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How Do Doctors Diagnose Ankle Tendinopathy?
Published: Jan 27, 2024
Diagnosing ankle tendinopathy requires more than just a quick look. Doctors use a combination of methods to accurately identify this tricky condition.
The Physical Exam
Your doctor will start by asking about your symptoms and examining your ankle. They'll look for swelling, tenderness along the affected tendon, and assess your range of motion. They may ask you to perform specific movements to see which ones cause pain. This hands-on approach can often point towards tendinopathy.
Ultrasound Imaging
Ultrasound is a key tool in diagnosing ankle tendinopathy. It allows doctors to visualize the tendons in real-time and look for signs of damage. Typical findings include tendon thickening, areas of abnormal texture within the tendon, and increased blood flow. Ultrasound can also help rule out other conditions like tendon tears.
Other Imaging Tests
While ultrasound is often sufficient, sometimes additional imaging is needed. X-rays can help rule out fractures or arthritis. MRI might be used in complex cases or when surgery is being considered. It provides detailed images of both the tendons and surrounding structures.
Putting It All Together
Diagnosing ankle tendinopathy isn't just about one test. Your doctor will consider your symptoms, physical exam findings, and imaging results together. They'll also rule out other conditions that can mimic tendinopathy, like sprains or nerve problems. This comprehensive approach ensures an accurate diagnosis.
Frequently Asked Questions
No, tendinopathy is typically diagnosed without a biopsy.
Ultrasound is highly accurate when performed by an experienced clinician.
Blood tests aren't typically used but may rule out inflammatory conditions.
Yes, it can be confused with other conditions, which is why proper evaluation is crucial.
Many primary care doctors can diagnose it, but complex cases may need a specialist.
Knowledge is Power
Understanding how ankle tendinopathy is diagnosed can help you better navigate your care and ensure you get the right treatment.
References
- Khoury V, Guillin R, Dhanju J, Cardinal E. Ultrasound of ankle and foot: overuse and sports injuries. Semin Musculoskelet Radiol 2007; 11:149.
- Rockett MS, Waitches G, Sudakoff G, Brage M. Use of ultrasonography versus magnetic resonance imaging for tendon abnormalities around the ankle. Foot Ankle Int 1998; 19:604.
- Kong A, Van Der Vliet A. Imaging of tibialis posterior dysfunction. Br J Radiol 2008; 81:826.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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