Discussions By Condition: I cannot get a diagnosis.

unexplained Ankle pain and swelling

Posted In: I cannot get a diagnosis. 5 Replies
  • Posted By: Anonymous
  • August 1, 2008
  • 02:03 PM

my doctor has told me to take a painkiller, i can't understand why this is the remedy with no explanation of the problem.

for a while now, i have noticed that my achilles tendon is painful when i just get out of bed and try to walk. it use to wear off throughout the day then ache a bit towards the end of the day.

lately it has progressively got worse. it wouldn't wear off during the day, i found that i couldn't walk on the flat without a funny limp and stairs were a sideways shuffle!

I then started to noticemy feet would be hot especially when it was hurtin g and my feet had swollen.

more recently, i have swelling just behind the ankle bone, above the heel and when i go to bed, the ankle throbs and a pain can be felt all the way up to half way up my calf.

the right foot is worse than the left but they both have the same problem. the tendons are painful to the touch.

i just can't beleive that a painkiller can be right. our bodies have their own warning system to flag up problems, surely if we ignore a warning , we ignore a problem?

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5 Replies:

  • You don't mention what type of dr you have seen. I would find another dr fast, since you have this in both feet!! Have you had tests to rule out bacterial or fungal infections or viruses? "Hot and swollen" sounds like you could have an infection.This is a signal red flag something is wrong.Do you have any other health problems?? Heart or circ? Take any meds? Have you been on any antibiotics recently? { Levaquin can cause tendon problems.}For the swelling, sometimes elevating your feet higher than your heart will help reduce that. Have you tried warm epsom salt foot baths, they may help a little with the pain.Hope it helps~~JerseyLymie
    Anonymous 42,789 Replies Flag this Response
  • I know how you feel not getting any results from tests. I have a knot in the webbing of my left hand between my index and thumb that was not there till I was in an auto accident in May. With the knot I also have crushing pain down my index and thumb with loss of strength. The hand surgeon is sending me to physical therapy and putting me on anti-inflammatories, which I have already tried with no success. He is ignoring the obvious problems. As for your problem, two things have come to mind. The first happened to me. I had a ligament lock up on me in my ankle for no reason and it caused pain and swelling, but showed up on no test. They discovered it by doing exploritory surgery. The second idea is have you considered "gout". Here is some info I found on it, and it sounds very familiar to alot of your symptoms.An ancient disease, gout is a chronic type of inflammatory arthritis that causes immediate attacks of pain, tenderness, redness, warmth and swelling in some joints. Usually, the joints in the big toe are affected, but gout can also affect the instep, ankles, heels, knees, wrists, fingers and elbows. Once believed to be the result of gluttony, gout is now known to affect people from all walks of life and often the disease is inherited. Less than one in ten women will develop gout. About 500,000 people have gout in the United States, with most being men between the ages of 30 and 60. Gout accounts for about 5 percent of all cases of arthritis.Causes of GoutGout is caused when there is over production of uric acid in normal purine metabolism in the body. Genetics can play a role in who develops gout. It can also occur as a complication of other conditions. Some people inherit the inability to process uric acid and lose it in the urine. High blood levels of uric acid in turn causes sodium monourate crystals to collect in the joint fluid and joint coverings leading to gout, a painful stiff swollen joint. There are many reasons why an episode of gout will appear, including drinking too much alcohol or eating certain kinds of food rich in purines such as seafood, beans, sweetbreads, gravies and anchovies. Other potential triggers of gout include: SurgeryStressCrash dietsSudden, severe illnessChemotherapyJoint injuryHigh blood pressureExcessive exercise.Symptoms of GoutGout is said by some experts to be one of the most painful of all types of arthritis. Incidents of gout often develop very quickly and sometimes the first incident will be at night. These painful incidents of gout include swelling in the joints that lasts for about a week without treatment. The skin may be red and shiny around the affected joints.Lumps (tophi) may be found under the skin around the elbows, heels or ears. The uric acid crystals cause these lumps and can also cause kidney stones to develop. A few people will only experience one gout attack. However, for most people the gout attacks will keep coming back every few months and will be worse in intensity. If the disease is left untreated, it may result in crippling damage to the joints. Gout is easily identified through a physical examination and diagnostic tests. Your doctor will take a sample of the joint fluid and look for the presence of uric acid crystals. He or she may also take a blood test to measure the amount of uric acid in your body. Treatment of GoutThrough the use of certain kinds of medications, a proper diet and exercise, gout sufferers will be able to successfully treat their condition. Uric acid levels in the body can be controlled through medications, thus reducing the number of gout attacks. Doctors will usually prescribe a medication called allopurinol that stops the over production of uric acid. If the kidneys are not excreting enough uric acid, your doctor may prescribe a different kind of medication such as probenecid or sulfinpyrazone. Doctors have been using a drug called colchicine for centuries to treat gout attacks. Colchicine relieves pain while limiting the inflammation of the joint. Often the drug provides relief quickly but there are some side effects such as nausea, vomiting and abdominal pain. Nonsalicylate NSAIDS (nonsteroidal anti-inflammatory drugs) such as ibuprofen may be used for pain relief. Aspirin should not be used because it can actually make symptoms of gout worse. Talk to your doctor or nutritionist about starting a proper diet. There are certain foods that you should stay away from and be sure to limit your alcohol intake as wine and beer have been shown to make symptoms worse. A combination of exercise, rest and relaxation is important in achieving an optimum level of health and wellness. Your doctor or physical therapist will help you create an exercise plan such as swimming or walking that will help you maintain a healthy lifestyle.(taken fromwww.allaboutarthritis.com). I hope this is helpful. God bless.
    quikcuts2003 1 Replies Flag this Response
  • my doctor has told me to take a painkiller, i can't understand why this is the remedy with no explanation of the problem.for a while now, i have noticed that my achilles tendon is painful when i just get out of bed and try to walk. it use to wear off throughout the day then ache a bit towards the end of the day.lately it has progressively got worse. it wouldn't wear off during the day, i found that i couldn't walk on the flat without a funny limp and stairs were a sideways shuffle!I then started to noticemy feet would be hot especially when it was hurtin g and my feet had swollen.more recently, i have swelling just behind the ankle bone, above the heel and when i go to bed, the ankle throbs and a pain can be felt all the way up to half way up my calf.the right foot is worse than the left but they both have the same problem. the tendons are painful to the touch.i just can't beleive that a painkiller can be right. our bodies have their own warning system to flag up problems, surely if we ignore a warning , we ignore a problem?Hi, I am from Africa and have the exact problem that you have. i have checked with many doctors with no result. i had every check up possible done and now it is coming to a year that i have the problem. i wanted to know if you recovered or not.. what checks have you made till now. my pain is only on the right ankle and it is severe. if you have any contacts with doctors or have recovered please help me out thank you
    Anonymous 42,789 Replies Flag this Response
  • my doctor has told me to take a painkiller, i can't understand why this is the remedy with no explanation of the problem.for a while now, i have noticed that my achilles tendon is painful when i just get out of bed and try to walk. it use to wear off throughout the day then ache a bit towards the end of the day.lately it has progressively got worse. it wouldn't wear off during the day, i found that i couldn't walk on the flat without a funny limp and stairs were a sideways shuffle!I then started to noticemy feet would be hot especially when it was hurtin g and my feet had swollen.more recently, i have swelling just behind the ankle bone, above the heel and when i go to bed, the ankle throbs and a pain can be felt all the way up to half way up my calf.the right foot is worse than the left but they both have the same problem. the tendons are painful to the touch.i just can't beleive that a painkiller can be right. our bodies have their own warning system to flag up problems, surely if we ignore a warning , we ignore a problem?heyi have the same problem for a year now. have you had any response- any treatment? healed yet? please let me know cos m in terrible pain thank you
    Anonymous 42,789 Replies Flag this Response
  • Hello, I have a very similar problem to yours, I am diabetic- but my pain is much closer to the ankle bone and it gets warm in that area. even i have to get down the stairs side ways and I have had all tests done- MRI, CT scan X-ray but they see not a single problem. I have also had synovial aspiration done with no results. I have had blood tests done as well. The pain is awful and always throbbing like a heartbeat. Can you please tell me if you have have any improvements or any progress in recovery? I am in this situation for now upto 10 months. please let me know if you have diagnosed it yet.
    Anonymous 42,789 Replies Flag this Response
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