Dr. Anuj Gupta
Spine Surgery
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I would very much like a second opinion on a recent MRI of my ankle, foot and hip after a fall over four years ago. I have been wearing an air cast boot for support but I have an extremely inverted ankle or foot following the fall. However, the MRI of the foot, ankle, and hips are normal.
Hi,
Welcome to icliniq.com.
Your MRI of the ankle, foot, and hip seems to be normal (attachment removed to protect patient identity). Well, I am not able to understand your problem. What difficulty do you have? Is it present while sitting or only while standing? Kindly elaborate more on your symptoms so that I can help you better. If possible send a photograph of both your feet while standing.
Patient's Query
Hi doctor,
Please, can you review the MRI of my hips as I believe that following the hip banging against the wall during the fall, my leg has got out of line? I am enclosing the pictures asked of my foot. While standing and laying down the bones, the top surface are nearly piercing through my skin. I have a shortening of the right hip and a two inches muscle waste of the calf on the right leg. I am in constant pain and discomfort and I have limited mobility of the right leg. I have had the need to use a crutch for four years.
Hi,
Welcome back to icliniq.com.
As I could see in the clinical picture you have provided, your foot has gone inwards. This could be of many reasons like a direct injury to foot because of which it has healed in a wrong position or there could be nerve compression. I would suggest you please get your nerve conduction velocity of your both limbs and if you are comfortable then go for MRI of your lumbar spine. If you have any doubts then please feel free to ask.
Patient's Query
Hi doctor,
Thank you for your response. Could you please advise if the MRI of the hips is what you would call normal? The files were sent at the time of the original question or scans because from what I have seen they are not equal.
Hi,
Welcome back to icliniq.com.
Yes, according to what you have sent to me before, your hip condition is written as normal. Normal means the alignment of the joint is normal, no extra growth of bones and no cartilage destruction. And after seeing your clinical pictures, I am 100 percent sure that it is not due to hips.
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Spine Surgery
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