In order to establish the cause of for your symptoms, one or more of the following investigations may be required:
This is an initial examination to diagnose fractures or bone and joint abnormalities. The results of the X-ray, along with the clinical examination, may lead to further imaging procedures.
This technique uses high frequency sound waves to produce dynamic images particularly useful for diagnosis of soft tissue pathology of tendons, ligaments and joints of the foot and ankle. Colour Doppler studies, which identify blood flow, can indicate the severity of any inflammation that may be present and are performed as part of the ultrasound examination. Ultrasound examinations are also useful to evaluate how structures behave during movement of the joint in real time. Ultrasound is the method of choice for most image guided injection treatments.
This uses a powerful magnetic field and radio waves to produce images that show abnormalities in the bone marrow, joints, ligaments, muscles and tendons.
Computerised tomography uses x-rays and computer software to construct cross sectional (slices) images that can then be reconstructed to provide 2D images in any plane and 3D images. This examination is particularly useful for fractures and bone or joint deformities in the foot and ankle.
Image Guided Injection Therapy
Many inflammatory conditions of joints, tendons and ligaments may be treated with injection of an anti-inflammatory drug and local anaesthetic. This is usually performed under ultrasound guidance to support accurate placement of the injection. The speed and accuracy of this method mean the injections are ususally well tolerated by patients.