Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
171 Doctors are Online

Malleolus problem causing pain in the ankle - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   I am 53 years old female and have been diagnosed with Mixed Connective tisssue disorder and have had severe problems with my lower joints. to date I have had both knees replaced due to the destruction of the cartilide in the kness (8 years ago) and now have problems in my right foot/ankle. 6 months ago I had a mid foot fusion on the right mid foot- the TMT joints 2 and 3 and the naviculocuneiform joints were fused. There is no pain there now but over the last 6 weeks SEVERE pain in the inner side of my ankle. These are the MRI findings
"Small osteochrondral injury of the distal aspect of the lateral malleolus and a corresponding surface.Marginally thin articular cartlidge of the dome more so laterally. Focal osteochrondral injury approx 1cm in AP and coronal diameter affects the calceneal component of the posterior sub joints towards its medial aspect. At the anterior margin of the joint in the sub
chondral bone above the tarsal sinus focal bone marrow oedema and early cyst formation of the inferior talus. There are minor inflammatory changes in the tarsal sinus. Small areas of osteochrondral damage in the middle/anterior subtalar articulation particulary on the side of the joint"
I had an MRI 12 months earleir than this one and in that one there was no mention of these findings.
This destruction seems to be happening quite quickly
My doctor says I need a fusion of the joints in this area. What do you think. The pain is severe and disabling.
Am I going to end up with a crippled foot over time. My left ankle is bothering me and 2 years ago had an arthoscopy of the left bone with an osteochondral defect. Will my left foot/ankle go the same way as my right?
Doctor :   Hi
Doctor :   Give me a few minutes to help you better.
User :   Are you there?
Doctor :   Hi
Doctor :   i am theer
User :   OK
User :   Are you still reading what I sent you
User :   When do we start? I paid for 10 minutes and time is ticking by!
Doctor :   I am sorry , you will get an extra free package as i had an internet connection problem.
Doctor :   Can you re log in after 5 mins.
User :   OK
Question is related to
Medical Topics
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor