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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Swelling In Ankles Be Indicative Of?

Hi my ankle keeps swelling up and when the swelling goes down it is very painful to walk, the pain goes up my calf and along my toes and I have had a blood test for blood clots and that has came back negative my doctor isn't helping he said he doesn't have a clue wht it could be please help
Mon, 4 Sep 2017
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Orthopaedic Surgeon,  's  Response
Hi, If I were your treating Doctor for this case , I would come up with three possibilities, these include:

First possibility is due to vascular problem like varicose veins or venous insufficiency or DVT and this can be excluded by doing duplex US for your lower limb and can be treated by raising your legs up , wearing elastic stocks and receiving veinotonics.

second possibility is due to elevated serum uric acid level and this can be excluded by doing blood level of serum uric acid and treated with urate lowering drug.

Third possibility is due to systemic disease and this could be excluded by doing renal and liver function test and assessing cardiac function by doing ECHO cardiography.
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What Could Swelling In Ankles Be Indicative Of?

Hi, If I were your treating Doctor for this case , I would come up with three possibilities, these include: First possibility is due to vascular problem like varicose veins or venous insufficiency or DVT and this can be excluded by doing duplex US for your lower limb and can be treated by raising your legs up , wearing elastic stocks and receiving veinotonics. second possibility is due to elevated serum uric acid level and this can be excluded by doing blood level of serum uric acid and treated with urate lowering drug. Third possibility is due to systemic disease and this could be excluded by doing renal and liver function test and assessing cardiac function by doing ECHO cardiography.