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What causes redness, swelling and tightness in lower legs?

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Posted on Wed, 25 May 2016
Question: Regarding my lower legs....Skin is tight & warm, reddish in color. I have swelling often. At the moment, swelling is more in foot than in leg; ankles are swollen. Arthritis in ankles. What could be going on?
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Answered by Dr. Mukund Savaskar (1 hour later)
Brief Answer:
Swollen lower legs and ankles / Under Assessment

Detailed Answer:
Brief Ans-Swollen lower legs and ankles / Under Assessment.

Hi,Dear !! Thanks for query to HCM.
Read and reviewed the query in context to your health concerns.
In absence of any particular history of accompanied complaints with the swollen foot and ankles and based on the facts of the swollen foot and ankles,You seem to have Venous insufficiency with incompetent vein valves, with the advanced age of yours.
Other Causes of such a swollen ankle and foot- with warm /reddish color could be-
due to accompanied
a-Anaemia with hypo-proteinaemia
b-subclinical lymphangitis from un-noticed abrasions, injuries on the foot.

Do's-suggested-
Consult Surgeon/Gynec/ and Physician in consultation after your family Gp doctor.
Do all the investigations to find out the causes of the anaemia / hypoproteinaemia.
After proper fixing of the causes, Antibiotics / Venostocking / Rest /Elevation/Vit B12 /Folic Acid / and high protein bland diet with Iron supplements and Calcium / Vit D3 supplements would resolve the issues you have.
-A color doppler study of the leg veins and proper correction by EndoVenous Laser Therapy(EVLT)of the Chronic Venous insufficiency - if found and detected, would resolve the cause of the swollen ankles and foot.
-X-ray of the ankle and opinion from orthopedic surgeon would - fix the arthritis in the ankle / and foot joints, which needs to be treated with NSAIDs / rest / elevation and Infra-red therapy.

In short many causes need to be ruled out as discussed above with help of your Gp doctor and with help of team of Gynec,Orthopedic, Surgical,Physician specialist doctors, to come out of the Swollen ankles and feet in your case.

HOpe this reply would help you to plan further treatment with the attending doctors there.

Welcome for any further query in this regard.

Good Day !!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist-
M.S.Genl-CVTS.


Above answer was peer-reviewed by : Dr. Naveen Kumar
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Answered by
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Dr. Mukund Savaskar

General Surgeon

Practicing since :1978

Answered : 3606 Questions

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What causes redness, swelling and tightness in lower legs?

Brief Answer: Swollen lower legs and ankles / Under Assessment Detailed Answer: Brief Ans-Swollen lower legs and ankles / Under Assessment. Hi,Dear !! Thanks for query to HCM. Read and reviewed the query in context to your health concerns. In absence of any particular history of accompanied complaints with the swollen foot and ankles and based on the facts of the swollen foot and ankles,You seem to have Venous insufficiency with incompetent vein valves, with the advanced age of yours. Other Causes of such a swollen ankle and foot- with warm /reddish color could be- due to accompanied a-Anaemia with hypo-proteinaemia b-subclinical lymphangitis from un-noticed abrasions, injuries on the foot. Do's-suggested- Consult Surgeon/Gynec/ and Physician in consultation after your family Gp doctor. Do all the investigations to find out the causes of the anaemia / hypoproteinaemia. After proper fixing of the causes, Antibiotics / Venostocking / Rest /Elevation/Vit B12 /Folic Acid / and high protein bland diet with Iron supplements and Calcium / Vit D3 supplements would resolve the issues you have. -A color doppler study of the leg veins and proper correction by EndoVenous Laser Therapy(EVLT)of the Chronic Venous insufficiency - if found and detected, would resolve the cause of the swollen ankles and foot. -X-ray of the ankle and opinion from orthopedic surgeon would - fix the arthritis in the ankle / and foot joints, which needs to be treated with NSAIDs / rest / elevation and Infra-red therapy. In short many causes need to be ruled out as discussed above with help of your Gp doctor and with help of team of Gynec,Orthopedic, Surgical,Physician specialist doctors, to come out of the Swollen ankles and feet in your case. HOpe this reply would help you to plan further treatment with the attending doctors there. Welcome for any further query in this regard. Good Day !! Dr.Savaskar M.N. XXXXXXX Surgical Specialist- M.S.Genl-CVTS.