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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Swelling In The Ankle And Discoloration Of The Toes

I have type 2 diabetes with ankle swelling and discloration of my left toes (not big one) after being on my feet all day long wearing socks. My right ankle does not swell as much and shows no significant discoloration. This is a recurring situation. My diabetes is under control with an A1C avg at 6.0. A PAD test a year ago showed some sort of blockage inside my left thigh with an explanation I probably have some new arteries by passing the blockage, and not to worry right now????. If I sit to long at my computer or watching TV in any postion with my legs hangiing down the swelling starts after a short period of time (20-30 minutes), quicker in my left leg than my right.. When I elivate both legs the sweeling goes down over an hour or so and ispretty much gone after sleeping all night. I am limited at the moment with bulging disks, stenosis, athritus in my lower lumbar awaiting my 3d epidural shot. What if anything can I do to ease the swelling . What do you think is the situation??. I do have meds for neuropathy as well. Thank for your help. I am also on a very low salt diet..
Mon, 29 Sep 2014
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General & Family Physician 's  Response
Hello there,
From your description your symptoms look more like due to venous problem. Has anyone ever told you that you may have varicose veins? For this its ideal if you can sit with your legs elevated on a chair/table. This condition needs to be seen by a general surgeon who can examine you and decide if any particular treatment is required. Generally people benefit by using stockings (specially designed for varicose veins) through the day.
Your blood sugars seem to be under control. But please do not ignore your PAD problem (which is different from varicose veins) and you may need yearly check ups for the same.
Do take good care of your feet as you are highly prone to get foot ulcers as you have PAD+Neuropathy+veins related problem. Check your feet every night for injuries. clean and wash your feet every night and pat them dry and use a moisturiser on the soles and heels, avoid in between toes. Wear shoes when outside and use comfortable footwear (MCR/MCP material) even at home.
Hope this helps.
Take care.
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Suggest Medication For Swelling In The Ankle And Discoloration Of The Toes

Hello there, From your description your symptoms look more like due to venous problem. Has anyone ever told you that you may have varicose veins? For this its ideal if you can sit with your legs elevated on a chair/table. This condition needs to be seen by a general surgeon who can examine you and decide if any particular treatment is required. Generally people benefit by using stockings (specially designed for varicose veins) through the day. Your blood sugars seem to be under control. But please do not ignore your PAD problem (which is different from varicose veins) and you may need yearly check ups for the same. Do take good care of your feet as you are highly prone to get foot ulcers as you have PAD+Neuropathy+veins related problem. Check your feet every night for injuries. clean and wash your feet every night and pat them dry and use a moisturiser on the soles and heels, avoid in between toes. Wear shoes when outside and use comfortable footwear (MCR/MCP material) even at home. Hope this helps. Take care.