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Pain on ankles - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3388 Questions
User :   Hello Doctor
Doctor :   Hi
Doctor :   Good morning.
Doctor :   This is Dr XXXXXXXX here.
Doctor :   How can I help you?
User :   Doctor I have pain on my ankles
Doctor :   Can you please explain it in detail?
Doctor :   Since when are you having the pain?
Doctor :   May I know your age and gender?
Doctor :   Are you there?
Doctor :   Are you there?
Doctor :   Are you there?
User :   yes
User :   last two months
Doctor :   May I know your age and gender?
User :   35 years
User :   female
Doctor :   Does the pain involve both ankles?
User :   only one
Doctor :   Ok
Doctor :   Do you notice any swelling, redness associated with the pain?
User :   no
Doctor :   Do you sustain an injury before the onset of pain?
Doctor :   *did you sustain
User :   There was a training prg, in which we had an exercise to climb tree
Doctor :   Ok
User :   I had put in a lot of pressure on my right leg
Doctor :   Does the pain increase with movement of the ankle?
User :   no
Doctor :   Ok
Doctor :   Does the pain increase after walking for a while?
Doctor :   Do you have pain in any other joints?
Doctor :   May I know your weight and height?
Doctor :   These details are relevant in understanding the problem. Hope you understand.
User :   I am about 5.4 feet and 70 kg
User :   there is no pain in other joints
Doctor :   Does the pain increase after walking for a while?
User :   it normally decreases
Doctor :   Ok
Doctor :   Do you have any other medical illness such as diabetes, thyroid problems, skin disorders?
Doctor :   Are you there?
Doctor :   Are you there?
Doctor :   Are you there?
Doctor :   Are you there?
User :   I would like to correct - it a pain in the heel area
User :   No doctor
Doctor :   Let me explain to you.
Doctor :   Ok
Doctor :   Based on your description
Doctor :   the pain is probably due to a muscular/ ligaments injury
Doctor :   or plantar fasciaitits.
User :   ok
Doctor :   It is probably secondary to the local straining.
Doctor :   You will need adequate rest with ankle support.
User :   ok
Doctor :   Apart from this local pain killers such as oral ibuprofen tablets twice a day for the next 5 days can help in reducing the pain.
User :   ok
Doctor :   This can take a few days to months for recovery.
Doctor :   However, if symptoms are aggravating inspite of rest
Doctor :   you will need xrays and scans to look for any evidence of injuries.
Doctor :   Have you followed what I have suggested?'
User :   yes Doctor
Doctor :   Do you have any other query?
User :   yes
User :   it is about my mother
User :   she is a about 56 years
Doctor :   Ok
User :   has diabetes , BP
User :   she is over weight too
User :   off late she has put on bit more that is the worry
User :   her eating habbit is very controlled
User :   also limits the intake of Carb food
Doctor :   Ok
User :   I am worried that she is going over wt. day by day and also off late shivers a lot
User :   due to which she is hesitant to go for morning walks
Doctor :   May I know her present weight and height?
User :   she is about 5.2 feet and 90 kgs
Doctor :   May I know what medication she is for diabetes?
User :   ooppss - I don't have that info now, let me try to find out
Doctor :   That is fine.
Doctor :   Is she on any diet plan?
User :   she is on the regular food menu
User :   morning has the breakfast as usual
User :   afternoon lunch (rice)
User :   tea is had without any sugar
User :   2 times - mon and eve
Doctor :   Ok
User :   night it is chappati with some veg
User :   always avoids intake of sweets
Doctor :   Let me explain to you.
User :   once in a while fruits
User :   yes Doctor
Doctor :   Weight changes are modified by various factors.
Doctor :   Presence of diabetes, genes of obesity, lack of physical exercises and diet are few important ones that modify diet.
Doctor :   Hence it is necessary to make sure that her sugars are in normal limits.
User :   it is normal - just 2 days back it was checked and post breakfast , result was 140
Doctor :   If the sugars are under control, then diet modifications and physical exercises are necessary.
User :   ok
Doctor :   Since we have an expert nutritionist available with us, if you are fine, then
Doctor :   I shall refer you to them
User :   sure doctor
Doctor :   and she will be able to guide you and counsel regarding the diet modification necessary.
User :   ok
Doctor :   May I know your name and phone number?
User :   XXXXXXX
Doctor :   Is there any thing else that I can help you with?
User :   no
User :   thanks
User :   bye
Doctor :   Thanks consulting me.
Doctor :   Bye for now.
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