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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swelling In Right Foot, Achy, Pain In Ankle. Diagnosed Sprain In Ankle. Started Similar Symptoms In Left Foot. Opinion?

A few weeks ago August 14, 15 my right foot started to swell and after a week it became achy and my foot especially around the ankle hurt a lot so I went to the doctor and she said it was sprained. After 2 weeks my other foot has started doing the same, swelling and it hurts. Why is that. I don't really believe myself my right foot is a sprain. What do you think
Sat, 31 Aug 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi and welcome to HCM

According to your description , pain and swelling over your ankle and foot seems to be inflammatory in nature. It could be due to an acute attack of gout.

I advice you to give you rest to the part affected, take anti-inflammatory drug like motrin 1 tablet with food as and when required (upto 4 tablets daily) to reduce pain and inflammation and consult your doctor for thorough examination and rule out any infective cause.

I do hope that you have found something helpful and informative and I will be glad to answer any further query.
Take care.
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Orthopaedic Surgeon, Joint Replacement Dr. K. Naga Ravi Prasad's  Response
Hi, thanks for writing to HCM.

Spontaneous onset of swelling & pain in the ankle suggests an INFLAMMATORY cause and not sprain.

A detailed clinical examination and appropriate investigations are needed to establish the diagnosis.

In the meantime, the following measures will help to some extent
* Rest to the inflammed part and avoid activities which causes pain
* Ice packing of the inflammed area once in 2-3 hours to alleviate the pain
* Elevation of the foot end to resolve the oedema
* Active toe movements
* Elastic compression bandage around the swollen area
* Over the counter analgesic medications like Advil or Aleve will decrease the pain and inflammation.

I suggest you to consult an orthopedic surgeon for further evaluation and managment.

Hope this information is helpful. Good day
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Swelling In Right Foot, Achy, Pain In Ankle. Diagnosed Sprain In Ankle. Started Similar Symptoms In Left Foot. Opinion?

Hi and welcome to HCM According to your description , pain and swelling over your ankle and foot seems to be inflammatory in nature. It could be due to an acute attack of gout. I advice you to give you rest to the part affected, take anti-inflammatory drug like motrin 1 tablet with food as and when required (upto 4 tablets daily) to reduce pain and inflammation and consult your doctor for thorough examination and rule out any infective cause. I do hope that you have found something helpful and informative and I will be glad to answer any further query. Take care.