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Severe pain and swelling in right leg ankle post typhoid - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2097 Questions
User :   Dear Doctor

For the Past one week, I have severe pain and swelling in my right leg ankle and feet. This has come after I had Viral fever and Typhoid in the past 3 weeks time. Now currently, I do not have any fever and I am normal except for this pain my right ankle and feet.

I was consulting a general doctor, and he has asked me to take blood tests for URIC ACID, A.S.L.O, R.A and C.R.P. All these have come as NEGATIVE and URIC ACID is or normal ( 5.8 mg/dl) .

I had taken some pain killers for this pain and during this time I did not experience any pain. The tablets were LORNOXI 8mg and E-Vah 90.

Please suggest me some solution.

Doctor :   hi
User :   Hello Doctor
Doctor :   I read the history
Doctor :can i ask few medical Q
User :   I have some severe pain and swelling in my right leg ankle and feet
User :   sure
Doctor :   ok

Doctor :   since how many days you are having this

User :   I am having this pain for the last one week
Doctor :ok
Doctor :  
how is the range of motion
Doctor :  
are yu able to bend the ankle and knees
User :   I am not able to keep my feet completely on the floor. and not able to bend my ankle.
User :   I do not have knee pain.
Doctor :ok
Doctor :   ok
Doctor :   do yu have any redness over the ankle
User :   WIth this pain, I am not able to walk freely and also do activities like sitting cross legged etc
User :   no, I do not have any redness over ankle
Doctor :   do yu have any medical illness
User :   I had fever 3 weeks back.. It was diagnoised to be Typhoid and I completed the treatments
Doctor :   were you admitted in the hospital
Doctor :   or it was OPD treatment
User :   NO. I was taking medication and rest at home.
Doctor :ok
Doctor :   as per your history
User :   After the fever, I have this pain in my ankle.
Doctor :   the viral attack is the cause for the ankle swelling and pain
Doctor :   other causes are ruled out by investigation
Doctor :   like CRP, RA factor, ASLO titer

User :   yes, I think so.
Doctor :   and serum uric acid levels
Doctor :   the viral attack takes 3-4 weeks to cure completely
Doctor :the virus get collected in the fluid of ankle joint

Doctor :and causes swelling and pain
Doctor :   are yu using any local gel or spray
User :   I have pain only in ankle and not in any other joints.
User :   No. I just tried applying some creams like MOVE ... but no relief
Doctor :the virus get collected mainly in the ankle joint fluids onlu

Doctor :ok
Doctor :   First and the fore most
Doctor :Not to worry
Doctor :   be relaxed

User :   ok.
Doctor :   its Post Viral ankle joint pain
Doctor :i will advice you few good medical tips
Doctor :   to overcome this

Doctor :   are yu asthamatic
User :   no.
Doctor :   or allergic to any medications
User :   none.
Doctor :ok

Doctor :   Use Voveran gel or spray
Doctor :   for ankle atleast 3 times a day
Doctor :   for 1 week
Doctor :   do yu have acidity problem
User :   can I go to work or do my normal activities
User :   No I do not have acidity problem
Doctor :   ok
Doctor :   then use Hifenac - D tablets
Doctor :   after food two times a day for 4 days
Doctor :   are yu at bed rest now
User :   not really at bed rest, but I am at home
Doctor :   with these medications if the improvement is more than 50 %
Doctor :   then u can go for work
Doctor :   wait till monday
User :   Are these tablets pain killer
Doctor :   Hifenac D is a tablet to reduce
Doctor :   pain
Doctor :   swelling
Doctor :   and inflammation in the joints
Doctor :   so its a ideal tablet for you
Doctor :  
Even calcium supplements will help yu to recover soon
User :   is this a normal kind of problem ...
Doctor :   yes Santhosh
Doctor :   its normal after every viral infection
User :   I never had any fever for the past 10 or 15 years... that's why I asked this question.
Doctor :   even your immune system was reduced by typhoid infection
Doctor :   not to worry
Doctor :   you will get recovered soon
Doctor :   there are many cases like this
User :   ok.
Doctor :   most of them complaint about ankle joint pain after viral attack
User :   Is there any further tests / diagnostics that I need to go through...
Doctor :   so its normal after every viral attack
Doctor :   No
Doctor :   there are no tests
Doctor :   and there is no need also
Doctor :   if it worsens in a week or so
Doctor :   then go for X-ray of ankle joint
User :   ok.
Doctor :   ok
Doctor :   Yu will recover soon
User :   is there any particular exercises or movements that I should be doing
Doctor :   there is no danger from this
Doctor :   once the swelling and pain subsides
Doctor :the exercise can be started
Doctor :   if you start now the pain and swelling worsens
User :   one question, does the viral infection affect only one limb or only one part of the body... I had heard that in some fevers like Chickoon gunia there will be too much of joint pains
Doctor :   apply alternative hot and cold packs over the
Doctor :   ankle to reduce the pain
Doctor :   initially joint pains, body ache and fever
Doctor :   when virus is in the blood
Doctor :   in your case
Doctor :  
ankle joint pain and swelling is due to
Doctor :  
virus particles in the joint
Doctor :  
due to gravity the virus particles get deposited there
User :   OK. I will try this voveran gel and Hi fenac -D tablets and consult again if there is more pain
Doctor :yes
Doctor :   your pain and swelling will come down with this
User :   OK.
Doctor :   Is there any thing else i can help yu with
Doctor :   please fill the feed back form
User :   nothing as of now. Thank you very much
Doctor :   ok
Doctor :   take care bye for now
User :   can I get our chat as mail...
Doctor :   yes you can get it
User :   ok. Please send it to me as mail and Thanks again for the discussion.
Doctor :  
towards the left side of the chat window
User :   OKI
Doctor :   did u get the button
User :   NO. but I have to leave now.. I have written down the tablets and gel.
Doctor :   ok
User :   Thanks again.
Doctor :   Thanks for consulting Health care Magic. Bye for now. Please refer your friends to our service.
Doctor :   hi
Doctor :   are yu back
Doctor :   are yu there
Doctor :   I have to close this window since there is no response from your side, we are available 24/7 please get back to us if you need further medical advice.
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