Question 1

is it possible to have a soleus injury that a mri or us just won't detect for some odd reason? if that is the case, what might be the next step?

Accepted Answer

Soleus pain: Muscle pain in the lower extremity may not be due to a problem within the muscle itself. In some instances the physician needs to assess that the problem may be extending from a nerve root that innervates the soleus muscle.
EMG and NCV studies can help rule out these problems.
A neurologist can evaluate and request these studies.
Good luck.

Question 2

is there a time where ultrasound might be better to diagnose an injury of the achilles or soleus rather than mri?

Accepted Answer

In an emergency: Ultrasound (US) is more portable &amp; takes less time to obtain than an MRI. For a big Achilles tear or gastroc (soleus) tendon strain, an US can often get u the diagnosis in the ED (if ED physician is trained). For more subtle strains or tears, an MRI is better but takes about 1-2 hours to perform, &amp; u need to be scheduled. US is (debatedly) used to heal strains as well, so may have addl benefit. GL

Question 3

is there achilles, soleus, gastrocnemius, tendon injuries/degeneration that are hard to see on mri? hardness alongside achilles but mri is normal

Accepted Answer

Mri may not show it: MRi primarily identifies soft tissue problems, muscle, tendon, fascia, etc. Calcifications are more difficult to identify. Plain radiographs and CT show calcifications to better advantage.Your physician who referred you for these studies should explain your options if this calcification is symptomatic. Calcifications in achilles tendon are often related to spur.

Question 4

why would severe tenderness (like 10 on 1-10 pain scale) due to injury of the soleus muscle not show up on the mri?

Accepted Answer

Tenderness: An MRI would show a tear. It is unclear if you have that. Need to speak to the doctor who ordered the test.

Question 5

differences in anatomy: is it possible to have a tri or bi-partite soleus muscle? (so that ankle can withstand > range of lateral motion w/o injury?

Accepted Answer

Huh?: Yes it's possible to have a deformity of the soleus muscle, but it that muscle doesn't address lateral range of motion.  Ankle ligaments are what helps to withstand increased range of motion and the peroneal muscles also help withstand greater accidental range of motion laterally.  The soleus muscle is in the back of the leg, so the whether it has 2 or 3 corresponding parts has no affect laterally.

Question 6

are there calf/soleus/achilles injuries that cannot be picked up on mri/ct without contrast?

Accepted Answer

ExertionCompart synd: Exertional compartment syndrome may not be identified by CT/MRI. This is evaluated by compartment testing with activity.

Question 7

can an mri reveal scar tissue deep in the calf caused by overuse injury of the soleus/tibialis posterior?

Accepted Answer

Yes: One should be able to see scar tissue if it is present. Though, I am not sure an overuse injury would cause scar tissue.

Question 8

what is the rehab like following facial injuries?

Accepted Answer

Depends: As usual, it depends on the injury.  If we're talking about just contusion without fracture, then just time, perhaps warm compresses to help resolve bruising, and pain relievers.  If there are fractures, typically it's just time and stabilization.  Fractures involving the mandible and maxilla, or dental fractures require a lot more care and rehabilitation.

Question 9

what are the ways to rehab from a fingertip injury?

Accepted Answer

Fingertip injury: A good physical therapist with an interest in hand rehabilitation therapy would be a good approach.  Call a local pt or ask the pts at your local hospital.

Question 10

would taking up pilates be a good way to rehab from an injury?

Accepted Answer

Depends on injury: It depends on the injury. Pilates is especially helpful to regain core strength and stability after a back/spine injury once cleared by your doctor. It can also help with recruitment of previously injured atrophied muscles, nerves, and help with balance. Best to see a primary cares sports med, pmnr or ortho doc to see if it's appropriate for you.

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Doctor answers about:

Rehab for a soleus injury

A member asked:

Is it possible to have a soleus injury that a mri or us just won't detect for some odd reason? if that is the case, what might be the next step?

A member asked:

Is there a time where ultrasound might be better to diagnose an injury of the achilles or soleus rather than mri?

A member asked:

Is there achilles, soleus, gastrocnemius, tendon injuries/degeneration that are hard to see on mri? hardness alongside achilles but mri is normal

A member asked:

Why would severe tenderness (like 10 on 1-10 pain scale) due to injury of the soleus muscle not show up on the mri?

A member asked:

Differences in anatomy: is it possible to have a tri or bi-partite soleus muscle? (so that ankle can withstand > range of lateral motion w/o injury?

A member asked:

Are there calf/soleus/achilles injuries that cannot be picked up on mri/ct without contrast?

A member asked:

Can an mri reveal scar tissue deep in the calf caused by overuse injury of the soleus/tibialis posterior?

A member asked:

What is the rehab like following facial injuries?

A member asked:

What are the ways to rehab from a fingertip injury?

A member asked:

Would taking up pilates be a good way to rehab from an injury?

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