When does an ankle sprain require an X-ray. How can parents determine if their child needs immediate medical attention for an ankle injury. What are the Ottawa ankle rules and how do they guide healthcare decisions. How can ankle injuries be effectively managed at home.

Understanding Ankle Injuries: Types and Severity

Ankle injuries are common, especially among active individuals and athletes. These injuries can range from minor sprains to severe fractures, affecting bones, ligaments, or both. Understanding the nature of ankle injuries is crucial for proper diagnosis and treatment.

Common Types of Ankle Injuries

• Sprains: Stretching or tearing of ligaments
• Fractures: Breaks in one or more bones
• Strains: Damage to muscles or tendons
• Dislocations: Bones moving out of their normal position

Can you identify the difference between a sprain and a fracture? While both can cause pain and swelling, fractures typically involve more severe pain, visible deformity, and inability to bear weight. However, definitive diagnosis often requires imaging.

The Ottawa Ankle Rules: A Guide for X-Ray Decisions

The Ottawa ankle rules are a set of guidelines developed to help healthcare providers determine when X-rays are necessary for ankle injuries. These rules have been proven to reduce unnecessary radiation exposure and healthcare costs while maintaining high sensitivity for clinically significant fractures.

Key Criteria for X-Ray Consideration

1. Tenderness over the posterior edge or tip of either malleolus
2. Inability to bear weight for four steps immediately after injury
3. Tenderness along the base of the fifth metatarsal or navicular bone

Do you know how to apply the Ottawa ankle rules? If any of these criteria are met, an X-ray is recommended to rule out a fracture. However, it’s important to note that these rules are guidelines and not absolute.

When to Seek Immediate Medical Attention

While many ankle injuries can be managed at home initially, certain symptoms warrant prompt medical evaluation. Recognizing these signs can help prevent complications and ensure appropriate treatment.

Red Flags for Urgent Care

• Severe pain unrelieved by over-the-counter medications
• Numbness or tingling in the foot or toes
• Visible deformity of the ankle
• Inability to move the ankle or toes
• Signs of infection (redness, warmth, fever)

How quickly should you seek medical attention for these symptoms? If any of these red flags are present, it’s advisable to seek medical care within 24 hours or sooner if the symptoms are severe or worsening.

X-Ray Imaging: What It Reveals About Ankle Injuries

X-rays are a valuable diagnostic tool for assessing ankle injuries. They provide detailed images of bone structures, allowing healthcare providers to identify fractures, dislocations, and other bony abnormalities.

Standard X-Ray Views for Ankle Injuries

• Anterior-Posterior (AP) view
• Lateral view
• Mortise view (a specialized AP view)

What can X-rays miss in ankle injuries? While X-rays excel at showing bone injuries, they do not directly visualize soft tissues such as ligaments, tendons, and cartilage. For this reason, additional imaging modalities like MRI or ultrasound may be necessary for comprehensive evaluation of some ankle injuries.

Home Care for Ankle Injuries: The RICE Protocol

For minor ankle injuries or while awaiting medical evaluation, the RICE protocol can help manage symptoms and promote healing. This approach is particularly useful in the first 48-72 hours after injury.

Components of RICE

1. Rest: Avoid putting weight on the injured ankle
2. Ice: Apply cold packs for 15-20 minutes at a time, several times a day
3. Compression: Use an elastic bandage to reduce swelling
4. Elevation: Keep the ankle above heart level when possible

Is RICE always sufficient for ankle injuries? While RICE is effective for many minor injuries, it should not replace professional medical advice, especially if symptoms persist or worsen after a few days.

Rehabilitation and Recovery: Returning to Activity

Proper rehabilitation is crucial for full recovery from ankle injuries and prevention of future problems. The rehabilitation process typically involves a combination of exercises to restore strength, flexibility, and balance.

Key Components of Ankle Rehabilitation

• Range of motion exercises
• Strengthening exercises
• Proprioception and balance training
• Gradual return to sport-specific activities

How long does it take to recover from an ankle injury? Recovery time varies depending on the severity of the injury and individual factors. Minor sprains may heal in a few weeks, while more severe injuries can take several months for full recovery.

Preventing Future Ankle Injuries: Strategies for Athletes

Prevention is key when it comes to ankle injuries, especially for athletes and active individuals. Implementing proper training techniques and using appropriate equipment can significantly reduce the risk of injury.

Effective Prevention Strategies

1. Proper warm-up and cool-down routines
2. Strengthening exercises for ankle and lower leg muscles
3. Balance and proprioception training
4. Wearing appropriate footwear for specific activities
5. Use of ankle braces or taping for high-risk activities

Can ankle injuries be completely prevented? While no prevention strategy is 100% effective, consistent implementation of these measures can significantly reduce the risk and severity of ankle injuries.

Advanced Imaging Techniques for Complex Ankle Injuries

In some cases, X-rays may not provide sufficient information for accurate diagnosis and treatment planning. Advanced imaging modalities can offer more detailed views of both bony and soft tissue structures.

Common Advanced Imaging Options

• Magnetic Resonance Imaging (MRI): Detailed soft tissue visualization
• Computed Tomography (CT): 3D bone imaging
• Ultrasound: Real-time imaging of tendons and ligaments

When are advanced imaging techniques necessary? Advanced imaging may be recommended if X-rays are inconclusive, if there’s suspicion of complex soft tissue injury, or if surgical intervention is being considered.

Surgical Interventions for Severe Ankle Injuries

While many ankle injuries can be managed conservatively, some severe cases may require surgical intervention. Understanding the indications for surgery and potential procedures can help patients make informed decisions about their care.

Common Surgical Procedures for Ankle Injuries

1. Fracture fixation (internal or external)
2. Ligament reconstruction or repair
3. Arthroscopy for cartilage injuries
4. Tendon repair or transfer

How is the decision made for surgical intervention? The decision for surgery is based on factors such as the severity of the injury, the patient’s overall health and activity level, and the potential for long-term complications without surgical correction.

Long-Term Consequences of Untreated Ankle Injuries

Proper diagnosis and treatment of ankle injuries are crucial not only for immediate recovery but also for preventing long-term complications. Untreated or improperly managed ankle injuries can lead to chronic issues that affect quality of life and future athletic performance.

Potential Long-Term Complications

• Chronic ankle instability
• Recurrent sprains or injuries
• Post-traumatic arthritis
• Decreased range of motion
• Persistent pain and swelling

How can these long-term complications be prevented? Early and appropriate treatment, complete rehabilitation, and ongoing preventive measures are key to avoiding long-term consequences of ankle injuries.

Special Considerations for Pediatric Ankle Injuries

Ankle injuries in children and adolescents require special consideration due to the presence of growth plates and the potential for growth disturbances. Understanding these unique aspects is crucial for proper management and prevention of long-term complications.

Key Factors in Pediatric Ankle Injuries

1. Growth plate (physeal) fractures
2. Ligamentous laxity in younger children
3. Potential for growth disturbances
4. Need for age-appropriate rehabilitation

Why are growth plate injuries a concern in pediatric ankle injuries? Growth plate injuries can lead to abnormal bone growth, potentially causing leg length discrepancies or angular deformities if not properly managed.

The Role of Physical Therapy in Ankle Injury Recovery

Physical therapy plays a crucial role in the recovery process for ankle injuries, helping patients regain strength, flexibility, and function. A well-designed physical therapy program can significantly improve outcomes and reduce the risk of re-injury.

Key Components of Physical Therapy for Ankle Injuries

• Manual therapy techniques
• Progressive strengthening exercises
• Balance and proprioception training
• Gait training and functional exercises
• Patient education on injury prevention

How long should physical therapy continue after an ankle injury? The duration of physical therapy varies depending on the severity of the injury and individual progress, but typically ranges from a few weeks to several months for complete rehabilitation.

Emerging Technologies in Ankle Injury Diagnosis and Treatment

Advancements in medical technology are continually improving our ability to diagnose and treat ankle injuries. From innovative imaging techniques to cutting-edge treatment modalities, these technologies offer new possibilities for enhanced patient care.

Innovative Approaches in Ankle Injury Management

1. High-resolution ultrasound for soft tissue evaluation
2. Weight-bearing CT scans for more accurate assessment
3. Bioengineered tissues for ligament repair
4. Virtual reality in rehabilitation
5. 3D-printed custom orthotics and braces

How are these emerging technologies changing the landscape of ankle injury management? These innovations are enabling more precise diagnoses, personalized treatment plans, and potentially faster recovery times for patients with ankle injuries.

Understanding the complexities of ankle injuries, from initial diagnosis to long-term management, is crucial for healthcare providers and patients alike. By following evidence-based guidelines like the Ottawa ankle rules, utilizing appropriate imaging techniques, and implementing comprehensive rehabilitation programs, we can optimize outcomes for individuals with ankle injuries. As research continues and new technologies emerge, our ability to effectively diagnose, treat, and prevent ankle injuries will only improve, leading to better quality of life for those affected by these common yet potentially debilitating injuries.

Ankle Sprain: When to Get X-rays | Sports Medicine

By: Tim James, PT, DPT, ATC, CHKD Sports Medicine

If you have a competitive teenager involved in multiple sports, they’ve probably experienced some sort of ankle injury at one point. Like many parents, you may have wondered: “Should we go to urgent care or the emergency room? Do we need to get X-rays, or should we wait it out?”

Thankfully, there is a well-established list of criteria, the Ottawa ankle rules, to help providers determine whether your child needs an X-ray. You can use this list to help guide your decision-making:

It’s time to get an X-ray if your child has any of the following symptoms:

• Tenderness over the bony prominence on either side of the ankle, particularly if it’s in the back.
• Inability to bear any weight for four steps (limping counts as weight-bearing).
• Tenderness over the outer or inner edge of the foot (where the foot is widest).

Excessive swelling or bruising is a common occurrence after an ankle sprain, but this alone does not warrant an X-ray or immediate medical attention. Numbness, tingling, severe pain, or any other concerning complaint requires more immediate evaluation. Otherwise, it’s likely okay to wait a couple days to schedule an appointment with your healthcare provider or a CHKD sports medicine physician. In the meantime, you can address the pain by icing and elevating the ankle.

Finally, it’s important to play it safe. As a parent, you can always use your own judgment as to when it’s time to be seen by a medical professional. If something is making you nervous, you should go get it checked out. A CHKD urgent care center or our emergency department can help if the injury happens outside normal business hours.

Appointments with our CHKD sports medicine physicians are available during normal business hours, Monday through Friday. Schedule an appointment by calling (757) 668-PLAY.

About CHKD Sports Medicine

CHKD’s sports medicine program offers the most comprehensive care for your young athlete. From diagnosis and treatment to customized rehabilitation plans, we specialize in physical therapy and injury prevention programs for active children and teens. Our team is composed of pediatric orthopedic surgeons, sports medicine specialists, physician assistants, certified athletic trainers and pediatric sports medicine physical therapists.

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Trauma X-ray – Lower limb

Key points

• Ankle injury may involve bones or ligaments – or a combination of the two
• The talar dome surface should be carefully viewed following ankle trauma

Three bones form the ankle joint – tibia, fibula and talus. Ankle fractures are usually bony injuries involving the distal tibia (medial malleolus) or distal fibula (lateral malleolus). Occasionally the articular surface of the talus can be injured.

Standard views

Anterior-Posterior (AP) and Lateral. The AP or ‘mortise’ view is not a true Anterior-Posterior projection but rather at an angle to optimise visualisation of the ankle joint without being overlapped by the fibula.

Ankle anatomy – Normal AP ‘mortise’

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Ankle anatomy – Normal AP ‘mortise’

• The weight-bearing portion is formed by the tibial plafond and the talar dome
• The joint extends into the ‘lateral gutter’ (1) and the ‘medial gutter’ (2)
• The joint is evenly spaced throughout

Ankle anatomy – Normal Lateral

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Ankle anatomy – Normal Lateral

• Carefully following the bone contour of the tibia and fibula shows the inferior edge of the medial and lateral malleoli

Ankle ligament anatomy

Ankle injuries may involve bones or ligaments in isolation, or a combination of bones and ligaments. X-rays directly visualise bone injury, but understanding of the anatomical position of ligaments is required to appreciate the presence of ligament injuries which are not directly visualised.

Ankle bone and ligament anatomy

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Ankle bone and ligament anatomy

• The ankle is stabilised by multiple ligaments not visible with X-ray

Ankle injuries

Fractures of the medial or lateral malleoli can lead to ankle joint instability and loss of normal ankle joint alignment. The posterior edge of the distal tibia is sometimes referred to as the ‘posterior malleolus’.

Ligamentous injury may also lead to instability of the joint, but this is not always appreciated if there is no displacement.

Lateral malleolar fractures are categorised according to their position in relation to the distal tibiofibular syndesmosis at the level of the ankle joint.

Lateral malleolus fracture – AP

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Lateral malleolus fracture – AP

• Soft tissue swelling laterally (asterisks)
• Transverse fracture of fibular tip (Weber A)
• The ankle joint remains aligned normally

Weber fracture classification

• Weber A = Distal to ankle joint (this case)
• Weber B = At level of ankle joint
• Weber C = Proximal to ankle joint

Bimalleolar fractures – AP

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Bimalleolar fractures – AP

• Transverse medial malleolus fracture
• Lateral malleolus fracture – at level of ankle joint (Weber B)
• Joint widened medially due to lateral displacement of the talus

Trimalleolar fracture – AP and Lateral

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Trimalleolar fracture – AP and Lateral

• 1 – Medial malleolus fracture
• 2 – Lateral malleolus fracture – proximal to the ankle and extending up the fibula (Weber C fracture)
• 3 – Posterior malleolus fracture
• The joint is unstable and widened anteriorly (arrowheads) and at the distal tibiofibular syndesmosis (asterisk)
• The talus is displaced posteriorly and laterally along with the medial and lateral malleolus bone fragments

Maisonneuve fractures

A ‘Maisonneuve fracture’ is a fracture of the proximal fibula associated with injury to the medial side of the ankle and disruption of the distal tibiofibular syndesmosis. The medial ankle injury may be either a visible medial malleolus fracture or an invisible injury of the medial ligaments.

An isolated fracture of the medial malleolus, or widening of the ankle joint with no visible fracture seen on ankle X-ray, should raise the suspicion of an associated fracture of the fibula. If this is not visible in the distal fibula then further X-rays of the proximal fibula should be performed. Imaging of the proximal fibula should also be considered in the setting of any severe ankle injury or if the proximal fibula is tender to palpation.

Maisonneuve fracture – Ankle AP

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Maisonneuve fracture – Ankle AP

• (Same case as below)
• 1 – Disruption of the medial ankle joint with small bone avulsion
• 2 – Disruption of the distal tibio-fibular syndesmosis
• No fibular fracture is visible at the ankle raising the suspicion of a proximal fibular fracture

Maisonneuve fracture – AP proximal tibia-fibula

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Maisonneuve fracture – AP proximal tibia-fibula

• (Same case as above)
• Spiral fracture of the proximal fibula

Osteochondral fractures

Occasionally ankle trauma causes a fracture of the talus bone surface. These ‘osteochondral’ injuries are often subtle and so this area should be assessed carefully on all post-traumatic ankle X-rays.

Osteochondral fracture

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Osteochondral fracture

• Loss of the normal talar dome cortex contour due to an osteochondral fracture

Page author:
Dr Graham Lloyd-Jones BA MBBS MRCP FRCR – Consultant Radiologist –
Salisbury NHS Foundation Trust UK
(Read bio)

Last reviewed:
July 2019

Ankle x-ray in Moscow: addresses and prices | Dikul Center

Ankle x-ray is a radiodiagnostic method that is often used in emergency departments and allows you to quickly identify significant morphological changes, especially in bone tissue. Most often, an ankle x-ray is used after an injury and can help diagnose bone fractures in the ankle area. In addition, the method can be useful for identifying other pathological conditions in this area of ​​a degenerative or inflammatory nature. As a rule, an x-ray of the ankle joint is performed in three projections: anteroposterior, oblique and lateral.

What structures does an ankle x-ray show?

The ankle is a synovial joint consisting of the distal tibia and fibula, which articulate with the talus. The distal tibia and fibula articulate with each other at the distal tibial joint, more commonly referred to as the tibiofibular syndesmosis.

Ankle x-rays allow visualization of the distal fibula and tibia, talus, syndesmosis, joint capsule, and ligaments:

• medial: deltoid ligament
• lateral: posterior talofibular, anterior talofibular and calcaneofibular ligaments
• syndesmotic ligament

In addition to the structures of the ankle, x-rays allow, to a certain extent, to assess the stability of the joint.

The ankle is most at risk of injury when it is in pronation or supination. Pronation is relatively limited due to the shape of the medial malleolus and deltoid ligament. This explains the fact that 20% of injuries occur with pronation and 80% with supination.

Indication for procedure

X-ray of the ankle can help find the cause of symptoms such as pain, tenderness, and swelling or deformity of the ankle. The procedure may also reveal dislocations or fractures. Once the bone fragments have been repositioned, x-rays can determine if the bones are in the correct position and if the bone tissue has consolidated properly.

X-rays may be necessary both when planning surgical treatment and monitoring the results of the operation. In addition, x-rays can help detect cysts, tumors, advanced infections, fluid in the joint, and other ankle abnormalities.

Depending on the results of the ankle X-ray, additional examinations such as CT or MRI may be required to provide more detailed information about the condition of the ankle and better treatment options.

What pathologies can be detected by an ankle x-ray?

• Lateral ankle fracture
• Open fracture
• Pilon fracture
• Fracture of the calcaneus
• Fracture of the neck of the talus

Pediatric specific fractures:

• Thiyo fracture: Salter-Harris tibia type III fracture
• Triple fracture: Salter-Harris tibia type IV fracture.
• Osteochondral fracture
• Arthritis
• Bone tumors
• Degenerative diseases
• Osteomyelitis

The procedure can also provide more information about conditions such as:

• Acute gouty arthritis
• Still’s disease
• Kaplan syndrome
• Chondromalacia patella
• Chronic gouty arthritis
• Congenital dislocation of the hip
• Osteoarthritis
• Pseudogout
• Psoriatic arthritis
• Reiter’s syndrome
• Rheumatoid arthritis
• Runner’s knee
• Tuberculous arthritis

Preparation

X-ray of the ankle joint does not require special preparation. The patient may be asked to remove clothing, jewelry, or any metal objects that may create artefacts on x-rays.

Procedure

• Ankle x-ray can take about 15 minutes, although the actual exposure to x-rays does not exceed 1 second.
• The patient can be x-rayed either with a stationary device or with a portable device. Portable devices are often used in emergency departments, intensive care units and operating rooms. Three x-rays are usually taken (anterior, lateral, and oblique). Sometimes doctors need to take an X-ray of the opposite ankle for comparison.
• In some cases, X-ray under load is performed to check the ligaments of the ankle.
• During the procedure, it is necessary to completely exclude movements for a few seconds.
• The patient will not feel anything during the procedure when the X-ray is taken.
• The positions required for X-rays can be awkward but only need to be held for a few seconds.

Getting results

A radiologist, a doctor specially trained in interpreting x-ray images, will examine x-rays of the ankle and give a description of the images to the attending physician.

As a rule, the description of pictures takes no more than 30-40 minutes. In urgent cases, X-ray results can be available within minutes.

Risks

In general, ankle x-rays are safe because the amount of radiation used in ankle x-rays is not considered dangerous. In addition, modern digital X-ray machines significantly reduce radiation exposure to the body.

X-rays are very dangerous for the developing fetus, therefore, pregnancy is a contraindication for any X-ray examination, unless it is an emergency.

Treatment

• Neurology
• Physiotherapy
• Device therapy
• Traumatology and Orthopedics
• Arthrology
• Podiatry
• Rheumatology
• Manual therapy
• Osteopathy
• Reflexology
• Carboxytherapy
• Therapeutic massage
• Dietetics
• Gynecology
• Pediatrics
• ENT (otorhinolaryngology)
• Urology

X-ray of the ankle joint

The ankle joint is one of the most complex parts of the human musculoskeletal system. Anatomically, this articulation consists of vessels, muscles, nerves, tendons, and ligaments. The ankle joint is responsible for the stability of the body, as well as mechanical movements. It is involved in activities such as walking, running, squatting, jumping, etc. This is a plastic and very mobile joint, but at the same time vulnerable to various kinds of injuries and diseases. Inflammation, pain and other ailments most often affect the ankle joint, especially during intensive professional sports, where there is a high risk of injury.

Medical specialists

Kuznetsov Egor Mikhailovich

Radiologist

Kuznetsov Pavel Sergeevich

Radiologist

Kim Anastasia Vitalievna

Radiologist

Janakaev Baimurza Bagautdinovich

X-ray laboratory assistant

Bezdetko Andrey Alexandrovich

X-ray laboratory assistant

Ilyina Svetlana Anatolyevna

X-ray laboratory assistant

Kondratova Maria Yurievna

Radiologist

Oksana Viktorovna Demidova

X-ray laboratory assistant

Dianov Nikolai Viktorovich

X-ray laboratory assistant

Suetova Tatyana Ivanovna

X-ray laboratory assistant

Zhbanov Andrey Yurievich

Currently, the site is working on changing the price list, please check the current information by phone: 640-55-25 or leave a request, the operator will contact you.

Prices for services

• X-ray of the ankle joint in direct posterior projection
  990a

• X-ray of the ankle joint in lateral projection
  990a

• Radiography of the lower leg in direct posterior projection
  990a

• Radiography of the lower leg in the lateral projection
  990a

The information and prices presented on the site are for reference only and are not a public offer.

According to the results of the study, the following is issued:

Our clinics in St. Petersburg

Structural subdivision
Polikarpova
Alley Polikarpova 6k2
Primorsky district

• Pioneer
• Specific

• Komendantskiy

Structural subdivision
Zhukov
Prospekt Marshala Zhukov 28k2
Kirovsky district

• Avtovo
• Veterans Avenue
• Leninsky Prospekt

Structural subdivision
Devyatkino
Okhtinskaya alley 18
Vsevolozhsk district

• Devyatkino
• Civil Avenue
• Academic

You can get detailed information and make an appointment by calling
+7 (812) 640-55-25

Make an appointment

To make or clarify the diagnosis, to see the pathological processes and changes in this case, radiography of the ankle joint helps.

Today, despite the large number of diagnostic methods, radiography still does not lose ground and remains one of the simplest, most accessible, informative methods for diagnosing diseases of the musculoskeletal system, in particular the ankle joint.

An X-ray examination of the ankle joint is not particularly difficult to perform in St. Petersburg. X-ray diagnostic devices are available in almost all medical institutions. But if you want to take a high-quality X-ray – a picture using good and safe equipment, then get a consultation from a highly qualified specialist, do not sit in long lines, come to the Medicenter multidisciplinary medical center. The trauma department of the Medicenter accepts patients with various injuries and diseases on any day of the week. The emergency room of the clinic is equipped with a modern digital X-ray machine Clinomat, which allows you to take X-rays in full.

Dislocations, bruises, fractures of the ankle joint, pain, swelling and other unpleasant symptoms and ailments require careful examination by a specialist and diagnostic examination in the form of radiography.

Indications for radiography of the ankle joint

Most often, radiographic examination of the ankle joint is prescribed in the following cases:

• fractures of the tibia, fissures;
• ankle fractures;
• fractures of the base of the fifth metatarsal;
• fractures of the digital phalanges;
• bruises;
• damage to cartilage, ligaments;
• tendon ruptures;
• dislocations and subluxations;
• flat feet;
• hallux valgus;
• arthritis, arthrosis;
• rheumatoid arthritis;
• osteoporosis;
• osteoarthritis;
• osteomyelitis;
• gout;
• tumor processes;
• necrosis of phalanges of fingers, etc.

Often, pain in the ankle joint can appear several years after the injury and make itself felt in bad weather, with temperature changes and poison a person’s life, hindering movement, causing him to suffer from aching pain, etc.

The above ailments occur as a result of injuries, autoimmune diseases, immune failures, genetic predisposition, hormonal changes, past infectious diseases, overweight and other negative factors.

Contraindications for radiography of the ankle joint

Contraindications for radiography of the ankle joint are standard: pregnancy, critical condition of the patient, the presence of mental illness that interferes with adequate behavior during the x-ray and being motionless for some time, children under 15 years of age any x-ray examination carried out strictly according to the indications in the presence of a referral from the attending physician.

Ankle x-ray preparation

The examination does not require preliminary preparation. Immediately before the examination, it is necessary to remove all metal objects, turn off the phone, carefully follow the instructions of the specialist and be motionless during the picture.

Ankle x-ray procedure

Before the examination, the patient is covered with a special protective apron with lead plates.

Most often, radiography of the ankle statute is carried out in two projections – lateral, direct posterior and additionally posterior with foot rotation.

The examination can take from 5 to 15 minutes depending on the complexity and nature of the disease.

Reviews

Pigareva Ludmila Yurievna

12/05/2022

09:50
medi-center.ru

I want to express my gratitude to the traumatologist Ykhlas Zhabbiyev. The treatment was carried out with full attention to my problem. Responsive and educated doctor focused on results. Satisfied

Nikolaeva Oksana Vladimirovna

11/01/2022

19:40
medi-center.ru

I thank the traumatologist Ykhlas Zhabbiyev for his attentive, professional attitude towards my case. This specialist is focused on the end result – the complete cure of the patient. Came to him on August 17, 2022 due to an injury. He not only conducted the initial appointment and repeated ones, but also persistently explained how I should proceed in the future. Following the doctor’s recommendations, I did everything that was necessary and now I feel great. Thank you very much!

Marchenko Tatyana Valerievna

03/15/2022

21:55
medi-center.ru

Our family was lucky to get an appointment with a wonderful doctor Mirzorakhimov Olimjon Sharifovich back in 2005. He helped our little daughter a lot, and then all members of our family. Everyone had different health problems (a birth injury in a child, problems with the thyroid gland and spine in my husband, problems with the gastrointestinal tract and headaches in me). The result of the treatment appeared quickly, but the success was consolidated 9months. We have been thanking this doctor for many years for our health and, most importantly, for the health of our daughter.
I advise him to all my friends and my medical colleagues. This is the best and most professional doctor! If you are tired of visiting doctors and drinking medicines, make an appointment with Dr. Mirzorakhimov. He will definitely help you! Golden hands, the highest professionalism and humanity are his distinguishing qualities! I recommend 100%.

Utkina Evgenia Igorevna

06/19/2021

23:01
medi-center.ru

I want to say thank you to the Medical Center. Unfortunately, my husband and I also encountered covid. However, it turned out that the doctors from our polyclinic not only did not go home, the call center does not work there, 25 phones and NONE of them answered us. And the Medicenter clinic also works with patients on VHI and CHI!!! Despite all the workload with covid patients in our area, this center will always answer and send a doctor! And the doctor will DEFINITELY arrive! Once again, thank you that there is such a center in our area, otherwise I can’t even imagine how we would have saved ourselves in such a difficult situation.

Alexander Garagan

08/20/2020

09:59
medi-center.ru

In July 2020, he broke his arm and applied to traumatology at the Medicenter on Okhtinskaya Alley d18 for help.