Diagnosis

How is ankle pain diagnosed?

Physicians can make a diagnosis for 90 to 95% of cases with a thorough history and physical examination. In other cases, bone scans may be used for their high accuracy in detecting fractures, acute arthritis, and complex regional pain syndrome.

Physicians can also use the following tools to make a diagnosis:
X-rays – useful for ruling out most fractures and indicating degenerative arthritis (appearance of bony spurs, narrowing of ankle joints, and nfl jerseys china a soft tissue shadow from a collection of fluid and rheumatoid arthritis (appearance of erosions and cysts);
CT scans – useful when a bone cyst or lesion look suspicious for cancer;
MRI scans – used to help locate a fracture in the foot joint, a nerve entrapment or a ligament tear;
blood test – useful, in cases of chronic ankle pain, to rule out metabolic conditions such as diabetes, rheumatoid arthritis, and lupus; and
synovial fluid sampling – taken when oakley sunglasses outlet there is an effusion in the ankle joint. (See chart for sampling results).

A physician may also use more general tests to Old observe the patient’s general health.

Potential problems when effusion present:

Bloody fluid:
• hemophilia
• trauma
• low platelet count
• tumor
• vitamin C deficiency
• neuropathic joint

Non-inflammatory:
• osteoarthritis
• metabolic disease
• amyloidosis
• osteochondritis dessecans
• sickle cell disease
• trauma

Inflammatory:
• ankylosing spondylitis
• rheumatoid arthritis
• Reiter’s syndrome
• Gout and pseudogout
• Ulcerative colitis and Crohns disease
• Psoriatic arthritis

Septic:
• Staphylococcal
• Gonococcal
• Tubercular

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