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Intense pain around ankle area, swelling on walking or sitting in one position, eases on sleeping, no relief with medicines. Solution?

Hi doctor, I have pain in the area around my swells up if at all I walk a lil longer or sit with my foot down or exert a little bit...It pains... A LOTTT..and once I sleep at night the pain goes away and the swelling also reduces to a great extent..But stays..does not vanish...I tried consulting an orthopedic consultant and asked if it was elephantiasis ...but he said No...I am suffering for almost 2 years now...No doctors or medicines helped.. Please help with a solution and let me know the probable cause if you can...
Mon, 11 Jun 2012
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Pulmonologist 's  Response
thank u sir for sharing withus in HCM
ur pain and swelling increases with walking and movement and decreases with rest but not disappearing completely
its an inflammatory arthritis most probably osteoarthritis
not even a single x-ray of ur ankle is available to us
rest, analgesic are the main medical treatment in acute phase
but in the convalescent stage physiotherapy and exercise is reqd
but if the disease is much progressive then as per stage of joint involvement surgical options are available
my 2nd diag is gouty arthritis, need to do a serum uric acid
consult orthopedic surgeon
thank u
I find this answer helpful
  Anonymous's Response
After reading to Your problem there are following possibility that causes you pain

1. It may TB of bone of ankle joint for this you must do your x-ray ankle and consult a orthopedics and if needed for confirmation you must do MRI of Ankle Join.

2.Lipoma of the calcanus bone. Lipoma is a kind of abnormal growth inside the bone which causes pain on standing and walking, swelling of the part. MRI can give a clear picture of it.

3. If you had history of old trauma than your pain can be due to ligament tear or ankle strain but its pain last for few months and gets aggravated on walking or in winter season.

4. In my opinion you must do MRI of ankle joint that will clear your many doubts and if needed some blood investigations such as RA factor, ESR or S. Ca.


Dr. Dinesh Bhatia
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