What Does A Bruised And Swollen Ankle Indicate Despite Applying Ice And Elevation?
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Detailed Answer:
Hello Ms. Fink,
There are two main possibilities for what might be going on based on your description.
When a person has swelling and bruising, the interstitial fluid (from the swelling) and the blood in the tissues (from the bruising) can seep down to the most dependent part of the body by gravity. In the leg, that can be the ankle. This would not be cause for concern. While the bruised appearance may continue in the ankle until your body clears it up, the swelling should decrease if you elevate it.
The other possibility, which is concerning, is that there could be a DVT (deep vein thrombosis). This happens most commonly in the lower leg, and there will be swelling below the level of the clot, because the vein is blocked, preventing or decreasing return of blood to the heart. This causes increased pressure in the vein below the clot and so fluid seeps into the tissues causing swelling of the leg below the clot. A DVT is of concern because a clot can break off from the main clot in the leg and go places in the body that are potentially dangerous for it to block.
So, given that I can't tell what is going on without seeing your leg, I recommend you go to an ER where they can evaluate and if warranted, do imaging studies to rule out a DVT.
I hope this information helps. Please let me know how you are doing after you have been evaluated.
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Detailed Answer:
I hope the swelling is gone today. Let me know if there is anything further I can help with.