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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Swollen Leg And Foot Numbness. Diagnosed With Gout And Diabetes. Suggestions?

Hi, I have a swollen knee , lower leg and ankle. My doctor saw me Monday and after examining me told me he thinks its Gout and gave me medication for that. The pain in my knee has gotten better but the swelling hasn t. When I press on my Tibia , the result is the feeling of say putty where I can leave indents on top of the bone. My ankle is swollen but not nearly as bad as my knee. Lastly, my knee to my ankle is noticeably warmer than my other leg, Two weeks ago, I had foot numbness in the same leg that has since dicipated and back to normal. On top of all of this I was diagnosed with the start of Type 2 with an A1C level of 7...........thoughts? Thanks
Mon, 18 Feb 2013
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Pathologist and Microbiologist 's  Response
hi there, your symptoms are suggestive of condition other than gout and you need further investigatyion. You are saying that there was numbness few days back followed by swelling of the knee and warmth of the extremity,these all are suggestive of an infective etiology and you will need to see if you have any injury on your foot or leg in which case you might need to get it examined by a doctor. Also a deep vein thrombosis cannot be ruled out and so getting a colour doppler done for the lower extremety would be quite informative. Also moniter your blood sugar level and get an endocrinologists help to keep it under control. It is not a light matter and it would be a good idea to get a thorough exam done before you leave it to be gout and further management need to be done . Take care.
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Have Swollen Leg And Foot Numbness. Diagnosed With Gout And Diabetes. Suggestions?

hi there, your symptoms are suggestive of condition other than gout and you need further investigatyion. You are saying that there was numbness few days back followed by swelling of the knee and warmth of the extremity,these all are suggestive of an infective etiology and you will need to see if you have any injury on your foot or leg in which case you might need to get it examined by a doctor. Also a deep vein thrombosis cannot be ruled out and so getting a colour doppler done for the lower extremety would be quite informative. Also moniter your blood sugar level and get an endocrinologists help to keep it under control. It is not a light matter and it would be a good idea to get a thorough exam done before you leave it to be gout and further management need to be done . Take care.