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Foot MRI

Foot magnetic resonance imaging (MRI) is a non-invasive, radiation-free imaging exam that allows a detailed assessment of the bony structures, cartilage, ligaments, etc. of the feet. It is particularly useful in the diagnosis of traumatic, inflammatory or degenerative lesions.

What is a Foot MRI?

Foot magnetic resonance imaging (MRI) is an exam that uses magnetic fields and radiofrequency waves to obtain high-resolution images of the internal structures of the foot, including bones, joints, tendons, ligaments and soft tissues. It is an essential tool for diagnosing conditions that are not visible on X-rays or ultrasound.

What is the price of a Foot MRI?

The price of a foot MRI is 275€, when performed on a private basis. However, it can also be performed through several agreements, including:

  • ADSE: If the foot MRI is performed under ADSE, the patient only pays a fee of 30;
  • IASFA, ADM GNR, SAD PSP;
  • Insurance companies: Médis, Multicare, Advance Care, Allianz, Saúde Prime, Future HealthCare, SS CGD, SAMS Quadros, SAMS, Montepio, RNA, Generali, Mudum, MGEN, Aegon, Vitória, Una Seguros, other insurers.
  • Health plans: Medicare, Saúde Prime, Future HealthCare, Continente Wells, ACP, other health plans.
  • Protocols: NRD has protocols with several clinics and institutions that allow you to undergo the exam at very competitive prices. For a foot MRI, the price through protocol is 220€.

The price varies depending on the healthcare system or insurance you wish to use.

Find out more about the price of MRI exams.

How is it performed?

The patient lies down with the foot positioned inside a specific coil, so that it remains still throughout the exam. Images are obtained in several planes, with thin slices that allow a detailed assessment.

In some clinical situations, intravenous contrast may be administered for better characterisation of inflammation, infection or tumours.

During the exam, it is important not to move. Only the foot will enter the scanner (you will not need to put your whole body inside).

Earplugs are provided to reduce the perception of scanner noise.

The exam usually lasts between 25 and 35 minutes.

foot MRI

What does it detect?

Foot MRI allows the identification, for example, of:

  • Occult fractures and bone stress;
  • Ligament or tendon injuries (e.g. Achilles tendon, posterior tibial tendon, peroneal tendons);
  • Plantar fasciitis and enthesopathies;
  • Degenerative or inflammatory arthropathies (e.g. rheumatoid arthritis, gout);
  • Bursitis and synovitis;
  • Cysts, tumours or bone infections (osteomyelitis);
  • Vascular changes or bone marrow oedema;
  • Among others.

In which cases is it indicated?

Foot MRI is indicated in:

  • Persistent foot pain without a clear diagnosis after previous exams;
  • Trauma with suspected fracture or ligament injury;
  • Assessment of plantar fasciitis or tendinopathies resistant to treatment;
  • Study of inflammatory arthritis or advanced osteoarthritis;
  • Identification of post-surgical lesions or assessment of complications;
  • Among others.

Preparation and guidelines for a Foot MRI

Before undergoing an MRI at NRD, please consider the following:

Topic Guidance
Exam prescription (paper copy) You must bring the exam prescription in paper form.
Fasting Most MRI exams do not require fasting. In cases with contrast, fasting for 3 hours is usually necessary (confirmed when booking).
Early arrival Arrive 15 minutes before the scheduled time.
Medication You may take essential and unavoidable medication with a minimum amount of water.
Metal objects Remove all metal objects (e.g. earrings, bracelets, necklaces, piercings, hairpins, removable prostheses, etc.).
Pregnancy Inform the NRD healthcare professional if you are pregnant.
Exams / Tests / Info Bring previous imaging exams, relevant clinical information and recent laboratory tests.
Glucose monitoring implant Do not place the implant, as it will have to be removed before the exam.
Make-up Do not wear make-up, as some products may affect the exam.
Valve and/or orthopaedic prostheses If you have valve and/or orthopaedic prostheses, bring proof describing and specifying the material composition.
Hearing aids Inform us if you use a hearing aid, as it must be removed before the exam.
Dental prostheses Inform us if you use a dental prosthesis, as it must be removed before the exam. Also inform us if you have dental implants.
Orthodontic appliances Inform us if you wear orthodontic appliances. A test may be necessary to assess compatibility with MRI.
Pacemakers and implantable devices NRD does not perform MRI exams on people with pacemakers or implantable devices (e.g. cochlear implant), and it is recommended that the exam be carried out in a hospital setting.

Throughout the MRI exam, you will be continuously monitored by the NRD imaging technologist responsible for your exam. An alert system will also be at your disposal, which you can activate if needed.

You should remain still during the exam to ensure high-quality images.

The entire NRD team will be at your disposal to answer any questions that may arise.

After the exam, you can return to your usual daily activities.

When and how do you receive the results?

You will receive the MRI results within 7 days after the exam, by email or in paper form at the clinic. On the day of the exam, you will take a CD with the images with you.

Where can you have a Foot MRI?

A foot MRI can be performed at NRD, at the following address:

Avenida Columbano Bordalo Pinheiro, nº 11-B, r/c, 1070 – 060 Lisbon (near Praça de Espanha)

How long does a foot MRI take?

About 25 to 35 minutes, depending on case complexity and whether contrast is needed.

Do I need any special care after a foot MRI?

No. The scan is safe; if contrast was used, drink plenty of water afterwards.

Is a foot MRI covered by the SNS?

No. MRI is not reimbursed/covered by the SNS.

Is a foot MRI dangerous? What are the risks?

No. It is safe and uses no ionizing radiation. Contrast reactions are very rare and contrast is avoided in severe kidney failure.

Can I have a foot MRI if I am pregnant?

MRI is generally avoided during pregnancy unless urgent, and usually only after 12 weeks.

Do I need to fast before a foot MRI?

Fasting is not required unless contrast is planned. If so, fasting for about 3 hours is usually advised.

Does a foot MRI hurt?

No. The exam is painless.

Is a foot MRI done with contrast?

Most foot MRIs are performed without contrast. Contrast may be used for infections, tumors, or specific inflammatory changes.

Do I need to put my whole body inside the scanner for a foot MRI?

No. Only the foot needs to enter the scanner.

Does a foot MRI replace a CT scan?

Not always. MRI is superior for assessing soft tissues, tendons, and inflammatory lesions. However, CT is still preferred for analysing complex bone fractures.

What are the contraindications for a foot MRI?

The powerful magnetic field used in MRI attracts objects containing iron and can cause them to move with great force.

Metallic objects implanted in the body can be dangerous because they may move or heat up during the MRI. Some conditions are often considered contraindications for MRI. Therefore, if you have any of the following devices or materials, you must inform the medical team before the exam:

  • Pacemakers or implanted devices: Pacemakers or implantable cardioverter-defibrillators, ferromagnetic aneurysm clips, electrodes used in deep brain stimulation, cochlear implants, mechanical heart valves, among other metallic devices;
  • Metallic foreign bodies: Shrapnel or other metallic objects in the body may be heated and/or moved by the magnetic field. They should therefore be assessed to determine the risk of injury during the procedure. This includes any tiny metal fragments that may have lodged in the eye as a result of welding, grinding, or any type of accident.
  • Some types of ocular implants pose a risk of eye damage due to metallic components. 

Other situations that may contraindicate this exam include:

  • Known allergy to gadolinium (if contrast is used);
  • Severe kidney failure (if contrast is used);
  • Pregnancy;
  • Drug infusion devices, which may malfunction during MRI. The details of your specific device will determine whether and how you can safely undergo MRI.
  • According to the U.S. Food & Drug Administration (FDA), some patches and electrodes used in electrocardiograms (ECG) may cause skin burns during MRI.

This list does not fully describe all possible contraindications to MRI. Discuss any concerns you may have before the exam with the healthcare professional who will be looking after you.