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Pre-tests for ESWT

Posted by Yasmin on 9/27/03 at 16:21 (131268)

Hi

I've had an MRI scan done, and it states that I have PF. I live in the UK, and although a rhemotologist asked for the scans to be done (on my behalf), the MRI scans themslves were not evaluated by a specific person who deals with foot problems etc.

My question is I am seeing another doc on monday regarding ESWT treatment. Should I ask him for an ultrasound scan? I have the MRI report but not the film (I had it on the NHS, therefore I am not entitled to it!). Is it important for him to look at the MRI film (if he can read it) or will the ultrasound be okay? I have normal PF as far as I know, and no other problems.

Thanks

Re: Pre-tests for ESWT

Ed Davis, DPM on 9/27/03 at 19:06 (131327)

Yasmin:
There is no one specific test that must be done before ESWT. Ultrasound is helpful though because it can show how much and where the fascia is thickened. A good MRI should have the relevant information on it though.

One dilemna is that there is not a hard and fast rule for how thick the fascia has to be before it is considered pathologic. As a consequence, the radiologist may not comment on the appearance of the fascia. A foot specialist would probably want to take another look at the MRI films though.
Ed