Brief Answer: You need proper clinical exam & investigation. Detailed Answer: Hello XXXX Thanks for writing to HCM You need proper clinical examination and investigations. Pedal edema may be due to many reasons. It may be due to anemia,low albumin,allergic reaction,vascular problem,hypothyroidism,heart problems,medications,trauma etc. Pedal edema is generally painless in nature but you have pain,so bony and soft tissue causes should also be ruled out. You need investigations like routine Hemogram,Random blood sugar,Renal function test,Liver function test,Thyroid profile,Ultrasound of abdomen,Urine RE/ME.Further investigations like X-rays can be done if needed. You should consult your physician. Treatment of edema depend upon the underlying cause of edema. You should take restricted amount of salt in your diet. Don't stand for prolong period.Try to keep your feet in horizontal level while sitting position. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX

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