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MRI

Posted by Angie D. on 6/10/02 at 22:25 (087042)

I had an MRI two years ago for PF. The results showed a smooth Fascia . The heel spur was found on an ordinary xray.
I am still having pain in my heel . I am now having an MRI on my Posterior Tibial Tendon as the pain in this area has greatly intensified. It also swell a great deal. . What can I expect them to find?
If the MRI shows up like the first one, I will truly believe that they are usless. How can I have so mush pain and nothing show?

Re: MRI

Dr. John Cozzarelli on 6/11/02 at 05:56 (087058)

Hi Angie:

THe MRI is only as good as the technologist reading it. It sounds like you a describing tibilias posterior dysfunction. Does it appear as if your arch is collaping? Are you having pain in the arch but on the inside of your foot? What city do you live in?

Dr. John Cozzarelli

Re: MRI

Angie D. on 6/11/02 at 08:56 (087068)

Dr. John thanks ever so much for your response. I was born with flat feet,but I had exercise and wore corrective shoes when I was younger. I suppose that helped to a certain degree. I am not sure if my arch is collapsing but if I walk barefoot I can see my foot rolling inward. I do not have pain in the arch itself. The pain is just to the back of the arch, between the arch and heel area. The swelling appears like a round egg just to the back of the arch between the arch and start of heel. I am in Winnipeg, Manitoba, Canada
I have had orthotics, but the arch always seems to irritate that area . I wear my Birkenstocks from the time I get up until I go to bed.
I believe they have helped the PF to some degree,and I wear a night splint which helps me in the morning. I certainly do not have the severe pain I use to, but then I have been of work for a year, so the rest and time of my feet has helped. I do find though that the night splint does irritate my Posterior tibial tendon. Why would that be? It is a 90 degree and very comfortable.

Re: MRI

Dr. John Cozzarelli on 6/11/02 at 10:34 (087091)

I would investigate ESWT in Canada. I would suggest that you back off the splint and see if that helps. It sounds like the arch on the orthotics needs to be lowered and or adjusted.

Dr. John Cozzarelli

Re: MRI

Angie D. on 6/11/02 at 20:43 (087204)

Dr. John, thankyou so much for your input. I believe you have diagnosed my problem. I looked up Tibialis Posterior Tendon Dysfunction. Ther was a lot of good information on it. My specialist, whom I am now seeing, had done the heel raise test several times. I could not get up onto the ball of my foot or could I push his hand with any intensity with the inside of my foot. He is now waiting on the MRI reports and I will see him in a few weeks. He said he could not recommend any further treatment until he sees the MRI. I'll keep you posted. Thanks again for doing what you are doing. It is truly a great service to us.

Re: MRI

Dr. John Cozzarelli on 6/12/02 at 06:32 (087239)

Hi Angie:

No problem, I'm glad I could help.

Dr. John Cozzarelli

Re: MRI

Dr. John Cozzarelli on 6/11/02 at 05:56 (087058)

Hi Angie:

THe MRI is only as good as the technologist reading it. It sounds like you a describing tibilias posterior dysfunction. Does it appear as if your arch is collaping? Are you having pain in the arch but on the inside of your foot? What city do you live in?

Dr. John Cozzarelli

Re: MRI

Angie D. on 6/11/02 at 08:56 (087068)

Dr. John thanks ever so much for your response. I was born with flat feet,but I had exercise and wore corrective shoes when I was younger. I suppose that helped to a certain degree. I am not sure if my arch is collapsing but if I walk barefoot I can see my foot rolling inward. I do not have pain in the arch itself. The pain is just to the back of the arch, between the arch and heel area. The swelling appears like a round egg just to the back of the arch between the arch and start of heel. I am in Winnipeg, Manitoba, Canada
I have had orthotics, but the arch always seems to irritate that area . I wear my Birkenstocks from the time I get up until I go to bed.
I believe they have helped the PF to some degree,and I wear a night splint which helps me in the morning. I certainly do not have the severe pain I use to, but then I have been of work for a year, so the rest and time of my feet has helped. I do find though that the night splint does irritate my Posterior tibial tendon. Why would that be? It is a 90 degree and very comfortable.

Re: MRI

Dr. John Cozzarelli on 6/11/02 at 10:34 (087091)

I would investigate ESWT in Canada. I would suggest that you back off the splint and see if that helps. It sounds like the arch on the orthotics needs to be lowered and or adjusted.

Dr. John Cozzarelli

Re: MRI

Angie D. on 6/11/02 at 20:43 (087204)

Dr. John, thankyou so much for your input. I believe you have diagnosed my problem. I looked up Tibialis Posterior Tendon Dysfunction. Ther was a lot of good information on it. My specialist, whom I am now seeing, had done the heel raise test several times. I could not get up onto the ball of my foot or could I push his hand with any intensity with the inside of my foot. He is now waiting on the MRI reports and I will see him in a few weeks. He said he could not recommend any further treatment until he sees the MRI. I'll keep you posted. Thanks again for doing what you are doing. It is truly a great service to us.

Re: MRI

Dr. John Cozzarelli on 6/12/02 at 06:32 (087239)

Hi Angie:

No problem, I'm glad I could help.

Dr. John Cozzarelli