What will an MRI of my ankle show?
Rachel Ellis
Published Jan 23, 2026
When using an MRI scan for ankle injury to assess for the severity of an ankle injury, magnetic fields and radiofrequency waves are used that provide high quality images of the tendons, cartilage and ligaments in the foot and ankle, that no other single imaging test is able to assess, thereby detecting stress fractures ...
What to look for on an MRI of the ankle?
We use a checklist when evaluating an MRI of the Ankle:
- Bones: screen on fatsat images for bone marrow edema.
- Joints: screen for effusion and look at the joint capsule for thickening.
- Ligaments: check the syndesmosis, the lateral and medial ligaments.
- Tendons: check the tendons using the four quadrant approach;
What will an MRI show for ankle pain?
During a foot and ankle MRI procedure, pictures–also referred to as slices–of the ankle and foot will be produced. A radiologist will use the resulting images to identify any abnormalities. Such as tendon tears, inflammation, cartilage deterioration, or tumours.
Why would you get an MRI on your ankle?
Your doctor may recommend an MRI scan to help pinpoint the cause of your symptoms, particularly if they don't improve after four to six weeks. It may be ordered to detect stress fractures in the foot or a cartilage or tendon injury, which can cause symptoms similar to those of a sprain.
When should I get an MRI on my ankle?
The doctor may order an MRI (magnetic resonance imaging) scan if he or she suspects a very severe injury to the ligaments, injury to the joint surface, a small bone chip or other problem. The MRI can make sure the diagnosis is correct. The MRI may be ordered after the period of swelling and bruising resolves.
21 related questions foundCan MRI show old ligament damage?
Changes to ligaments and tendons as a result of disease and injury can be demonstrated using both ultrasound and MRI. These have been validated against surgical and histological findings.
Will an MRI of the foot show nerve damage?
Yes! It can. Basically, MRI is capable of identifying structural lesions that may be compressing against the nerve so the problem can be corrected before permanent nerve damage occurs. The damaged nerve inside the foot can be diagnosed based on a neurological examination and can be correlated by MRI scan findings.
How long does a ankle MRI take?
How long does an ankle MRI take? According to the National Health Service, an ankle MRI typically takes about 40 minutes. In some cases, it can take up to 1 hour.
Can an MRI show a sprain?
An MRI can also help your doctor determine whether a knee sprain is severe, meaning the ligament has partially or fully torn, typically requiring more extensive treatment, including possibly surgery. The most common ligament to tear is the anterior cruciate ligament (ACL).
Does an MRI of the ankle include the foot?
MRIs for tendons & ligaments use "Ankle" protocol unless AOI is specifically in the forefoot. "Foot" MRIs should be treated as Ankle/Hindfoot/Midfoot MRIs until proven otherwise. Exceptions : For neuroma, mass, stress fracture, or osteomyelitis in the forefoot- do a dedicated forefoot (metatarsals and toes) exam.
Does MRI show bone fractures?
However, many types of bone problems look alike on bone scans, so the test isn't specific for stress fractures. Magnetic resonance imaging (MRI). An MRI uses radio waves and a strong magnetic field to create detailed images of your bones and soft tissues. An MRI is considered the best way to diagnose stress fractures.
How do I know if I tore ligaments in my ankle?
If you have torn your ankle ligament, symptoms include:
- Swelling around your ankle joint.
- A feeling of instability.
- Bruising – sometimes up your lower leg and into your foot.
- Tenderness to touch.
- Pain when putting weight on your ankle.
- Popping sound at the time of injury.
Can you walk with a torn ligament in the ankle?
The quick answer is yes, typically you can walk with a torn ligament or tendon in the foot. Walking may be painful but you can typically still walk. For example, the Posterior Tibialis Tendon runs down the back of the shin, behind the middle bump of the ankle (medial malleolus) and to the bottom of the foot.
Does ankle MRI require contrast?
Frequently an MRI of the ankle does not require any contrast media.
What is a Grade 3 ankle sprain?
Grade 3: This is a full tear of the ankle ligament. You may have heard a popping sound when it happened. This level of sprain causes severe pain, swelling and bruising. Because the ligament is no longer able to do its job, your ankle will feel unstable and will be unable to support any of your weight.
Will an MRI show a torn muscle or ligament?
An MRI will not show muscle strains or other problems with soft tissues.
Do I need MRI for sprained ankle?
Magnetic resonance imaging (MRI) scan.
An MRI scan is not required to diagnose ankle sprains.
What can an MRI show for foot pain?
In the foot and ankle, MRI can be used to diagnosis the following conditions:
- Tendon injuries.
- Ligament injuries.
- Cartilage injuries.
- Fractures.
- Tumors (soft tissue and bone)
- Infection.
- Avascular necrosis.
- Non-unions or delayed unions of bone fractures.
What if an MRI shows something?
If you have a concern that your MRI revealed something that needs to be treated urgently, you can call your doctor's office. However, if a radiologist identifies emergency findings, they will usually contact you. This is especially true if you require immediate treatment.
Does MRI show inflammation?
An MRI may be able help identify structural lesions that may be pressing against the nerve so the problem can be corrected before permanent nerve damage occurs. Nerve damage can usually be diagnosed based on a neurological examination and can be correlated by MRI scan findings.
Can an MRI show tendonitis?
Since MRI scans depend on the water or fluid content in the body tissue, you can see swelling and inflammation on these images. For instance, tendonitis will show up on an MR scan because there's usually fluid and swelling that goes along with it.
Can you see a pinched nerve on an MRI?
MRI scans which show soft tissues, such as nerves and discs, are generally preferred over CT scans which show bony elements. Advanced imaging can show exactly which nerve or nerves are being pinched and what is causing the nerve to be pinched.
How can you tell if a tendon is torn?
Ruptured Tendon Symptoms
- A snap or pop you hear or feel.
- Severe pain.
- Rapid or immediate bruising.
- Marked weakness.
- Inability to use the affected arm or leg.
- Inability to move the area involved.
- Inability to bear weight.
- Deformity of the area.
Can you see a torn meniscus on an MRI?
MRI gives a good picture of the size of a meniscus tear and where it is. It also shows ligaments, cartilage, and tendons. MRIs of the knee are helpful to identify a meniscus tear and to find any related injuries to the ligament, cartilage, and tendons.
Can a torn meniscus not show up on an MRI?
An MRI is 70 to 90 percent accurate in identifying whether the meniscus has been torn and how badly. However, meniscus tears do not always appear on MRIs. Meniscus tears, indicated by MRI, are classified in three grades.