Talus shows edema and bruising

2019-04-17 18:07:48
I got my ankle twisted 2 and half months back and got the x ray which showed nothing.but my swelling and pain was still there so went for an MRI which showed talus contusion and edema .what should be the treatment when i tried everything from the past two and half months.help
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This treatment is being suggested on bases of the information provided. However I would like to examine & investigate you  in detail. Control  Hypertension, Diabetes or any other metabolic disorder, if there is  any. Any way it may be tried, --. Dolokind Plus (Mankind) [Aceclofenac100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5 days. --. Caldikind plus  (Mankind) 1 tab OD x 10 days. (You may need help of your local doctor to get these medicines.) --. Fomentation with warm water. Let the part not be exposed to cold. --. Sleep on a hard bed with soft bedding. --. Avoid painful acts & activities. -- .Do mild exercises for  knees and ankles and feet. --.(Take help of a  physiotherapist). --Do not ignore, let it not become beginning of a major problem. --Do ask for a detailed treatment plan. Kindly make sure, there is no allergy to any of these medicines. --For emergency treatment visit nearest hospital. --Wish you a quick recovery & good health. --I hope, I have solved your problem to your satisfaction.  Dr N C Gupta MS (ortho)

Answered2019-04-27 10:02:17

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Absolute rest would b the main treatment for this condition Start wearing air walker while walking I would like to see the films and reports before commenting about use of bisphosphonates or PRP injections and all other modalities of treatment Regards Kirthi Paladugu
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Absolute REST

Answered2019-04-18 12:42:17

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Talus contusion without cortical break depends on how much portion of subarticular trabeculae have broken and the percentage of the bone involved. Yes it involves around the neck  and weight bearing articular surface. However generally these need atleast 3 to 6 months of protected weight bearing. If you are office going then that is fine by now to do as long as somebody is there to drop you to work. If you are gym goer and athlete plz avoid for 6 months. Get an interval MRI scan at 6 months from time of injury and make sure no avascular necrosis has occured because of precarious vascularity of this bone and follow your orthopaedician advice

Answered2019-04-18 05:44:55

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Continue treatment

Answered2019-04-18 01:32:44

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If it was a fresh fracture then non weight bearing with crutches but it's two months need to see the scan to know what the problem is exactly comtusiom or ocd .so ya consult an orthopaedician

Answered2019-04-24 18:12:43

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Avoid strenuous activity,  please

Answered2019-04-18 05:01:14

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Kindly consult Ortho surgeon with report

Answered2019-04-18 03:15:11

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