Conversation: The conversation between human and AI assistant.
[|Human|] hi i have just been 2 weeks of work with a very painful swollen left foot. after xrayz showing nothing an ultrasound was issued resulting in the finding of neutromata at the 2nd and 3rd web spaces. in addition a well defined hypo echoic lesion was also found adjacent to the shaft of 3rd and 4th metatersal. the ultrasound specialist recomennded a mri would be useful to find out more but my doctor suggests cortisone injection.. i am normally on my feet 8 hours a day as dog trainer with repetetive excersices and training with nmerous dogs. not getting a chance to have a break in between.. what would you recommend i do please
[|AI|]  Hi, Although I could not make out what a "neuromata" in ultrasound means (maybe a typing error), pain and swelling there indicates a focus of inflammation. This can be from a local infection, injury to bones, ligaments or an outgrowth from them. As the monologist suggested, MRI is needed to exactly define the tissue of origin and type of the lesion-which is necessary for orthopedist to plan the management. Since it is an acute painful condition, few days off the job is unavoidable. Otherwise, this will further worsen the condition and delay recovery. Give rest to foot, keep it elevated, and take analgesics like ibuprofen for pain relief till the issue is sorted out. Hope I have answered your question. Let me know if I can assist you further.