Do I Need An X-ray? Simple Ankle And Foot Rules

Do I Need An X-ray? Simple Ankle And Foot Rules

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Do I Need An X-ray?  Simple Ankle And Foot Rules

Ankle injuries are one of the most common injuries in sports and recreational activities.  An x-ray is useful in determining whether there is a bony injury like a fracture or broken bone.  Some simple rules (Ottawa ankle rule) can be helpful in deciding if you need to get x-rays.

 

An ankle x-ray is only required if:

There is pain in the malleolar zone area highlighted and any of the following:

1)     Tenderness on the bone at A

Or

2)     Tenderness on the bone at B

Or

3)     You are unable to bear weight immediately for at least 4 steps

 

A foot x-ray is only required if:

There is pain in the midfoot zone highlighted areas and any of the following:

1)     Tenderness on the bone at C

Or

2)     Tenderness on the bone at D

Or

3)     You are unable to bear weight immediately for at least 4 steps

 

Ankle and Foot x-rays - Ryan 

Also, if you notice any deformity of the ankle or foot; a significant difference between the bony alignment of one ankle or foot compared to the other, x-rays should be taken immediately.

If the above rules do not apply to you but you are still having significant pain, swelling, weakness, or a sensation that the ankle or foot is giving away, physical therapy may be for you.  A physical therapist can perform a thorough physical evaluation and in most cases determine the most appropriate course to manage your symptoms and get you back to feeling 100%.  In Minnesota, physical therapy can be accessed without a physician’s referral unless your insurance requires it.  Feel free to make an appointment with me if you’d like some additional help.

– Ryan

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Ryan Tully

Ryan Tully

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