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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Prescribe Medication For Swollen Ankle And Pain In Joints

I was infected with typhoid and was admitted to hospital for 4 days. 2 days after getting discharged, i had a swollen ankle. It got relieved by a generic medication. Again after a few days, my knee and shoulder got frozen to some extent. I ran some tests and had high ESR, CRP and HLA-B27 positive. I have been on medication since last 2 months on Etoshine, SaaZ, Flovite, Folitrax and Rantac. I have got some relief in my shoulder and knee but my ankle and heel pain a lot. I cant walk bare feet. There is a little morning stiffness in morning which lasts for 5-10 minutes. Kindly advise as the above medications are not helping to reduce the levels of CRP, ESR and inflammation.
posted on Fri, 14 Mar 2014
Twitter Sun, 25 May 2014 Answered on
Twitter Mon, 26 May 2014 Last reviewed on
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Orthopaedic Surgeon,  's  Response
Hi,
First of all the fever that u had earlier, was it confirmed to be typhoid.If no , then it could have been viral fever and these symptoms a part of post viral polyarthritis in which case the symptoms may drag on upto about 6 months.

The second possibility keeping in mind your symptoms, pain in shoulder, knee and ankle with early morning stiffness ( and unilateral--RA ruled out ) added to HLA B27 being positive points to Ankylosing spondylitis. This has to confirmed by taking an x ray of spine ( bamboo stick appearance in late stages).Exercises is the key.Swimming is a very good option.
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Prescribe Medication For Swollen Ankle And Pain In Joints

Hi, First of all the fever that u had earlier, was it confirmed to be typhoid.If no , then it could have been viral fever and these symptoms a part of post viral polyarthritis in which case the symptoms may drag on upto about 6 months. The second possibility keeping in mind your symptoms, pain in shoulder, knee and ankle with early morning stiffness ( and unilateral--RA ruled out ) added to HLA B27 being positive points to Ankylosing spondylitis. This has to confirmed by taking an x ray of spine ( bamboo stick appearance in late stages).Exercises is the key.Swimming is a very good option.