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Pain In The Ankle. Have Diabetes, Overweight. Any Thoughts?
58 yr old white male, somewhat overweight , seldom exercise, Type II diabetic. My lower leg, where the shin joins the ankle, hurts a lot when I remove my sock, or anytime I exert downward pressure that sort of rolls the skin. One leg only, and you can press on the spot with no pain, only when pressing downward, like when I dry my leg by pushing the towel toward my foot . Any thoughts?
Mon, 8 Apr 2013
DEAR SIR/MADAM
UNILATERAL PAIN IN THE SHIN, ASSOCIATED WITH EDEMA SOME TIMES MIGHT BE VERY DANGEROUS. IT MIGHT BE DUE TO MANY CAUSES LIKE CARDIOVASCULAR, RENAL, METABOLIC, OR ORTHOPEDIC. BUT I STRONGLY SUSPECT DEEP VEIN THROMBOSIS, IT MAY PRESENT WITH THE SYMPTOMS WHICH YOU HAVE MENTIONED.
SO I ADVICE YOU TO UNDERGO THE FOLLOWING INVESTIGATIONS
1. URINE ROUTINE FOR PROTEINURIA
2. ECG
3. CHEST X RAY
4. VENOUS AND ARTERIAL DOPPLER OF LIMBS (VERY IMPORTANT)
5. OTHER ROUTINE INVESTIGATIONS.
UNILATERAL PAIN IN THE SHIN, ASSOCIATED WITH EDEMA SOME TIMES MIGHT BE VERY DANGEROUS. IT MIGHT BE DUE TO MANY CAUSES LIKE CARDIOVASCULAR, RENAL, METABOLIC, OR ORTHOPEDIC. BUT I STRONGLY SUSPECT DEEP VEIN THROMBOSIS, IT MAY PRESENT WITH THE SYMPTOMS WHICH YOU HAVE MENTIONED.
SO I ADVICE YOU TO UNDERGO THE FOLLOWING INVESTIGATIONS
1. URINE ROUTINE FOR PROTEINURIA
2. ECG
3. CHEST X RAY
4. VENOUS AND ARTERIAL DOPPLER OF LIMBS (VERY IMPORTANT)
5. OTHER ROUTINE INVESTIGATIONS.
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