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Damaged the ligaments around my right ankle. Ankles swells up. Applied E 45. Remains dry and scabby

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General & Family Physician
Practicing since : 2009
Answered : 3041 Questions
Last October I damaged the ligaments around my right ankle. My ankle swells up each day (it goes back to normal overnight) and the skin above my ankle became dry. I regularly applied E 45 and during the summer did not wear socks. The skin remained dry and flakey. Now back in socks the dry skin has become scabby. I still apply E 45 about 4 times a day but, although no worse, it is not getting better. It is not sore and not itchy but remains dry and scabby.

Posted Sun, 3 Nov 2013 in Bones, Muscles and Joints
Answered by Dr. Luchuo Engelbert Bain 2 hours later
Brief Answer:
venous insufficiency, heart failure to be excluded

Detailed Answer:
Hi and thanks for the query,

I suggest we get a deeper evaluation of the swelling. It is true it might be due to the trauma. However, considering the fact that you not experience any pain calls for evaluation for other causes of ankle swelling, especially with repeated changes with the time of the day.

Venous insufficiency or lack of the capacity of veins to send blood back to the heart, especially at the level of lower limbs is a possibility.

It might be important to know if your blood pressure is well controlled, or if your experience any symptoms like easily getting tired, night coughs, turgescent and distended neck veins. If present, this could suggest heart failure, a common cause of lower limb distension at various levels.

The fact the skin remains dry could easily be managed with a dermatological advice. Substances (moisturizing agents) compatible with your symptoms shall be prescribed, which of course would help.

I think excluding lower limb venous insufficiency and a cardiac source of the distension are crucial. In case normal (after a cardiac ultrasound), a control X XXXXXXX of the ankle joint and an MRI if possible,to check for chronic ligamentuos damage could be done. But I would suggest venous insufficiency and heart disease be evaluated for first. I suggest you consult your cardiologist first. Thanks and hope this helps. Feel free asking follow up questions in case you have specific concerns. I shall be glad contributing to your well being. Kind regards.

Bain LE, MD
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