OA ankle / sub-talar / triple joints

Imaging - Please include an up to date X ray with weight bearing views report within or attached to the referral.  This includes for soft tissue injuries to exclude underlying pathology.  .

Referrals without up to date reports included and Xrays that are not weight bearing will be returned, unless there are mitigating circumstances why this is not possible

Referrals for USS guided steroid injections to RCHT Clinical Imaging have restarted.  Please note there is limited capacity so referrals should be reserved for patients with significant disabling and persistent symptoms.  Please click here for full details

Covid-19 Update: Corticosteroid Injections During The Coronavirus Pandemic  

Please ensure and document that a discussion has happened that the patient is aware corticosteroid injections pose a possible and quantifiably unknown increased risk of, and complications from, Covid and the possible risk of reduced Covid vaccine efficacy prior to performing.  Secondary care referrals for steroid injection, including image guided injections, require the patient to be counselled and risk assessed prior to referral and this documented in the referral.  Please see guidance available here for detailed information. 

The majority of hindfoot arthritis is post traumatic following fractures or severe sprains.  Rheumatoid arthritis, other inflammatory arthropathies, haemochromatosis, bleeding disorders and neurological disease causing deformity are additional causes.

Conservative measures:

• Weight loss
• Activity modification
• Walking sticks
• Bracing/splints
• Physiotherapy
• Podiatry- orthotics and footwear adjustments

 

REFERENCES:

https://www.boa.ac.uk/wp-content/uploads/2016/11/Hindfoot-commissioning-path.pdf

 

Date reviewed                     8/2/2022

Next review due                  8/2/2023

Sifter name                          Dr Rebecca Hopkins

 

Consultant name + any other contributors           Dr Natalie Dawes

 

 

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