Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

170 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes swelling on ankle with pain and numbness in calf and foot?

Answered by
Dr.
Dr. Chander Mohan Singh

Orthopaedic Surgeon

Practicing since :2003

Answered : 1041 Questions

default
Posted on Tue, 2 Sep 2014 in Veins and Arteries
Question: I had a little more swelling in my left ankle for a couple of weeks then one night woke up with pain in calf and numbness in foot. I didn't get any sleep for two nights so went to the Dr. and saw an NP. She got a very weak pulse and ordered an ultra sound and expressed that she wanted it done the next day or the next. That was Wed. July 3oth. I was told they would call me so when they didn't by Friday, I called and was told they were waiting for ins. approval. I was prescribed Gabapentin which has allowed me to sleep. Pretty much knocks me out and I am not waking up during the night. They finally gave me an ultrasound Monday of this week. The tech could not get a blood pressure on ankle or calf while I was lying down. When I called the Dr. yesterday I was told it would take at least a week or two for the radiologist report. In the meantime, while I am sitting working at my computer, there is only a little pain and a lot of jumping inside my calf. If I am sitting reclined and relaxing, there seems to be nothing. When I am on my feet for just a few minutes the numbness begins and the pain in foot and calf. Since I am still working taking care of the magazine that I publish I am out 3 or 4 hours a day. Since I am getting in and out of the car and even sitting at a clients office, I do pretty well but I have noticed the last few days around 4 or 5 when I get home that both my legs are so weak that I feel bad and have to lie down and sleep.The first day that happened, I checked myself with the little stroke test. I had a mild stroke in 06 and that is the first symptom that I had , extremely weak legs and unusual tiredness. Last night I woke up and realized the outer part of my left ear was in pain. I touched the ear and it was extremely sore then I realized that the spot on my face right beside my ear was sore to the touch. It was ok when I woke up this morning. Besides the stroke, I've had open heart to remove a little growth from a valve and had a stent in the subclavien (sp) artery. 100% blockage. Should I demand more immediate medical attention. Should I be worried?
doctor
Answered by Dr. Chander Mohan Singh 6 hours later
Brief Answer:
You should not ignore all this.

Detailed Answer:
Hi,

I have read your query.

You should not ignore all this but in addition to get a doppler ultrasound of the leg to rule out DVT you should also get your morning blood pressure levels, E.C.G done and send me the report. Go to your ER and get all this as early as possible.

Till the reports comes you should wear compression stockings, elevating your leg.

All this prevent a complication called post-thrombotic syndrome and relieve symptoms like pain and swelling.

I hope it helps.

Thanks.

Dr.Singh.
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
default
Follow up: Dr. Chander Mohan Singh 1 hour later
Thank you, Dr. XXXXXXX I got a call from the nurse today saying that the ultra sound showed blockage like pad and she made a follow up appt. with the Dr. for week after next and told me if I got worse to call them back. I replied that I didn't know how I could get much worse, I am trying to work and can hardly walk or stay on my my feet over 20 minutes. If i am up and down I can make out but if it is extended it just wears me out and I limp.I am not doing much walking at all.
I wanted to ask you about the blood pressure. Can I not just take it in the mornings and what is E.C.G.?
doctor
Answered by Dr. Chander Mohan Singh 8 hours later
Brief Answer:
Cardiovascular risk is highest in morning.

Detailed Answer:
Hi,

Thanks for your response.

I want to clear you my point that, early-morning blood pressure is generally viewed as an important therapeutic target because cardiovascular risk is heightened at this time of day. At the same time as this risk of plaque rupture is greatest. Antihypertensive agents taken once daily in the morning, the timing of the trough plasma drug level, and thereby the lowest pharmacodynamic effect, often coincides with the early morning rise in blood pressure and heart rate.

That is the reason for recording morning blood pressure.

E.C.G-An electrocardiogram (EKG or ECG) is a test that checks for problems with the electrical activity of your heart. An EKG translates the heart's electrical activity into line tracings on paper. The spikes and dips in the line tracings camera are called waves.

An electrocardiogram (EKG or ECG) is done to:

Check the heart's electrical activity.

I hope you have got your answer.

Thanks.

Dr.Singh.


Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication
Lab Tests

Recent questions on  Gabapentin

doctor1 MD

my husband has a L5-S1 disc herniation, and subaequently sciatic pain. Since starting Neurontin 100mg TID 6 weeks ago, he has had periods of inability to reach orgasm. Does one have to do with the other? He is 6'0" 185# 39years old and in good health. He will be within seconds of orgasm and he will lose his erection. The erection will come back and he will continue the pattern and sometimes (even after trying for 90min) still have no success. Help...

doctor1 MD

Hi.. My son a 25 year old Brazilian Ju Jitsui grappler who competes internationally & teaches on a full time basis in Toronto. He had been competing heavily in New York & Chicago in August 2013 & must have injured his lower spine at that time, requiring surgery known as a discotomy of the L 4/5. I believe the surgeon was very good but for whatever reason ... & quite possibly Thomas prematurely doing too much activity, has been in great pain for most of the last 9 months. He has taken a great deal of pain medication (Toradol, Tylenoly ES, Gabapentin an anti-inflamatory drug) which we are concerned about & also has had ablation of the nerves two times plus multiple cortisone injections. The pain remains unbearable when medication is decreased. Surgery for a fussion of affected vertabrae has been suggested but my son does not want to accept that option. Any suggestions for treatment for pain relef to allow my son to get back to his career & life.

doctor1 MD

I have bilateral neuropathy. I have several other conditions, one of which I take gabapentin for. My neurologist recently prescribed tramadol to compliment the gabapentin for dealing with the nerve pain. Despite the fact that I found the tramadol to be effective in reducing the progressive nerve pain, I had to stop due to an adverse reaction. Today my neurologist called in a Rx for fioricet to try instead. I do not suffer from migraines. I cannot find any info online about taking fioricet for neuropathy. Any thoughts on why/how thiscdrug would be effective for dealing with nerve pain in my legs?? Thank you in advance for your time and expertise,Chronic nerve pain sufferer

doctor1 MD

My husband has diagnostic neuropathy in his feet and it burns like a thousand bees are stinging him on the foot. He has taken gabapentin 3600 mgs and lyrica with the Gabapentin. And it did not work and now he is on cymbalta and oxytocin is not working either Is there a surgery where they can stop the nerves from burning by deadening the nerves and he doesn t care if he has no feeling after the surgery . This is a last resort for him. Thank you so very much. God Bless to you Andrea

doctor1 MD

i have crirrocis quit drihking 2years but i have bad itching

doctor1 MD

My entire right arm keeps falling asleep whenever I sleep, regardless of my position. This has been happening for over a week. I have a history of both stroke and neuropathy. I am a 54 yr old woman.

doctor1 MD

Hi my name is XXXXXXX I take trazodone, gabapentin and duloxetine HCL DR, with oxycodon-acetaminophen7.5-325 witch I have to drug test for. I was just told my test came back showing I have taken lorazepam . this is not the first time for this...