Dr. Atul Prakash
Orthopedician and Traumatology
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Patient's Query
Hello doctor,
My Achilles tendon got ruptured and was repaired with surgery three months ago. I had undergone an X-ray, but there has been no recovery. It is as same as before. After the surgery, I had lots of trouble walking, and according to the surgeon, the tendon seemed better, but the new X-ray and the X-ray done before had no change in it, so the situation is the same. The surgeon says that we would go through it for more than three months and go with surgery again, followed by an MRI. Can you please suggest how it could go better? The tendon ruptured during a fall, and I underwent surgery one month after the rupture. I have trouble walking and have swelling on my foot. I am taking Tonoflex for severe pain, Nuberol Forte for normal pain, Xanax for anxiety, Voltrol emulgel, and painkillers. Laboratory tests show uric acid 7 mg/dL. I need suggestions.
Hi,
Welcome to icliniq.com.
I thoroughly read your query and understand your concern.
At the outset, I will like to clarify that the investigation of choice is MRI (magnetic resonance imaging), not an X-ray. The Achilles tendon is a soft structure with no bone within it. Hence it will not be visible on an X-ray. I am not sure why the doctor suggested an X-ray. The only explanation for this would be that the tendon had not torn but had got pulled or its attachment to the bone with a small flake-off bone at the end. I will like to look at the ankle from behind and also whether you can actually push your foot down like pushing an accelerator of a car. If there is measured weakness and you cannot stand on your toes and with that, there is a visible gap in the tendon, then the repair has failed as three months have passed. Also, answer these to understand your problem better:
1. How long did you spend in the plaster?
2. When did you start to walk?
3. Have you had any physiotherapy?
Before even the doctor touches you for the second time, I will recommend you get an MRI, and I will be able to help you then.
Revert with answers.
Kind regards.
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Orthopedician and Traumatology
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