1. Cardiac status (condition of heart) needs to be mentioned here which can be assessed by a simple 2-D echo test.The abnormal cardiac functions may cause swelling of legs and ankle.
2.The possibility of DVT (deep vein thrombosis
) should also be kept in mind which can be diagnosed by Doppler Ultrasonography
of both the legs.
3.The varicose veins
(dilatation of superficial veins of legs) lead to swelling of legs and ankle due to dysfunction of valves between veins.
4. A remote possibility is arthritis
(gouty,osteo or rheumatoid) .
Regards and best wishes
Dr RAVINDRA MATHUR