Dr. Sharoff Lokesh Mohan
Orthopedician and Traumatology
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Patient's Query
Hi doctor,
I am a 38-year-old male. I have had ankle pain for the last nine months. But, I have no problem in walking. My ankle x-ray is fine. The MRI report summary is as follows: Subchondral cystic changes were seen in the medial and lateral aspect of the talar dome with adjacent marrow edema and overlying hyperintensity and irregularity. It is suggestive of stage II A osteochondral injury of the talus. No evident separation of the osteochondral fragment or loose body formation. Mild ankle joint effusion. No evidence of ligament sprain or tendon tear. Please explain.
Hi,
Welcome to icliniq.com.
You have some bone edema and osteochondral fragment. If you just take normal painkillers, then it will take three to four months for your pain to reduce. So, you require a special injection called Zoledronic acid, which is usually used for osteoporosis. It has an additional effect of reducing bone edema very quickly. Also, you require additional medicines orally to reform the cartilage of the bone. Consult your specialist doctor, discuss with him or her and get the medicines with consent. Also, wear an ankle stirrup to support the ankle.
Thank you.
Patient's Query
Hello doctor,
I had also taken special injections of Zoledronic acid and some medicines. I have been getting relief only for a few days and the problem comes back as it is. What to do?
Hi,
Welcome back to icliniq.com.
It will take three to four months time for the effect of the injection to come. Also, you need to wear the ankle stirrup brace all the time. If you are not getting better with this injection in six months, then you will need surgery.
Thank you.
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