hi,
thank you for providing the brief history of you.
A thoroguh neuromuscular assessment is needed.
As mentioned by you the brief history there are 3 possibilities coming in my mind for which a thorough neuromuscular assessment is needed.
the first is a vascular insufficiency, the second is the
increased uric acid levels and the third is the
neuropathic pain.
to rule out the factors here - performing a urine test will help us determine is the pain and swelling is because of the increased uric acid levels and by medication and
physical therapy the pain and recurrence can be avoided.
for ruling out the vascular insufficiency the Doppler test for both the Lowe
limbs will be performed post which if the test is positive - rest, Medication and physical therapy will be advised for better results. You need to use even stockings of lower limbs to ensure the venous return.
for the neuropathic pain, your blood
glucose levels and MRI of
lumbar spine will be guided. Post which based on the possible positive test the treatment will be planned.
As due to ageing factor - there is even a possibility of lower cardiac output and slower venous return can lead to swelling of ankles.
Understanding that the body needs mobility more at this age to allow the venous return to occur and improve the
metabolism as well.
After a thorough assessment the root cause can be found and post which the treatment will be planned to avoid the future recurrence.
Regards
Jay Indravadan Patel