I need a second opinion regarding my MRI ankle reports.

Hi,

Welcome to icliniq.com.

If your injury and pain are not getting better, then I think there is a cartilage injury of the ankle joint. If you can upload your MRI images and the report, then I feel I can pick up the cartilage lesion or any other abnormality and suggest appropriate treatment for it. So, upload your MRI images as soon as possible, and then we can advise you on the further line of treatment. Till then, I suggest you wear an ankle stirrup air cast for support and continue anti-inflammatory medicines like Naproxen.

Thank you.

Hi,

Welcome back to icliniq.com.

From the images (attachment removed to protect patient identity), cannot see a big section of bone edema. . There is a contusion of the bone. I cannot see all the ligaments in the images that you have uploaded. This type of injury usually takes about three to four months to get better from the time of injury. I suggest you take an injection of Zoledronic acid 5 mg intravenously over 45 minutes stat dose once. With this injection, you need to take tablet Paracetamol 500 mg, two tablets about five minutes before taking the injection. Please consult a specialist doctor, discuss with him or her, and take the medicine with consent. Before taking the injection check for the serum creatinine levels. Your serum creatinine levels should be normal and you should not be allergic to this injection. I also suggest you take tablet Shelcal (a combination of Calcium carbonate and Vitamin D3), two times a day (in the morning and at night) for two months along with tablet Vitamin D 60K units once a week for eight weeks, tablet Vitamin C 500 mg once a day for one month, tablet Ibuprofen 400 mg once in the night for 15 days after food and tablet Rabeprazole 20 mg once at night time for 15 days after food. You need to wear the air cast ankle stirrup all the time for one month. You can do a sitting job. You should avoid running or jumping. You should avoid using a two-wheeler vehicle. Also, you avoid going to a gym. You will get better in less than a month if you take the above injection, which is very potent for reducing bone edema.