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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Swelling On The Ankles

Hi I am a 30 year old female, I had a stroke last year on the right side it took my caudate nucleus, putamen anterior horn. Anyway since then my left ankle is permanently swollen I am back to doing my normal thinks aqua fit, pilates, zumba I walk a lot so its not swollen through lack of use. How can I get it to go down and stay down?
Tue, 21 Apr 2020
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Pediatrician,  's  Response
Hi,

Few more details would be helpful for me:
1. Any pain, itching, discolouration around the swelling? (suggests varicose veins)
2. Is the swelling pitting type-ie.can be indented on pressing? (suggest obstruction to venous drainage). Non pitting swelling suggests lymphedema
3. Is it more towards evening, increases on standing/walking or constant throughout the day?

Possibilities of unilateral ankle swelling are varicose veins, enlarged lymph nodes obstructing venous drainage from leg, orthopedic causes and rare causes like filariasis (here usually swelling extends up the leg). A physical examination after clearing above points will clinch the diagnosis. Your doctor will guide you. We may need few blood tests and a venous doppler study.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Muhammed Aslam T. K., Pediatrician
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Suggest Treatment For Swelling On The Ankles

Hi, Few more details would be helpful for me: 1. Any pain, itching, discolouration around the swelling? (suggests varicose veins) 2. Is the swelling pitting type-ie.can be indented on pressing? (suggest obstruction to venous drainage). Non pitting swelling suggests lymphedema 3. Is it more towards evening, increases on standing/walking or constant throughout the day? Possibilities of unilateral ankle swelling are varicose veins, enlarged lymph nodes obstructing venous drainage from leg, orthopedic causes and rare causes like filariasis (here usually swelling extends up the leg). A physical examination after clearing above points will clinch the diagnosis. Your doctor will guide you. We may need few blood tests and a venous doppler study. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician