Discussions By Condition: I cannot get a diagnosis.

Swollen Ankle, Varicose Veins

Posted In: I cannot get a diagnosis. 11 Replies
  • Posted By: susanashap
  • September 18, 2008
  • 05:34 AM

Hi, I have varicose veins on my legs and swelling in my ankles, but lately I have also been getting this weird pain sometimes when I walk. It almost feels like someone is pulling apart the insides of my ankles. I don't know what this could mean and it is really getting on my last nerves. The pain isn't constant, it comes on very quickly and then goes away. I have tried looking online to see what this could be but I can't find anything and my boyfriend thinks I am a Hypochondriac. Any advice appreciated.

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11 Replies:

  • Are both ankles equally swollen? How old are you? Does it help to rest your legs in higher position?
    Felsen 510 Replies
    • September 18, 2008
    • 08:21 PM
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  • Varicose veins are typically a cosmetic defect and are not associated with vascular insufficiency of any type. Swelling of the ankles can be caused by a number of conditions, the more common being dependent edema wherein fluid collects in the interstitial tissues rather than circulate upward against gravity. The symptoms are typically a tightness in the ankle joint and in some cases, discomfort when walking. While this type of edema can be observed in patients with heart conditions, it can also occur in healthy persons who spend a great deal of time in a seated position wherein the ergonomics of the chair and type of footwear of hose being worn helps to restrict normal flow of fluid. Swollen ankles are also experienced by some female patients during their menstrual cycle as a natural occurrence from fluid retention during this time. As stated, there are many causes. The second common cause is due to gouty arthrititis and presents the patient with a good deal more pain than simple edema because crystalline particles manifest in the synovial joint space where the ankle flexes and causes sometimes extreme inflammation. My recommendation is to seek evaluation if the symptoms persist or grow worse. In the meantime, elevate your feet in the evening hours when the symptom is likely to become worse. Do not wear restrictive hose about the calves and if your occupation involves long periods of sitting, then be sure to take breaks and walk about to take care of some of your duties if possible. Best regards, J Cottle, MD
    JCottleMD 580 Replies
    • September 18, 2008
    • 10:46 PM
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  • Both of my ankles are swollen, but my left ankle is a little more swollen then the right. I am 24, but very overweight. Usually it helps when I lie down, but the pain only happens while I am walking, never in any laying position.
    susanashap 3 Replies
    • September 19, 2008
    • 05:48 AM
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  • I recommend cardiological check-up. Good luck!
    Felsen 510 Replies
    • September 19, 2008
    • 07:56 PM
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  • A cardiovascular workup for a 24 year-old for suspected congestive heart failure is entirely inappropriate. In order for the edema to represent a symptom of heart failure, the patient would also be experiencing respiratory symptoms as well, ie shortness of breath because the fluid would be settling in the lungs and other tissues as well. The edema you are experiencing is not due to a heart condition and although you may be overweight, at your age CHF is simply not a consideration, particularly in light of your range of symptoms. Best regards, J Cottle, MD
    JCottleMD 580 Replies
    • September 19, 2008
    • 10:09 PM
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  • Dr Mottle, I do agree that CHF is unlikely for a 24 year old, but most of the patients who post here suffer from unlikely conditions. The conventional medical care has not been able to help them and therefore one must think outside the box. I also wish you would express yourself in a little more humble way. Many of the patients here have seen far too many doctors convinced about what they suffer from but not being able to help them. Having said that, I greatly appreciate your posts and learn a lot from them. Imagine if more doctors would post on sites like WrongDiagnosis, so many patients would finally a get the correct diagnosis. Now, back to Susan. If you rule out CHF as the cause of the pain and swelling, what do you suggest is causing the symptoms? Where I come from, obesity is still quite uncommon, therefore I do not know if it can cause ankle swelling and pain. Can it? I was also thinking of May-Thurner syndrome, but having both ankles swollen would require fully developed transpelvis collaterals and that I find rather unlikely in a 24 year old woman. But as I said before, one must consider even unlikely conditions.
    Felsen 510 Replies
    • September 20, 2008
    • 02:37 PM
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  • I am sorry for misspelling your name, dr Cottle!
    Felsen 510 Replies
    • September 20, 2008
    • 02:40 PM
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  • My comments are not intended to be brash or arrogant, but rather straight-forward as part of my training and experience as a physician. You ask me to be humble while simultaneously suggesting that I need to think outside the box where members to the forum are concerned, as well as attempt to educate me regarding why members are posting to the forum. Since you've taken liberty to express your opinions, I'll offer my own; since joining this forum for the purpose of merely shedding some light from a medical perspective in response to questions by forum members, I have observed what appears to be a wellspring of responses by persons clearly not licensed or trained as medical doctors attempting to do nothing short of practice medicine via the internet by diagnosing symptoms, recommending treatment or otherwise directing persons to undertake certain medically related actions regarding their complaints. Suffering from or having experience with a disease or disorder does not under any circumstances qualify a person to diagnose or recommend treatment, yet it seems to be the mainstay of experiential qualifications on this forum. While I certainly realize that all of these members are devoting their time to provide support to others with similar symptoms, they must unavoidably realize that simply because someone describes a symptom, does not conclude that they share the same underlying cause. It's as though the responders to the questions are of the opinion that medical training or experience is entirely unnecessary and that directing others with regard to their healthcare is not reckless in the very least. Providing support does not translate to medical advice and I've even had occasion to be contacted by forum members to instruct me that my assessment is entirely wrong, despite the fact that these persons are not trained or licensed as physicians. I don't have to reaffirm here that support in the way of forums like this represents an invaluable tool, often a place of last resort, for many who visit or join the forum. To this extent, I applaude the efforts and dedication by those who spend their time providing it. Although I haven't objected, my intent in responding to persons citing medical causal factors or outright medical instruction, is that it's reckless and sends these persons seeking out testing that their doctors are highly likely to reject because it bears absolutely no relevance to their symptoms. As a result, these people are not permitted the tests requested and it translates to stubborness or even ignorance on the part of the physician for not permitting it. So let's try to use this opportunity to establish some segway between the patient communication portals like this forum and the medical community. I'm offering my time to address medical questions from a medical perspective as a physician. Since I do not have any of the illnesses being discussed on the forum, I do not try and provide support because I do not have the experience. It would be my suggestion that great care be taken when someone is responding to a medical question by going beyond the support realm and actually giving medical instruction or advice in the absence of medical training and licensure. Surely anyone on this forum would be outraged if they were to be evaluated by their doctor only to learn that they were not licensed or trained. Why then would it be permissable on any forum where medical concerns are within the same context of inquiry? People desperate for answers will sometimes go to any length necessary to obtain relief, but I would think it even more critical under such circumstances to ensure that they were being provided the most accurate information possible. That would be my position on the matter. If the administrators of the forum so choose, they may freely remove me from access but my perspective remains as it has since I took an oath as a physician. First, do no harm. Best regards, J Cottle, MD
    JCottleMD 580 Replies
    • September 21, 2008
    • 02:56 AM
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  • Perhaps a better name for the forum might be "medical opinion.com"...:D:D:D
    Monsterlove 2921 Replies
    • September 21, 2008
    • 03:27 AM
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  • actually that an always happen to anyone and that is why there are also treatments for it so we don't really have to worry anymore. Traitement de varice
    marygrace12 1 Replies Flag this Response
  • I've had leg pains for many years, and this painful and swollenless was killing me. In addition I had night cramps. My legs were a mess and I couldn't go to the beach because my legs looked so scary. Furtunatelly I heard about this Laser Treatment. This non-surgical laser treatment was literally painless, and the whole procedure took only 10 minutes! I started researching and I found USA Vein Clinics, They are definitely professionals at what they do. The office staff and doctor were pleasant and answered all my questions. I feel so much better.
    kycake 1 Replies
    • November 13, 2012
    • 08:35 PM
    • 0
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