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About Dr. Marc Katz
Expertise
All medical and surgical problems of the foot and ankle. Specializing in Pain Management of the Foot & Ankle using Advanced Cryosurgical techniques. Also woundcare and limb salvage.

Experience
I am a Podiatrist in private practice for 17 years in Tampa Florida Organizations American Board of Podiatric Surgery Fellow, American College of Foot and Ankle Surgeons, American Podiatric Medical Association, Florida Podiatric Medical Association, American Professional Wound Care Association, Cryostar certified in Foot Cryosurgery Publications http://ezinearticles.com/?Understanding-Heel-Pain-and-Treatment-Options&id=270285 http://ezinearticles.com/?New-Relief-for-Foot-Pain-Due-to-Diabetic-Neuropathy&id=438090 http://ezinearticles.com/?Permanent-Relief-for-Ingrown-Toenails&id=387593 http://ezinearticles.com/?Foot-Cryosurgery-for-Plantar-Fasciitis,-Heel-Pain,-Mortons-Neuroma-and-Neuropathy&id=261571 Education/Credentials I am a board-certified Doctor of Podiatric Medicine (DPM) and a certified Foot Cryosurgeon

 
   

You are here:  Experts > Recreation/Outdoors > Walking > Podiatry > Ligament damage + bone out under foot

Podiatry - Ligament damage + bone out under foot


Expert: Dr. Marc Katz - 5/2/2009

Question
Hi Mark  I wrote to you under "Bone out of place in foot" last answer you gave was dated Jan 5 2009, thankyou for the advice. You suggested getting an MRI & seeing a podiatrist but in the Ireland/ UK podiatrists don't do surgery.

I did have an MRI, please see report:
MRI scan report shows a small effusion in the tibio-talor joint, no osteochondral lesion on the talor done. There is some thickening of the dorsal talo-navicular capsule and early ostephyte formation. No subtalor or sinus tarsi abnormality. There is mild peroneal teno-synovitis. There is some marrow oedema on the calcaneus with mild posterior tibial tendonosus. The ligaments are intact. No evidence of Morton's neuroma. The overall findings appear to be mainly that of injury to the lateral ligaments and lateral peroneal tendon, but no evidence of any significant pathology that would warrant surgical treatment. Symptoms should normally respond to a physiotherapy programme, however if her symptoms continue to persist I would arrange a referral to a foot surgeon.

The orthopaedic surgeon is sending me to a foot surgeon but I would really like to get your opinion. My foot is still very swollen & I have been wearing the same pair of lace up shoes for 17 months now & without the arch supports as due to swelling I can't fit them in shoes. I feel pulling on the front of my leg near the ankle & pain in the ankle.  

I was in UK & saw a GP who explained the report in simple terms & said my foot has torn ligaments & I will need an operation to fix/ tighten ligaments & my body is attempting to heal itself by pumping fluid into the foot to make is supple.

Answer
Hi Sharon,

It sounds like you have several overuse type problems.  I would consider physical therapy and orthotic devices before surgery.  You may also consider a cast for 6-8 weeks to let the tendons and calcaneus heal.

Sincerely,

Marc Katz, DPM
Tampa, FL
Advanced Podiatry
www.thetampapodiatrist.com
www.tampacryosurgery.com

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