Foot X-ray is also known as foot series that shows inner bony structures of the feet like metatarsals, tarsals, phalanges, etc. X-ray of the feet can be taken in three views or angulation, namely DP or dorsoplantar view, oblique view, and lateral view based on the purpose. Foot X-rays are suggested in leg trauma cases to look for fractures and dislocations and sometimes locate foreign bodies. These X-rays are taken in weight-bearing conditions of the leg.
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Should I be worried about the spacing between the first and second metatarsal of the foot?
Query: Hello doctor, I have been using moon boot from approximately seven weeks, for a fourth base disruption. I have just had x-rays. I would like an opinion on two things, please. Should I be worried about the spacing between the first and second metatarsal (Lisfranc injury)? There does not seem to be a... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen the x-ray (attachment removed to protect patient identity). I will like to reassure you that the Lisfranc joint, that is the space between the medial cuneiform and the base of the second metatarsal appears normal, and space is within the normal limits. ... Read Full »
What is the treatment for the pain on the inside of my calf muscle?
Query: Hi doctor,I think I have a posterior tibial stress fracture. I am a long-distance runner. I play many sports but after playing frisbee, I have a pain on the inside of my calf muscle. I was advised by friends and family to take rest and do strength training. I did both but, neither worked. This pain ... Read Full »
Answer: Hello, Welcome to icliniq.com. Firstly, we need to make the right diagnosis. You need to get a digital X-ray of both your legs to confirm the diagnosis of a stress fracture. If it is a stress fracture, then you need to rest your leg in a cast for six weeks. Secondly, you need to test your vi... Read Full »
Why has my foot injury not healed post accident?
Query: Hello doctor, I had an accident five months ago and had an injury on my left foot. Since then until now, it is not fully healed. Please see the photos of the injury attached and please tell if it is normal or is there something that went wrong. Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through the attachments (attachment removed to protect patient identity). The fact that your injury is over five months old, yet to heal, suggests two possibilities. Either there is a foreign body as a small stone, metal piece and the like, which will pr... Read Full »
Do X-rays help in differentiating rheumatoid arthritis from osteoarthritis?
Query: Hi doctor, I have been having joint pain in my left foot on the first joint of big toe for two weeks. It came on upon waking. The pain was inconvenient, but bearable for the first 36 hours. Then, it was extremely painful on the second day ( a worse pain I have ever had). Then, it has got slightly be... Read Full »
Answer: Hi, Welcome to icliniq.com. There is a strong possibility that this is gout. Considering that it occurred relatively acute, it is possible that it is gout. The diagnosis of gout is by crystal examination in joint fluid and on clinical examination of joints. Of course, osteoarthritis is one of t... Read Full »
What is the reason for persistent foot pain even after taking pain medication?
Query: Hi doctor, I am suffering from left foot pain, as I fell from my two-wheeler. I consulted a doctor and got an x-ray, and he said it's Achilles tendon rupture and tibialis anterior tendonitis. He gave me tablets for five days. But the pain is still there when I walk. Read Full »
Answer: Hi,Welcome to icliniq.com.If I agree with his diagnosis, as I have not seen the x-rays, then I will suggest you try taking the following:Tablet Piroxicam 20 mg, twice daily after food.Tablet Rabeprazole 20 mg, twice daily for 10 days before food.Tablet Shelcal (Calcium) 500 mg, twice daily for 30 da... Read Full »
Why do I have pain in my second toe while pushing down on the ground?
Query: Hi doctor,I have a pain in my second toe on my right foot. There is no swelling, bruising or discoloration. It does not hurt when walking or anything. It only hurts when being pushed down. For example, when I have to sit down on my knees that toe has a sharp pain when being pushed down on the ground... Read Full »
Answer: Hello, Welcome to icliniq.com. It is most likely a tendon or ligament problem, probably injury unknowingly likely during sleep. It should resolve within a week. You should get prescribed tablet Naproxen 250 mg two times a day along with some antacid like tablet Pantoprazole before breakfast once a d... Read Full »
Does my wife need any more surgery?
Query: Hi doctor, I have doubts on behalf of my wife. Three days back, she met with an accident and got her foot injured. Her heel got severe damage and after diagnosis doctor said the following. Left heel pad avulsion injury, communicated fracture calcaneum left foot and medial malleolus fracture o... Read Full »
Answer: Hello, Welcome to icliniq.com. You have mentioned that your wife sustained an injury to her left limb with extensive injury of the heel region and around the ankle. I presume an external fixator has been applied along with debridement and suturing the wound. It is an understatement to say that it i... Read Full »
Please give an opinion on dislocation of phalanx.
Query: Hello doctor, I have fallen on the floor from about 130 cm high and hit my foot, however, one of my toes has swollen and it hurts so much, So I had an x-ray for my feet and the doctor said it was fine, but what I see on the x-ray photo seems to be a dislocation in a phalanx. Is that normal? Can yo... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen the x-ray. (attachment removed to protect patient identity). I must agree that the second toe proximal joint does look dislocated. It is, however, difficult to confirm this without having a true AP (anteroposterior) view and true lateral view. Also, ... Read Full »
My toe is swollen, bruised, and painful. Kindly advise.
Query: Hello doctor, I fell this morning and I am pretty sure I broke a toe. It is a bit swollen, bruised, and painful. I landed on my knee and top of my foot. My knee is fine but the top of my foot is a little tender. It has a small bruise. My other toes are getting numb. Do I need to see a doctor? Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your history, as you have stated that you are having pain, swelling and bruising on dorsum (top) of foot region. In that event, I advise you to get: X-ray of affected foot (AP and oblique views) because we have to rule out any bony injury as man... Read Full »
I tripped while walking and middle toe is bent downward. Kindly give some advise.
Query: Hi doctor,While walking, I missed a step and accidentally bent my middle toe downward. There was a sharp pain for several minutes and subsided after a while. There is no swelling, deformation or bruising. It has been 5 hours now, and I have iced it thrice. I have also taken an anti-inflammatory medi... Read Full »
Answer: Hi, Welcome to icliniq.com. It is probably a sprain of ligaments. A break or fracture is less common from your description. Also, the fracture would have caused severe pain even at rest and not just on using the foot. I think that you can continue using ice, give rest to the foot as much as... Read Full »