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What Causes Swollen Knee And Coldness In Left Foot Of An Elderly Person?

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Posted on Tue, 21 Jun 2016
Question: Hi I am 70, 182lbs, 5ft 8 and generally in good health. Have long term BP treatment Amoldopine 5mg Losarton50mg
Last week end did long walk and then drove a car with clutch developed swollen knee, not red milady hot.
Thursday and friday took Ibuprofen 3 times 400mg Paracetamol 3 times 400mg each day together.
This morning swelling down and can function on knee.
However have cold Left foot which has kept me awake last 2 nights virtually no sleep. Today moving well foot still cold no other symptoms everything else seems fineā€¦.have stopped Ibuprofen and Paracetamal today.
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Answered by Dr. Dr. Meriton Siqeca (30 minutes later)
Brief Answer:
Few tests needed

Detailed Answer:
Hello and welcome to HCM. Thank you for your question. I carefully read your query.

Well, if the local oedema (swelling) was in the same knee, then some compression to the local arterioles and capillaries may have been done and, therefore, it is normal that the temperature of the foot may be different from the other for some days. It is a transitional process until everything is stabilized. A good thing that anti-inflammatory drugs were taken, to treat the few signs of inflammation of the are.
However, based on your age of 70 years old, I would recommend a few tests:
- a complete blood count and a biochemical panel, especially the uric acid levels in the body
- an echo Doppler of the circulation arteries, arterioles, distal to the partition that has been swollen
- after these two tests have been carried out, depending on the result, a visit/consult with a rheumatologist, who can further address you to an orthopedic surgeon.

As for the high blood pressure treatment you are on, my opinion is that the two mentioned drugs are safe and effective to treat hypertension and, as long as blood pressure levels are under 140/90 mmHg, no further changes or additions should be made in this strategy of treatment.

I hope I was helpful. I am happy to help, if you have follow-up questions.

Best regards,
Dr. Meriton
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Sonia Raina
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Answered by
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Dr. Dr. Meriton Siqeca

Cardiologist

Practicing since :2009

Answered : 775 Questions

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What Causes Swollen Knee And Coldness In Left Foot Of An Elderly Person?

Brief Answer: Few tests needed Detailed Answer: Hello and welcome to HCM. Thank you for your question. I carefully read your query. Well, if the local oedema (swelling) was in the same knee, then some compression to the local arterioles and capillaries may have been done and, therefore, it is normal that the temperature of the foot may be different from the other for some days. It is a transitional process until everything is stabilized. A good thing that anti-inflammatory drugs were taken, to treat the few signs of inflammation of the are. However, based on your age of 70 years old, I would recommend a few tests: - a complete blood count and a biochemical panel, especially the uric acid levels in the body - an echo Doppler of the circulation arteries, arterioles, distal to the partition that has been swollen - after these two tests have been carried out, depending on the result, a visit/consult with a rheumatologist, who can further address you to an orthopedic surgeon. As for the high blood pressure treatment you are on, my opinion is that the two mentioned drugs are safe and effective to treat hypertension and, as long as blood pressure levels are under 140/90 mmHg, no further changes or additions should be made in this strategy of treatment. I hope I was helpful. I am happy to help, if you have follow-up questions. Best regards, Dr. Meriton