking pattern. It is important to prevent obesity with regular exercise and balanced diet. I hope I have answered your query. I will be available to answer your follow up queries. Regards, Dr. Aashish Raghu