We offer diagnostic services such as gait analysis and radiology.Appointment
Tools used for foot and ankle diagnostics
Diagnosis of the foot and ankle: tools used
Digital radiography system
Our offices are equipped with a digital radiography system. Digital radiography has several advantages over standard radiography, including the ability to manipulate images, which allows for better identification of problems. Our podiatrist doctor can enlarge the affected areas to locate problems.
We also have the equipment to perform ultrasound examinations. They allow us to visualize soft tissues much more efficiently than X-rays.
We usually use ultrasound to measure the thickness of the plantar fascia and then determine the best treatment to apply for heel pain. We can also use it to detect neuromas and foreign bodies.
MRI (magnetic resonance imaging)
MRI allows you to see soft tissue and bone in three dimensions. MRI is often the first choice for visualizing foot and ankle structures, so we often send patients for an MRI exam. MRI is often used to assess tendon and ligament injuries, diagnose stress fractures and evaluate soft tissue masses. Another advantage of MRI is that it does not expose the patient to radiation.
Like MRI, CT scans can visualize ankles and feet in three dimensions. However, a CT scan provides a better view of the bones; x-rays are taken so that the bones can be examined. CT scans are less expensive and faster than MRI (5 minutes instead of 30 minutes).
A bone scan is the most effective test to determine if there is a problem with a bone or joint in your foot. To perform the scan, we will refer you to a nuclear medicine radiologist who will inject a dye. After a few hours, you will return to the site to undergo the examination. The stain “clings” to the injured areas of the bone or joint and allows us to confirm or eliminate these problems.
Analysis of the approach
A gait analysis system equipped with 4 cameras allows us to evaluate your gait in slow motion. We use this system when prescribing orthotics so that we can prescribe you the best possible orthosis according to your needs.
Fungal nail infections
Before treating a thickened nail for fungus, we want to make sure that the thickening of the nail is indeed caused by a fungus. In fact, more than 30% of patients who come to us with a fungal nail infection do not have a fungal infection! To determine if you have one, we will take a sample of your nail, which we will then send for a PAS (Periodic Acid Schiff) stain. This is the best test to check for the presence of fungal infection on the nails.
If you present with a problem related to nerve compression or injury, you may be asked to take a nerve conduction test. If this is the case, a neurologist will evaluate the nerves in your lower limbs from the back to see if they are affected by damage or disease.
It is possible that we may ask you for a blood test for several reasons, including tests for infections, inflammation (gout). As well as your vitamin D level to ensure that you have enough to allow normal bone healing.