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Do I need to get an MRI for my foot pain?

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 foot pain in my right foot for three weeks. I cannot able to run. When I run, it hurts a lot. Sometimes I just fall when my foot cannot handle it. I do not have any swelling. Often, I have some bruising. It hurts a lot when I walk sometimes. When I put on braces, it makes my pain worse. Certain shoes too make my pain worse. The pain ranges from anywhere from my side of my foot to my whole foot. I have iced it and elevated it. But it did not help me. I am not sure whether I should see a podiatrist or do I need to do an MRI? It really concerns me a lot and I am not able to run.

Hi,

Welcome to icliniq.com.

I understand your concern. You can have pain due to muscular or tendon injury. I suggest you do an X-ray of the ankle in anteroposterior view and lateral view to check for injury. If the X-ray fails, then you need to do MRI (magnetic resonance imaging). This is not indicated directly as your age is small. First, do an X-ray once and send me the reports. Avoid putting weight on the right leg and walk with support. Please send me the pictures of the bruises. Please mention whether you had any direct injury to the ankle. Please mention whether you twisted your leg anywhere. Please mention the cause of the injury.

The Probable causes

You have an injury.

Investigations to be done

You need to do an X-ray of the right ankle in anteroposterior view and lateral view.

Differential diagnosis

You can have a fracture.

Probable diagnosis

You can have an ankle injury.

Treatment plan

Take tablet Diclofenac 75 mg twice a day after taking meal for three days and take tablet Pantoprazole 40 mg once a day before meal for three days.

Medically reviewed byDr. K. Shobana

Published At February 16, 2021
Reviewed AtJune 20, 2024

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