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Suggest Treatment For Acute Ankle Pain

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Posted on Fri, 1 Jul 2016
Question: Hello,
Two months ago I woke up in the morning to acute ankle pain. Hard to walk. Have been seeing a doctor, who is new to me. I finally got an X-ray. Nothing showed up. Then a tiny red dot showed. Went back to the doctor. Now it's a 4inch area of reddens. He prescribed antibiotics, and thought it was an infection. Redness still present. After five days. Hum
doctor
Answered by Dr. Indranil Ghosh (4 hours later)
Brief Answer:
infection unlikely if going on for 2 months

Detailed Answer:
Hi
Thanks for your query.

If it is going on for 2 months and it is painful to walk, most likely something is going on in the joints or ligaments/soft tissues around the joints. If that progresses, skin redness can be there.

Soft tissue injury doesn't show up in xrays. Bone problems do, but not always. So I would recommend an orthopedic consult and possibly a MRI as well.

Also high uric acid and gout can cause these problems. So a blood panel with uric acid may be required.

Hope this helps.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indranil Ghosh (1 hour later)
Thank you. I also wondered about gout. I am going to see a doctor whom I feel I can trust on Monday. He is not a primary care doctor, he owns a clinic. He's a "good guy."

I'm wondering if I should continue the antibiotics until then. Frankly, I think they are not the issue. I'm wondering about the redness on my skin, and the pain can be intense. Although I have been walking more. Just want to know what "it" is, so that I can walk without fear of further injury.

I also have HS, an autoimmune "thing." Frustrating.

Thank you again. This internet doctor connection is amazing.
XXXXXXX
doctor
Answered by Dr. Indranil Ghosh (1 hour later)
Brief Answer:
may be autoimmune arthritis as well

Detailed Answer:
I think the second opinion would help.
Wish you speedy recovery.
Regards
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Indranil Ghosh

Oncologist

Practicing since :2004

Answered : 1709 Questions

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Suggest Treatment For Acute Ankle Pain

Brief Answer: infection unlikely if going on for 2 months Detailed Answer: Hi Thanks for your query. If it is going on for 2 months and it is painful to walk, most likely something is going on in the joints or ligaments/soft tissues around the joints. If that progresses, skin redness can be there. Soft tissue injury doesn't show up in xrays. Bone problems do, but not always. So I would recommend an orthopedic consult and possibly a MRI as well. Also high uric acid and gout can cause these problems. So a blood panel with uric acid may be required. Hope this helps. Regards