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I have ankle pain without swelling and injury. What is the cause?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have lateral ankle pain without swelling and any history of injury. The X-ray reads negative except for the odd lesion present on the shin bone. The pain started four weeks back as mild progressive to limping pain.

Answered by Dr. Vivek Chail

Education:

MBBS

Professional Bio:

Dr. Vivek Chail is a General Practitioner and Family Physician committed to delivering holistic and comprehensive healthcare for individuals and families. He provides preventive, diagnostic, and therapeutic care for a wide spectrum of medical conditions. He provides patient education and lifestyle counseling for long-term health and wellness. He is well-versed in chronic disease management for conditions like diabetes, hypertension, asthma, and thyroid disorders. He is an expert in the diagnosis and management of acute and chronic illnesses across all age groups.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Thanks for writing to us. I hope that the patient is not having much pain. The x-ray attached (attachment removed to protect patient identity) shows that the ankle bones are in a growth phase, and the ossification centers of the lower ends of the tibia and fibula are not fused. There is an odd lesion in the shaft of the tibia. The X-ray shows only bones and some of the soft tissues. The muscles, ligaments, and early stages of bone conditions are not always visualized on the x-ray. In view of the above findings, it will help to do an MRI (magnetic resonance imaging) scan of the left ankle for detailed evaluation. Regards and thanks.

Patient's Query

Thank you doctor,

My question is related to the lesion. What could that possibly be?

Answered by Dr. Vivek Chail

Education:

MBBS

Professional Bio:

Dr. Vivek Chail is a General Practitioner and Family Physician committed to delivering holistic and comprehensive healthcare for individuals and families. He provides preventive, diagnostic, and therapeutic care for a wide spectrum of medical conditions. He provides patient education and lifestyle counseling for long-term health and wellness. He is well-versed in chronic disease management for conditions like diabetes, hypertension, asthma, and thyroid disorders. He is an expert in the diagnosis and management of acute and chronic illnesses across all age groups.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

Thanks for writing back to us. There is a lucent lesion showing peripheral sclerotic margins in the tibia shaft, which might suggest a benign lesion. Likely, differentials could be eosinophilic granuloma, simple bone cyst, and non-ossifying fibroma. However, a follow-up x-ray in a few weeks to months is suggested. Regards and thanks.

Medically reviewed by Dr. K. Shobana
Published At December 3, 2021
Reviewed At April 16, 2024

Education:

MBBS

Professional Bio:

Dr. Vivek Chail is a General Practitioner and Family Physician committed to delivering holistic and comprehensive healthcare for individuals and families. He provides preventive, diagnostic, and therapeutic care for a wide spectrum of medical conditions. He provides patient education and lifestyle counseling for long-term health and wellness. He is well-versed in chronic disease management for conditions like diabetes, hypertension, asthma, and thyroid disorders. He is an expert in the diagnosis and management of acute and chronic illnesses across all age groups.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Vivek Chail is a General Practitioner and Family Physician committed to delivering holistic and comprehensive healthcare for individuals and families. He provides preventive, diagnostic, and therapeutic care for a wide spectrum of medical conditions. He provides patient education and lifestyle counseling for long-term health and wellness. He is well-versed in chronic disease management for conditions like diabetes, hypertension, asthma, and thyroid disorders. He is an expert in the diagnosis and management of acute and chronic illnesses across all age groups.

This doctor is not available for online consultations on the platform anymore.

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