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Drs, What does "increased T2 signal intensity mean?"

Posted by Annie on 11/17/04 at 18:56 (164199)

Dear doctors,

This is my history
- pf symtoms x 4 years
- 7/04 has ossatron/orthotripsy, felt improvement for approx a week, f/b worsening symptoms till I could not even bear weight anymore
- had mri 11/04 as I wanted to make sure I had the correct diagnosis since I never had morning pain

My questions
1. The mri report states ' inflammatory increased T2 signal intensity seen at the insertion of the plantar fascia on the calcaneal base' .What does T2 signal intensity mean?
2. My podiatrist recommends redoing the ossatron/orthotripsy. Does this sound resonable and what are my chances for improvement if I worsened after the 1st proceedure?

THANK YOU THANK YOU THANK YOU

Re: Drs, What does "increased T2 signal intensity mean?"

Dr. Z on 11/17/04 at 19:09 (164201)

Hi,
The MRI has confirmed changes at the pf insertion on the T2 phase. This is a type of signal. The fact that you don't have first step morning pain may mean that you have both pf and a nerve entrapement. The fact that you got worse may mean that you have a local nerve entrapment.
This must be ruled out.

Re: Drs, What does "increased T2 signal intensity mean?"

Annie on 11/17/04 at 19:22 (164203)

How is a nerve entrapment ruled out? My podiatrist didn't mention anything about a nerve entrapment, he said the mri ruled everything out except pf. I am confused.

Re: Drs, What does "increased T2 signal intensity mean?"

Dr. Z on 11/17/04 at 22:36 (164214)

Annie,
Physical examination. Possible referral to neurologist- EMG testing It is that lack of first step morning pain that moves me in the nerve problem direction

Re: Drs, What does "increased T2 signal intensity mean?"

Annie on 11/18/04 at 01:47 (164223)

Well, the podi pushed on the plantar fascia insertion point last week. Does that count for the physical examination, or should he have done/palpated, tested more?

Do I just call and ask for a neuro referral?

Re: Drs, What does "increased T2 signal intensity mean?"

Dr Ben Pearl on 11/18/04 at 19:37 (164299)

In my experience neuro diagnostics are not very conclusive here
physial exam is more diagnostic- perhaps a 2nd opinion