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What to do - Potentially misdiagnosed MRI

Discussion in 'Ask your questions here' started by Jake Anderson, Mar 15, 2019.

  1. Jake Anderson

    Jake Anderson New Member

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    I recently suffered a severe ankle sprain in my right ankle playing basketball. A few years ago , I fully tore (Grade 3) my ATFL in my other (left) ankle a few years ago, and went through the regular rehab process, which went fairly smoothly, and I have regained most of motion and am not really in any pain in that ankle. This time, on my right ankle sprain, I got an MRI and was told I had just a minor grade 1-2 sprain in my right ATFL, and they recommended going to therapy, which I am in now.

    It has been 3 months, and I am still absolutely in a ton of pain, and I dont have very much motion at all. The grade 3 tear was much worse than this one, and was already mostly healed after 3 months. Furthermore, my pain isn't even in my ATFL, its on the back side of the actual bone, especially in the peroneal area, and on the lower end of the bone, whether it be the bone itself or the ligament that runs through the bottom of ankle joint (calcaneus I believe). Regardless, the pain is awful and I have zero stability.

    Here's the main question. My podiatrists aren't even the ones reading the MRI, the radiologist associated with the MRI location is the one reading, Is that an industry standard for podiatrist firms? I understand the podiatrists are trying to get through as many customers as they can in a day (3-4 an hour at this particular foot firm), so I guess I can see why that would be. Regardless, I really really feel as though the radiologist misread my MRI. Peroneal injuries are often misdiagnosed as lateral ankle sprains, and it seems as though radiologists misdiagnosing MRI's, especially on more specialized things like ankle sprains, are common. Does anyone have any advice on what to do in order to get a new reading? Unfortunately I dont know that there are just walk in clinics where you can get orthopedics/podiatrists to read ankle MRIS. Obviously someone might say, "ask your foot doctor to read it". This is probably what I will do next, but just given how tightly these podiatrists pack together, I don't know if they will even do that.

    Does anyone know whether or not Orthopedics absolutely read MRIs as an industry standard? Its just a bit frustrating, if you think the MRI got misread, which according to many ankle studies happens almost half the time, you're just kind of screwed. My podiatrist said during my last checkup that if therapy doesn't work, he would recommend getting another MRI and taking another look at said (second) MRI. However, I don't understand the need to get a second one. Just so they can take another look at it? Why can't they just look at the orginal one. That absolutely just seems like a giant waste of money. Does anyone have an opinion on whether orthopedics are better than podiatrists for foot injuries? You'd think podiatrists are more specialized in this area, but if they aren't the one even reading the MRI's, whats the point? I'm just trying to get advice here on what someone should do if they believe an MRI got misdiagnosed. In the end, all I care about is getting it better, so if it continues to cost money, thats fine, I would rather pay extra money in order to get the injury healed as best as possible, so whatever seems like the best route to take is the one I will take. Just looking for advice here...

  2. Gabrijela

    Gabrijela Guest

  3. Gabrijela

    Gabrijela Guest

    Not that I can give you much advise just wanted to say I’m in a similar position regarding MRIs I’ve been suffering since July last year with a badly fractured pinky toe which resulted in a subluxation of the cuboid bone (which is located between ankle and metatarsal). My podiatrist was trying to fix it with a brace. To cut a long story short 4 weeks ago I was standing had a sudden sharp pain and heard a popping sound. Went to orthopaedic consultant, did MRI and unfortunately it showed nothing apart from fluid around cuboid bone. Consultant was not interested in investigating any further and couldn’t get me quick enough out of the door. Said I could go to the pain clinic! I have no strength in my foot, can’t stand longer than a minute or walk longer than 5 minutes without badly starting to limp. Basically Living on my sofa right now as I can’t do anything (apart from cursing my not anymore disinterested consultant) _ so will be going for a 2nd opinion. However to come back to your question about the MRI. I’ve obviously done some research and came a very interesting blog which was an eye opener. There are basically so many small ligaments in your foot and they are not visible in a MRI. So no normal MRI will show any issues. There are some studies about doing certain stress xrays and compare results of the foot in different positions ets. In my case I suspect the same issue as in the blog I mentioned earlier - a torn ligament possible the calcaneocuboid ligament which holds the cuboid bone in place or any of the other small ligaments around it. And in this case the reason was only found through explanatory surgery as nothing could be seen on X-ray or MRI! I’m going to see my Podiatrist this coming week to discuss this with him and see if he can suggest any other good consultant. In cases like this which are rare and not obvious it really seems to depend on the consultant you see who has experience with this kind of things otherwise you’re left in misery! Good luck with your foot!
  4. Cassidy

    Cassidy Member

    For what it's worth I would recommend seeing a foot and ankle orthopedic surgeon. They may want another mri, but it would probably be worth it. I have had many missed injuries on my left foot and it's always good to get another opinion and in my experience foot and ankle orthos sometimes are more thorough.

    Good luck to you, I hope all gets resolved quickly.

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