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Doctor insights on: Dorsal Venous Arch

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Swelling back leg isolated below gastrocnemius to ankle. MRI, arteriovenous US normal.Tightness both sides of leg near ankle w/ dorsiflex. Tendonitis?

Swelling back leg isolated below gastrocnemius to ankle. MRI, arteriovenous US normal.Tightness both sides of leg near ankle w/ dorsiflex. Tendonitis?

MRI of what?: This is tendonitis the MRI should have picked it up. If it was a Baker's cyst the US should have picked it up. What else did these examinations show? You need to discuss with your physician the results of the tests and what was and what was not imaged. ...Read more

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Flexible high arch runner. Stability shoes caused arch to collapse, feet to evert, numbness 1st web space, and anterior hip rotation. Reversable?

Flexible high arch runner. Stability shoes caused arch to collapse, feet to evert, numbness 1st web space, and anterior hip rotation. Reversable?

Arches don't : Generally collapse save for a charcot foot deformity or posterior tibial tendon rupture. I would recommed an in office consult with a foot doctor for an exam. ...Read more

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Bony structure under medial malleolus bilaterally, no pain w/ compression, tibial nerve is palpable, mild flat foot.Could it be misaligned calcaneus?

Bony structure under medial malleolus bilaterally, no pain w/ compression, tibial nerve is palpable, mild flat foot.Could it be misaligned calcaneus?

Misaligned talus: Is usually what happens with what you are describing. This happens in a pronatory foot. Orthotics are good conservative treatment. An implant between the talus and calcaneus is a surgical option. ...Read more

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Are the medial/lateral tarsal, dorsal metatarsal, anterial tibial and arcuate, the only arteries on the front of the leg and foot?

Are the medial/lateral tarsal, dorsal metatarsal, anterial tibial and arcuate, the only arteries on the front of the leg and foot?

VASCULATURE: Sounds like a question for school. Anyway, here goes: ant. tibial, dorsalis pedis, perforating peroneal, ant. lat. malleolar, ant. med. malleolar, lateral tarsal, arcuate, 1st prox. perforating, dorsal metatarsal, dorsal digital, medial tarsal. Hope that's all. Sincerely, Dr. Latva ...Read more

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Calf tightness w/ swelling Achilles (and paratendon) + distended unilateral tributary over achilles. Compartment syndrome? Venous? No known injury.

Calf tightness w/ swelling Achilles (and paratendon) + distended unilateral tributary over achilles. Compartment syndrome?  Venous? No known injury.

DVT: Could be many things, but you need to have an ultrasound of your leg to rule out deep vein thrombosis. These can break off and go to the lungs and be life threatening. ...Read more

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After doppler scan result varicose veins both lower limbs greater saphenous system due to incompetence of perforators of bilateral knee no thrombosis

After doppler scan result  varicose veins both lower limbs greater saphenous system due to incompetence of perforators of bilateral knee no thrombosis

Venous insufficiency: There is not enough information for me to comment. You need to know the size of the vein and the symptoms as well as the duration of reflux to help guide medical versus surgical therapy. ...Read more

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Unilateral lower leg swelling. Wear compression socks and elevate feet for saphenous reflux, leg remains same size. Might swelling not be vascular?

Unilateral lower leg swelling. Wear compression socks and elevate feet for saphenous reflux, leg remains same size. Might swelling not be vascular?

No: you have venous stasis. Any other swelling can be like abscess formation, muscle herniation. Fracture, and if you have the above trust me you will know it right away. My advice if you have good arterial flow get 30-40mmHg compression sock and use them. Cut salt from diet and elevate feet when at rest ...Read more

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Have gastrocnemius contracture(Silfverskiold test) causing equinus, from deep posterior CS(Stryker test). Fasciotomy or recession of gastroc to treat?

Have gastrocnemius contracture(Silfverskiold test) causing equinus, from deep posterior CS(Stryker test). Fasciotomy or recession of gastroc to treat?

BE CAREFUL: At first glance, the doctor may thing a 'simple' lengthening will help. But, being s/p compartment syndrome, there is scarring; extensive releases in the leg may be needed. See an orthopedist trained in foot/ankle. ...Read more

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In derotational osteotomy tibia, which muscle compartments usually get fasciotomy? Have CS in anterior & deep compartments of leg and medal of foot.

In derotational osteotomy tibia, which muscle compartments usually get fasciotomy? Have CS in anterior & deep compartments of leg and medal of foot.

Derotational or high: 4 DJD?derotational R usually done in kids with severe deformity, & no compartments released. If it was high & derotational or 4 DJD, compartments R not routinely released. CS is a complication that must B watched 4 & addressed if develops post op. I have not had this as a complication but it's always in Ur mind post op, then all 4 should B released. Some use cont pressure monitoring & do the high ...Read more

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Can a foot arch fracture aggrivate plantar facsi?

Can a foot arch fracture aggrivate plantar facsi?

Absolutely: The plantar fascia ligament plays an important part of the foot arch structure as do the bones. If you fracture a bone considered part of the arch then it could place more stress on the plantar fascia ligament for support. See a podiatrist for evaluation and treatment if you have this issue. ...Read more

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enhanced posterior clivus likely venous plexus.

 enhanced posterior clivus likely venous plexus.

Probably normal: Limited information here, am assuming this is a MRI finding. Venous plexus in this location is normal. If this is simply an incidental finding, probably no follow up necessary, or possibly an additional study or follow up MRI in a short time if there is some uncertainty. As always, speak with your clinician regarding appropriate course of action. ...Read more

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Peroneal tendons subluxing. Extensor retinaculum repair just failed. Cavus foot from CS. Can both retinacula (2) & cavus be fixed at once? Techniques?

Peroneal tendons subluxing. Extensor retinaculum repair just failed. Cavus foot from CS. Can both retinacula (2) & cavus be fixed at once? Techniques?

Yes: the cavus is the bone position typically as in your condition at the heel. A bone cut can be made to align the heel. The retinacular repair can be done at the same time. ...Read more

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Can peroneal tendon subluxation cause swelling around the posterior calf by the achilles?

Can peroneal tendon subluxation cause swelling around the posterior calf by the achilles?

If it causes: You to walk differently there may be some effect....but that high up and in the back should not... ...Read more

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Toes bend backwards and the arch of the foot twists, ankle becomes rigid and swells at line of ligament, can't walk. Restless leg syndrome?

Toes bend backwards and the arch of the foot twists, ankle becomes rigid and swells at line of ligament, can't walk.  Restless leg syndrome?

Doubt it: This sounds more like carpo-pedal spasm, or more simply "charley horses." the muscles of the ankle and wrist are prone to these problems, which can come on spontaneously for no reason, or can be associated with excessive muscle activity in exercise without adequate stretching, as well as too low a level of either potassium, calcium or magnesium in the blood. If it is recurrent, see your doctor. ...Read more

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Can popliteal artery entrapment syndrome cause swelling around the ankle region with a palpable bulge along the lateral aspect of the achilles tendon?

Can popliteal artery entrapment syndrome cause swelling around the ankle region with a palpable bulge along the lateral aspect of the achilles tendon?

Varies: It varies somewhat on what structures are involved. Compressuon of the popliteal artery alone would usually cause primarily arterial inflow issues, but if the venous structures are involved, then venous outflow problems can cause swelling in the leg and foot. It is probably a lot more common, though, that you also have a condition in your foot/ ankle that is contributing. Be seen if concerned. ...Read more