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Hello: According to your description, your situation is considered to be edema and effusion in the joint caused by local soft tissue injury caused by trauma, it is recommended that you pay attention to rest, try to walk with weight, and can be combined with physiotherapy, hot compresses, and external plasters to promote inflammation dissipation and absorption. This is the condition of edema, edema can usually induce the formation of pain, this is generally related to calcium deficiency, calcium deficiency will induce the condition to aggravate, sometimes there will be a further formation of osteomyelitis, the current condition will be after walking there is an aggravation of the condition change reaction, usually pay attention to rest, reduce activities, especially strenuous exercise, adjust the mentality, maintain a good attitude, regular check-ups.
I also wish you a happy life!
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Bone marrow edema refers to the inflammation of the bone marrow tissue caused by edema due to various reasons, and whether the bone marrow edema can heal itself is closely related to the specific ** that causes bone marrow edema, such as fractures caused by trauma, resulting in bone marrow tissue damage, bone marrow edema will occur.
If bone marrow edema is caused by trauma, most of them heal spontaneously after repair by the body.
However, if bone marrow edema is due to acute osteomyelitis caused by an acute bacterial infection, bone marrow edema usually does not heal on its own because bacteria multiply in the bone marrow, which can lead to inflammation. If sensitive antimicrobial drugs are not used**, the number of bacteria will increase, and the situation of bone marrow edema will become more and more serious, which will lead to a series of symptoms such as fever, severe bone pain, bone swelling, etc., the most effective method is to use sensitive antibacterial drugs**, so whether bone marrow edema can heal spontaneously depends on the primary disease.
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Analysis:
This is a manifestation of chronic instability after an ankle injury. Generally, it is due to the swelling and pain after a sprain, and it does not heal for a long time. If this is the case, it is almost certain that it is a manifestation of chronic instability.
This instability is usually caused by a rupture of the lateral ligament, and your MRI also suggests an injury to the talofibular ligament.
Guidance: If the pain is prolonged, conservative** may not respond well and surgery is required**. Surgery involves reconstructing the ruptured ligament and stabilizing the ankle joint. This type of surgery is relatively minor and requires a visit to a sports specialist in a larger hospital.
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Your symptoms have been delayed for so long, hurry up and change hospitals, Huangpu Central Hospital, TCM Orthopedics and Traumatology, very good, go and see.
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First of all, don't listen to the diagnosis of those veterinarians (there are no medical ethics collectively referred to as veterinarians), your legs can be **. They just want to scare you and make you spend more money, and he makes a lot of money! Your problem is very simple, find an acquaintance doctor first, and the problem will be solved soon!
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Ankle dysfunction, I've had a few, and they all have very severe edema, and there is also edema in both lower legs, which heals after four times, and the others are two or three times. Closure is just the name of traditional Chinese medicine, although there are similarities with the nerve block of Western medicine, they are completely different, nerve block needs to go through professional technical training to do **, and there are no special requirements for closure, so we must understand this difference.
I did a tarsal sinus injection, and the effect was very good, but the closed injection mentioned by traditional Chinese medicine is not in place, and the effect will not be too good, so it is best to go to the pain department**.
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Tarsal sinus syndrome refers to pain in the anterolateral inferior space of the ankle joint. The cause can be traumatic, most commonly ankle varus sprain accompanied by ankle supination injury, which is commonly known as a foot sprain that occurs when the body rushes forward. Other possible conditions include congenital or acquired foot deformities, focal synovitis, local tumors, etc.
According to statistics, traumatic causes account for about 70 and other causes account for about 30. Tarsal sinus syndrome is characterized by anterolateral ankle pain and localized definite tenderness when walking, and other possible manifestations include: fear of another sprain or a feeling of separation between bones when walking on stairs or uneven surfaces; pain when the ankle is supinated (i.e., tiptoeing and pushing the ankle forward); Rarely, nighttime sleep pain and pain in the inner side of the foot may occur.
The best ways to confirm the diagnosis include: 1) local tenderness of the tarsal sinus; 2) Diagnostic**, i.e., local injection of anesthetic, if the pain disappears at that time, the diagnosis is established. After the diagnosis is confirmed, in the case of ruling out local tumors, local occlusion** can be used**, and if local occlusion** is ineffective**, surgery is required**.
In general, partial occlusion may be effective for pain but not for fear of walking. Surgery includes local cleansing and associated injuries, local synovitis and scar tissue in the tarsal sinus can be thoroughly cleaned to relieve local pain, and in cases of fear of walking, there are often old injuries associated with the lateral collateral ligament of the ankle joint, which require simultaneous ankle stability reconstruction. For cases with advanced arthritis of the subtalar joint or cases of local deformity, tarsal sinus fusion fixation can be used to fix the local joint of the tarsal sinus, so as to achieve the purpose of eliminating pain.
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Analysis: Because magnetic resonance examination is very sensitive to general edema and contusion, so in general trauma, especially in the acute stage, you will get this kind of abnormal signal in many bone parts, in fact, this is a general contusion, not a fracture, and the general symptoms will improve in a few days or a week.
Suggestion: Unless there is no trauma, if such a result is detected, it is significant, because the absence of trauma is usually a sign of bone disease. And trauma, these are basically not too much of a problem.
All you need to do is do some physiotherapy, hot compresses, external Chinese patent medicines, etc.
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Take some anti-inflammatory drugs, Yunnan Baiyao can be used, and you can usually apply a hot compress. Yes. Less activity for the time being.
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The First Hospital of Ningbo. Mao Binyao, he has published a book, modern knee surgery, Ningbo may be stronger there.
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The results of the MRI examination came out, the bone marrow edema of the right leg, the joint cavity effusion, the ligament tear, and the second-degree meniscus injury are best to go in person, because MRI is only an adjunct, and the most important means of examination is the doctor's physical examination. 1. Edema.
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