Suggest Treatment For Swollen Ankles And Muscle Pain
I would recommend performing some tests:
Detailed Answer:
Hello XXXXXXX
Thank you for asking on HCM!
I passed carefully through your question and would explain as follows:
1- The swollen ankles could be related to chronic inflammation or to fluid retention (possible heart failure, kidney or liver disorder). Chronic venous insufficiency can not be excluded either.
2- The pain and loss of muscle force in the lower limbs coupled with the sense of cold during the night could indicate possible chronic nerve damage or polyneuropathy.
Coming to this point, I would recommend consulting with your attending physician for a careful physical exam and some tests to investigate for the possible causes:
- a resting ECG and a cardiac ultrasound to exclude heart failure
- a chest X ray study
- complete blood count, PCR and ESR for inflammation
- fasting glucose and HbA1C for diabetes
- kidney and liver function tests
- blood electrolytes
- thyroid hormone levels (thyroid dysfunction can cause chronic fatigue and polineuropathy)
- vitamin B 12 levels for possible deficiency
- a urine analysis.
A doppler ultrasound of the leg vessels would help exclude possible chronic venous insuficiency.
A nerve conduction study (electroneurography) is needed to investigate for polineuropathy.
You should discuss with your doctor on the above tests.
Hope you will find this answer helpful!
Wishing good health,
Dr. Iliri