Bone marrow oedema diagnosed 4 months ago in the shaft of 2nd metatarsal and cuneiform bones of my left foot after sudden onset of foot pain while walking. I have bilateral OA of 2nd TMT joints - worse on the right, relatively minor on the left. Worn an Aircast boot allowing protected walking. MRI repeated 2 weeks ago showing slight reduction in the bone marrow oedema only. Advised to walk short distances without boot - pain now worsened. NSAIDs not taken. Where do I go from here?
×
4 Reasons Why Ask DoctorBase™ is the Most Efficient Way to SEO and Establish Your Brand Online
- Ask DoctorBase™ is a free service for patients on the DoctorBase platform - currently servicing over 6 million American patients of record.
- All answers submitted by healthcare professionals (you) are for entertainment purposes only and do not constitute doctor-patient relationships. All patients must agree to this before using Ask DoctorBase™.
- Our software and our Marketing Engineering staff review each answer and optimize your answers for keywords valuable to your specialty. It is a well kept secret that doctors (you) - not SEO consultants - are the ones who have the most valuable content prized by search engines. Ask DoctorBase™ "unlocks and optimizes" your content in the most efficient manner possible with today's technology.
- Finally, the doctor who provides the most popular answer - "the Featured Answer," gets an added benefit by allowing patients to write rave reviews about your expertise - reviews that are submitted to both Google and Google Local through our Preferred Data Provider relationship.
Ask Dr. Molly if you have questions or want a personal session on how to best use Ask DoctorBase™ for maximum marketing impact.
Bone marrow oedema
Find low drug prices at local & online pharmacies
Featured Answer
1 UpVoted this answer
The fact that you already have a diagnosis of osteoarthritis in the joint where you have the bone marrow edema may correlate with the findings of the MRI. It is still possible to have a stress fracture in this area and typically your physician reading the MRI can differentiate the difference between an acute osteoarthritic Flare vs a stress response in the bone. It seems as if the time spent in your boot was possibly too short and it may make sense to wean out of the boot a little slower in order to allow the inflammation more time to reduce in and around the involved joints. If it is in fact an arthritic flare, you may respond well to a short term Course of anti-inflammatory medication at the lowest possible dose. If indeed it is a stress response in the bone, you may respond better to continued rest and immobilization and it may make sense to have a vitamin D level drawn to determine if the stress response is related to deficiency in your bones ability to heal. Wish you well.
1 UpVoted this answer
The probable diagnosis is an unhealed stress fracture at the second metatarsal. An exogen bone stimulator used half an hour per day may promote healing. NSAIDs actually inhibit fracture healing.
I would keep an open line of communication between you and your orthopedist and/or podiatrist. Edema is a sign of inflammation. Inflammation is part of healing, but sometimes anti-inflammatories such as NSAIDs or Tylenol may help to moderate the effects of inflammation. However, these medications are contraindicated in some patients and certain health conditions.
I hope this helps!!
I hope this helps!!
Not my area of expertise
Advise consultation with Medical Oncologist and/or Orthopedist both of which should be board certified
Anxious how you do.
Advise consultation with Medical Oncologist and/or Orthopedist both of which should be board certified
Anxious how you do.
- 1
- 2