The last 2 years I've been getting this pain in my right, big toe joint. It makes a cracking sound all the time when I walk. It feels stiff all the time. Range of motion is not normal. The problem intensifies into discomfort/pain/stiffness as walking continues(I'm really into hiking, so I'm talking about 4+ hour walking/hiking).
I recently saw a sports medicine podiatrist, Dr. Braver in Englewood NJ. He told me I should get the cyst drilled. Below is the report from my MRI.
I want to get healthy. What should I know?
I'm male, 25 years old.
Thanks!
MRI of the right foot.
History: Right forefoot pain.
Technique: Multiplanar sequences of the foot were acquired distal to the navicular bone.
Result: There is a small joint effusion of the first metatarsal phalangeal articulation and foot in the hallux S1 articulation. There is chondral thinning of the articular surfaces of the base of the proximal phalanx and first metatarsal head with joint narrowing. There are marginal osteophytes. There is subchondral edema with early cystic change in the central articular surface of the first metatarsal head. There is subchondral edema and early cystic change along the plantar and medial aspect of the first metatarsal head. The medial and lateral sesamoids are intact. The capsular ligaments are intact. The flexor hallucis longus and extensor hallucis longus tendons are intact.
There is a small joint effusion of the interphalangeal articulation of the first ray. The joint is maintained.
There is increased T2 signal of the marrow of the terminal phalanx of the great tow. This is associated with increased signal intensity of the splenic soft tissues on inversion recovery sequences. However, there is no evidence of marrow edema signal on the T1-weighted sequences and this finding is most likely due to the incomplete fat saturation of the soft tissues and bone. Similar findings are present within the distal phalanges of the second and third digits.
The metatarsal phalangeal and interphalangeal articulations otherwise are intact. There are degenerative changes at the MTP articulations with mild varus angulation at the fifth MTP articulation. There are no inflammatory changes appreciated. The flexor and extensor tendons are intact.
The visualized peroneal tendons are intact.
Tarsometatarsal line is maintained. The Lisfranc ligament is intact.
I recently saw a sports medicine podiatrist, Dr. Braver in Englewood NJ. He told me I should get the cyst drilled. Below is the report from my MRI.
I want to get healthy. What should I know?
I'm male, 25 years old.
Thanks!
MRI of the right foot.
History: Right forefoot pain.
Technique: Multiplanar sequences of the foot were acquired distal to the navicular bone.
Result: There is a small joint effusion of the first metatarsal phalangeal articulation and foot in the hallux S1 articulation. There is chondral thinning of the articular surfaces of the base of the proximal phalanx and first metatarsal head with joint narrowing. There are marginal osteophytes. There is subchondral edema with early cystic change in the central articular surface of the first metatarsal head. There is subchondral edema and early cystic change along the plantar and medial aspect of the first metatarsal head. The medial and lateral sesamoids are intact. The capsular ligaments are intact. The flexor hallucis longus and extensor hallucis longus tendons are intact.
There is a small joint effusion of the interphalangeal articulation of the first ray. The joint is maintained.
There is increased T2 signal of the marrow of the terminal phalanx of the great tow. This is associated with increased signal intensity of the splenic soft tissues on inversion recovery sequences. However, there is no evidence of marrow edema signal on the T1-weighted sequences and this finding is most likely due to the incomplete fat saturation of the soft tissues and bone. Similar findings are present within the distal phalanges of the second and third digits.
The metatarsal phalangeal and interphalangeal articulations otherwise are intact. There are degenerative changes at the MTP articulations with mild varus angulation at the fifth MTP articulation. There are no inflammatory changes appreciated. The flexor and extensor tendons are intact.
The visualized peroneal tendons are intact.
Tarsometatarsal line is maintained. The Lisfranc ligament is intact.