Ankle Pain

10 Reasons Why You Might Be Experiencing Chronic Ankle Pain

Chronic pain of any kind can greatly reduce an individual’s quality of life and chronic ankle pain is no different. If you experience chronic ankle pain, you probably have difficulty walking, standing, or making the necessary movements you need to get through the day. But what might be worse than chronic pain in the ankles […]

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April 29, 2016

Simple Steps to Increase Ankle Health

People tend to take their ankles for granted. They often do not stop to think that these joints support their body weight, allow them to walk, run, turn, stand on tiptoe, and do so much more. Dancers, figure skaters, and athletes depend on ankles to pivot, change direction, jump, and sprint. As long as these […]

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June 14, 2016

Chronic Ankle Pain and What to Do About It

Chronic ankle pain is any long-term soreness or tenderness in the ankle or in the adjacent areas of the foot or lower leg. Associated symptoms can include: Inflammation Limited range of motion in the foot and ankle. Lack of mobility in the foot. Low tolerance to standing or bearing weight on the foot and ankle. […]

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April 28, 2016

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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

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Complete tear of rectus femoris
with large hematoma (blood)

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Separation of muscle ends due to tear elicited
on dynamic sonography examination

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