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What Causes Burning Sensation And Stiffness In The Ankles?

Posted on Mon, 4 Jul 2016

Question: I am looking for relief for both ankles and feet, which feel stiff and the toes have a burning sensation, there
does not seem to be any swelling.

Answered by Dr. Dr. Muhammad Sareer Khalil (32 minutes later)

Brief Answer:
Explained

Detailed Answer:
Hello and Welcome

I appreciate your concern

Kindly answer the following to advise accordingly.

Do you have diabetes.
For how long have you had these symptoms.
Did your doctor mention anything regarding osteoarthritis or Gout to you.
Do you have a history of any joint related disease
Were any imaging investigations done
What were the serum uric acid and ESR levels.
Do you have any renal dysfunction.
What medication are you currently using.

Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

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Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (2 hours later)

I do not have Diabetes, symptoms for about 3 weeks, I questioned the doctor about Gout, he seemed to discount that theory, I do not have a history of joint disease, no blood work or imaging was done, I am not aware of any renal dysfuction

Toprol XL 50mg 1 per day, Losartan 25mg 1 per day, Doxazosin 1mg 1 per day, Omeprazole 20mg 1 per day, Amlodipine 5mg 1 per day, Plavix 75mg 1 per day, Tramadol 50mg 1 every 6 hrs. as needed, Acetaminiophen 300mg/codine 30mg 1 at bedtime, Fexofenadine 1 per day, Chlorpheniramine 4mg 1 per day

Answered by Dr. Dr. Muhammad Sareer Khalil (20 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello and welcome

Your concern is appreciated

The ankle and feet stiffness can be due to osteoarthritis which is also said to be wear and tear arthritis, you need to be examined , x ray of the ankle and feet, MRI can also be done. Other causes are rheumatoid athritis , post traumatic arthritis. Again x rays and other imaging, blood tests are done to help in diagnosing. In gout there is tophi formation and the joint is swollen and extremely painful. Uric acid level are high in people like that but its not necessary. It may be due to reactive arthritis which can occur after an infection of genital, urinary, or GI systems , lupus, psoriatic and infectious arthritis are other causes.
Treatment include life style modification like losing weight, reducing high impact activties like jogging
Minimizing activities that aggravate condition.
Physical therapy like specific exercises can also help and increase range of motion and flexiblity. Medication include meds for pain , and specific ones like anti inflammatory once the condition is diagnosed.
Calcuim and vit D can also be advised.

Hope it helps
Thanks

please consult your doctor before taking any further course of action

Dr M.S Khalil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (3 days later)

I have now been told there is evidence of edema (swelling), should a diuretic be used ?
I did fall and injured the left hip the first of April, but both legs and feet are involved. Please reply

Answered by Dr. Dr. Muhammad Sareer Khalil (13 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello again.

The cause for peripheral edema should be determined. Renal and liver function tests including serum albumin should be done. Urine routine exam to look for proteinuria is also a requirement. An echo should be ordered to look for a cardiac cause.

Diuretics shold be initiated if cardiac failure is found to be the cause. Ultrasound doppler of lower limbs should be done to rule out any DVT.

wishing you best of health

Thanks

Dr M.S Khalil.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar