Hi doctor,
From the last three years, I have severe foot pain. The doctor told me it is because of plantar fasciitis. I took four Cortisone injections, and I wear special boots, but I did not get any relief. So, I took an MRI, and I am attaching my MRI reports with this query. What do the results of my MRI mean? I currently take Levoxyl and Paxil. Please help.
Hello,
Welcome to icliniq.com.
I have seen the MRI report (attachment removed to protect patient identity).
- You have chronic plantar fasciitis, which is the cause of the foot pain. The MRI is also supportive of this diagnosis.
- Nonsteroidal anti-inflammatory drugs like Ibuprofen 200 mg, twice daily, rest, stretching and strengthening exercise, splint, orthoses, special shoes, physiotherapy, etc., are some mode of initial treatment option.
- If improvement is not seen, steroid injections can be given to heal the inflammation. Extracorporeal shockwave treatment and platelet-rich plasma injections are other modes of treatment.
- In around 85 to 90 % patients, a non-surgical combination of various treatment modalities is beneficial. Steroid injection is beneficial in around 60 to 65 % patients with plantar fasciitis. If improvement is not seen, then surgical management are adopted like fasciotomy, cryosurgery, etc.
Take care. Hope your concern is solved. Consult an orthopedic surgeon for examination and discuss your treatment plan.
For further queries consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner
Hello doctor,
Thank you for replying. I have already had four Cortisone injections, and the doctors will not give me more injections. I wear orthoses, and I have special boots. Will surgery be needed to remove the fibroma? Does this MRI report show a fibroma?
Hi,
Welcome back to icliniq.com.
I appreciate your awareness for your health.
- In chronic plantar fasciitis, because of the inflammation, fibrosis can occur, and so the MRI shows thickening of the fascia. In chronic inflammation, fibrosis is the last step in healing.
- Rather than fibroma, it can be called as a fibromatosis-like lesion. So yes, if steroid injections are also not effective, then surgical management should be done.
- Do not worry, consult an orthopedic surgeon and discuss the further treatment plan. Ice pack application, physiotherapy, shoes, etc., can be continued in the meantime.
Take care. Hope your concern is solved. Wish you good health.
For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
When can physiotherapy be started after bilateral hip replacement surgery?
.. when a hip replacement is done, that day itself, other joint movements should be started as early as possible. First, non-weight-bearing physiotherapy should be done, followed by partial and full weight-bearing exercises. Non-weight bearing moveme... Read full
Will physiotherapy help to treat Erb's palsy?.. for providing the brief history of your daughter. I am sorry firstly to hear that your daughter is being diagnosed with Erb's palsy. Well, I would suggest you to continue physiotherapy for atleast three days a week as it will be of good help for h... Read full
Does pain in soles while walking or standing mean plantar fasciitis?.. a condition in which the fascia or the tissue at the heel is inflamed, and pain is there especially in the morning after getting up from sleep. You need to do the following exercise: Physical therapy. A physical therapist can instruct you in a ... Read full
Comprehensive Medical Second Opinion.
