Foot and ankle X-ray

It's a quick imaging test using a small dose of radiation to produce images of the bones and joints of the foot and ankle. It's most useful for showing fractures, dislocations, and joint changes such as arthritis.

It's typically requested after an injury, sprain, or fall to check for a fracture, or to investigate ongoing pain, swelling, or suspected arthritis. It's often the first imaging step before considering an MRI or ultrasound.

No preparation is needed. You'll be asked to remove any jewellery or metal objects from the area being scanned.

You'll position your foot or ankle on or against the X-ray plate in a couple of different angles, staying still for a few seconds each time. The whole appointment usually takes only a few minutes.

The X-ray itself is painless, though holding an injured foot still in certain positions can be briefly uncomfortable. The radiation dose is very low and considered safe for occasional diagnostic use.

Straightforward X-rays can often be reviewed the same day, with a formal radiologist report typically available within a day or two, sooner in urgent or private settings.

A fracture will usually need immobilisation such as a boot or cast, and sometimes referral to an orthopaedic specialist. Signs of arthritis or other joint changes may lead to further discussion about pain management or additional imaging.

Foot and ankle X-rays are available on the NHS, usually via A&E, GP referral, or a minor injuries unit, though non-urgent waits can vary. Private X-rays are typically available within days, often with same-day reporting, with cost varying by provider.

X-ray is very reliable for detecting fractures and bony changes, though soft tissue injuries such as ligament damage are better assessed with MRI or ultrasound. Your doctor will advise if further imaging is needed alongside the X-ray.

You can usually self-refer for a private X-ray without needing to see a GP first, with appointments often available within a day or two.