Orthopedic Disorders Online Doctors Consultation — page 3

It sounds like the swelling and pain around the ankle could be due to chronic inflammation, a mild sprain, or venous insufficiency, especially since it worsens with prolonged standing. Since it has been persisting for two months despite antibiotics and painkillers, it may be worth exploring other causes and treatment options. Possible Causes 1. Venous Insufficiency: Common in people who stand for long hours, it causes blood pooling in the lower legs, leading to swelling and discomfort. 2. Tendonitis or Ligament Strain: Repeated stress from standing can cause inflammation in the ankle tendons or ligaments. 3. Arthritis: Mild osteoarthritis can cause intermittent ankle pain and swelling, especially with age. 4. Lymphedema or Edema: Fluid retention due to reduced lymphatic drainage can cause swelling. Remedies and Care Tips 1. Rest and Elevation: Rest the ankle whenever possible. Elevate the leg above heart level while sitting or lying down to reduce swelling. 2. Cold and Warm Compress: Apply a cold pack for 15-20 minutes if the area is inflamed. Use a warm compress after a few days if stiffness persists. 3. Compression and Support: Wear compression stockings to improve blood circulation and reduce swelling. Use an ankle brace for added support if walking is painful. 4. Foot Exercises: Perform ankle circles and calf stretches to promote circulation. Gentle walking or swimming can also help. 5. Anti-inflammatory Medications: Continue with painkillers as needed, but avoid overuse. Ask your doctor about NSAID gels or creams for localized relief. When to Seek Further Medical Help If the swelling and pain persist despite these measures, you should: Request an X-ray or MRI to rule out ligament or bone issues. Get a Doppler ultrasound to check for venous insufficiency or blood clots. Consult an orthopedic specialist or vascular surgeon if the symptoms persist or worsen.