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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause Edema In Feet And Ankles?

Hello, good day. My mom want to ask if what would be the possible reasons of edematous feet and ankles? She had blood chemistry and it was all normal. She s always elevating her feet above heart level at night time. There s pain on both feet and ankles. What are the other laboratory tests and diagnostic exams may suggest to her? Thank you and God bless.
Tue, 21 Jun 2016
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Orthopaedic Surgeon 's  Response
Hello

I have studied your case,

I would like to keep possibility of gout as per your history and symptoms.
In gout there is accumulation of uric acid crystals in joint mainly foot. This leads to swelling in foot.
Another differential can be nerve compression leading swelling.
Or it can be soft tissue injury due to trauma which is not seen on x ray and may need MRI if remains persistent.
I will advise to do blood inv like complete blood count ,uric acid level, if required EMG –NCV[ nerve study] and MRI spine after clinical examination.

Till time take analgesic and neurotropic like methylcobalamine and pregabalin consulting your doctor.
If gout is confirmed you may need medicine accordingly and diet restriction

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.
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What Could Cause Edema In Feet And Ankles?

Hello I have studied your case, I would like to keep possibility of gout as per your history and symptoms. In gout there is accumulation of uric acid crystals in joint mainly foot. This leads to swelling in foot. Another differential can be nerve compression leading swelling. Or it can be soft tissue injury due to trauma which is not seen on x ray and may need MRI if remains persistent. I will advise to do blood inv like complete blood count ,uric acid level, if required EMG –NCV[ nerve study] and MRI spine after clinical examination. Till time take analgesic and neurotropic like methylcobalamine and pregabalin consulting your doctor. If gout is confirmed you may need medicine accordingly and diet restriction Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.