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What Does "subcortical Deformity And Fibrovascular Reaction" In An MRI Indicate?
Question: I just got back MRI results on both feet I am an avid runner and can't make much sense out of them. On left foot it says subcortical deformity and fibrovascular reaction in site of prior fracture and persistent marrow edema or stress edema within 5th digit. On right foot it says soft tissue thickening along planter aspect of the mtp joints which chronic inflammatory change on a micro traumatic basis is favored.
Please see attached results
Please see attached results
Brief Answer:
Thanks!
Detailed Answer:
Hi and thank you so much for this query.
I am so sorry to hear about these findings. They are consistent with findings in an avid runner. Intense running causes micro traumas to the bone and adaptation of the bone and soft tissues by thickening. These repeated traumas are being continuously repaired and accounts for the inflammatory changes described. The process of trauma and repair involves inflammation and fibroblast that produce tissue for wound healing. This is exactly what the results say.
Also, you sustained a stress fracture and I think this reports suggests that healing is ongoing but not complete. It would be difficult to get a complete healing if there is no rest to provide for this. I hope you consider getting some rest so as to address this continued stress fractures.
In all, these findings are suggestive of repeated micro traumas and consistent with findings in an avid runner. Complete healing needs rest from your athletic activities.
I hope this helps. I wish you well. Thank you so much for using our services and do feel free to ask for more information and clarifications if need be.
Thanks!
Detailed Answer:
Hi and thank you so much for this query.
I am so sorry to hear about these findings. They are consistent with findings in an avid runner. Intense running causes micro traumas to the bone and adaptation of the bone and soft tissues by thickening. These repeated traumas are being continuously repaired and accounts for the inflammatory changes described. The process of trauma and repair involves inflammation and fibroblast that produce tissue for wound healing. This is exactly what the results say.
Also, you sustained a stress fracture and I think this reports suggests that healing is ongoing but not complete. It would be difficult to get a complete healing if there is no rest to provide for this. I hope you consider getting some rest so as to address this continued stress fractures.
In all, these findings are suggestive of repeated micro traumas and consistent with findings in an avid runner. Complete healing needs rest from your athletic activities.
I hope this helps. I wish you well. Thank you so much for using our services and do feel free to ask for more information and clarifications if need be.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
What does the cortical bone deformity mean? Is there a way to correct? How long of rest would you reconmend? Is there special footwear that you would recommend? Anything I can do to help with inflammation? Will I ever be able to run again?
Brief Answer:
See below!
Detailed Answer:
This deformity relate more to the expected consistency on imaging that is no longer the case due to repeated trauma and inflammation. For sure, an adapted footwear would help and a podiatrist can help you out figuring what is best adapted to your feet.
I will recommend that you start off with a minimum of 6week rest. after this, evaluation would tell whether you need more or it is just enough.
Yes, you would be able to run again. For now, give yourself some resting time in order to recover before getting back to sporting activities. Inflammation would greatly regress and disappear once enough time is accorded to resting and complete healing.
I hope this helps. I wish you well. Thank you so much and feel free to keep the discussion going. How is the swelling of your legs this time around?
See below!
Detailed Answer:
This deformity relate more to the expected consistency on imaging that is no longer the case due to repeated trauma and inflammation. For sure, an adapted footwear would help and a podiatrist can help you out figuring what is best adapted to your feet.
I will recommend that you start off with a minimum of 6week rest. after this, evaluation would tell whether you need more or it is just enough.
Yes, you would be able to run again. For now, give yourself some resting time in order to recover before getting back to sporting activities. Inflammation would greatly regress and disappear once enough time is accorded to resting and complete healing.
I hope this helps. I wish you well. Thank you so much and feel free to keep the discussion going. How is the swelling of your legs this time around?
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Swelling wasnt bad on my legs until i went to the physical therapist for the first time yesterday. He said my calfs were very sore so he did a myofascial tearing of my calfs which hurt badly and now has me bruised up and swelling see pic- I also went to my ortho yesterday she diagnosed me with metatarsalgia and sent me to physical therapy and gave me an anti-inflammatory . Just really confused and irritated because just want to get better and didnt want to end up with bruised up legs from going in with feet pain?
Brief Answer:
This would clear up sooner than later!
Detailed Answer:
Hi and thank you so much for this follow up.
I am so sorry about these bruises that you sustained. I guess your therapist should have been a lot gentle than he was. I hope he would be more gentle on subsequent sessions.
I believe you really need these sessions. Follow up and hope the therapist gets gentler and progressive on this.
I wish you well.
This would clear up sooner than later!
Detailed Answer:
Hi and thank you so much for this follow up.
I am so sorry about these bruises that you sustained. I guess your therapist should have been a lot gentle than he was. I hope he would be more gentle on subsequent sessions.
I believe you really need these sessions. Follow up and hope the therapist gets gentler and progressive on this.
I wish you well.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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