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What Does My MRI Scan Test Report Indicate?
Question: I recently had a MRI on my right ankle. It states there is chronic tendinosis and high grade partial thickness intrasubstance tearig of the posterior tibialis at the medial malleolus and extending towards the navicular bone. There is a chronic partial thickness tearing of the deep anterior and posterior tibiotalar ligamentous fibers of the deltoid ligament. Partial tearing of the superficial fibers are also not excluded.
Brief Answer:
Ankle injury
Detailed Answer:
hi,
thanks for your information / MRI report
what is your question?
best wishes
Ankle injury
Detailed Answer:
hi,
thanks for your information / MRI report
what is your question?
best wishes
Above answer was peer-reviewed by :
Dr. Yogesh D
What treatments are there for my injury?
Brief Answer:
More information needed
Detailed Answer:
hi thanks for your question,
I need a little more information to answer that question.
did you have an injury? when was the injury? what treatment have you had so far? what are your ongoing symptoms in your ankle?
thanks
More information needed
Detailed Answer:
hi thanks for your question,
I need a little more information to answer that question.
did you have an injury? when was the injury? what treatment have you had so far? what are your ongoing symptoms in your ankle?
thanks
Above answer was peer-reviewed by :
Dr. Sonia Raina
Broken fibula and dislocated ankle. I had survey on my fibula. I developed tarsal tunnel syndrome. I had surgery for that also. I have had physical therapy for my injury. I have used a HWave machine. I still have a pain near my ankle. It feels like when you have bruise and u touch it. I walk very little due to this pain. I can not cross my feet if I am lying down. It's is a very discomfort pain.... What can be done to treat this?
Brief Answer:
managment of the ankle injury discussed
Detailed Answer:
Hi Thanks for the information,
This is a complicated problem and you are unlikely to find the solution to your pain with one further therapy whether it be operative or non-opertive.
Typically in an ankle fracture we do not perform ligamentous reconstruction as the bone breaks instead of the ligaments, or the ligaments repair with a period in a cast following surgical fixation of the bones.
If a patient has ongoing symptoms of instability in the ankle following an injury then an ankle brace can help temporarily whilst strenghtening of the muscles around the ankle and proprioceptive excercises are done under the guidance of a physiotherapist. If the symptoms of instability persist then there are operations that can be done to reconstruct the ligaments using your own or cadavaric hamstring tendons.
Pain and stiffness following ankle injuries such as yours are very common and initially treatment is with non-operative therapies such as physio. If pain is ongoing depsite these interventions then further imaging, such as the MRI scan that you have had is indicated. The results of the MRI scan have to be closely correlated with your symptoms as MRI is very sensitive but he results are not always specific to the complaint. Occasionally involvement of a pain specialist is necessary to adequately control you pain so you can rehabilitate your ankle.
It is difficult to know without examining you if the tear in the tibialis posterior tendon is responsible for your ongoing pain. If it is then it may respond to physio, stretching/strenghtening and modalities such as ultrasound. Occasionally a steroid and local anaesthetic injection may help and then ultimately and finally surgical exploration and repair may be of benefit. In someone aged 40 the changes seen in the posterior tibial tendon could also be pre-existing and degenerate.
I hope this helps answer helps you with your ongoing management of your ankle pain.
managment of the ankle injury discussed
Detailed Answer:
Hi Thanks for the information,
This is a complicated problem and you are unlikely to find the solution to your pain with one further therapy whether it be operative or non-opertive.
Typically in an ankle fracture we do not perform ligamentous reconstruction as the bone breaks instead of the ligaments, or the ligaments repair with a period in a cast following surgical fixation of the bones.
If a patient has ongoing symptoms of instability in the ankle following an injury then an ankle brace can help temporarily whilst strenghtening of the muscles around the ankle and proprioceptive excercises are done under the guidance of a physiotherapist. If the symptoms of instability persist then there are operations that can be done to reconstruct the ligaments using your own or cadavaric hamstring tendons.
Pain and stiffness following ankle injuries such as yours are very common and initially treatment is with non-operative therapies such as physio. If pain is ongoing depsite these interventions then further imaging, such as the MRI scan that you have had is indicated. The results of the MRI scan have to be closely correlated with your symptoms as MRI is very sensitive but he results are not always specific to the complaint. Occasionally involvement of a pain specialist is necessary to adequately control you pain so you can rehabilitate your ankle.
It is difficult to know without examining you if the tear in the tibialis posterior tendon is responsible for your ongoing pain. If it is then it may respond to physio, stretching/strenghtening and modalities such as ultrasound. Occasionally a steroid and local anaesthetic injection may help and then ultimately and finally surgical exploration and repair may be of benefit. In someone aged 40 the changes seen in the posterior tibial tendon could also be pre-existing and degenerate.
I hope this helps answer helps you with your ongoing management of your ankle pain.
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
Answered by
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