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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swelling In The Ankles And Lower Legs?

swelling ankles and lower leg. sometimes worse than others one side is usually worse than the other. noi pain but looks bad, sometimes hard to get my shoe on. 3 years now. under DRs care for hypertension. pacemaker(low blood pressure). blood tests are normal. exercise daily eat /sleep good. just tired of getting no diagnosis.
Mon, 18 Mar 2019
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General Surgeon 's  Response
Hi,

This may be caused by three things. Neuropathy or ischemic changes in legs or cellulitis. Cellulitis which is inflammation of subcutaneous tissues and may develop into the diabetic foot with redness or pain in legs.

Neuropathy may also be caused by diabetes but also other metabolic causes may be present or injury of spine. It is presented with burning pain without skin changes.

Last, ischemic changes happen due to poor circulation in the legs.

If this is not your case then these symptoms are indicating circulatory problems in legs which are common in this age and there may be present atherosclerosis that obstructs blood vessels and causes pain and blisters to form.

You should do Doppler ultrasound of the leg or CT angiography to rule out such obstructive changes and then it can be treated properly by medications or by surgical and radiological procedures.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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What Causes Swelling In The Ankles And Lower Legs?

Hi, This may be caused by three things. Neuropathy or ischemic changes in legs or cellulitis. Cellulitis which is inflammation of subcutaneous tissues and may develop into the diabetic foot with redness or pain in legs. Neuropathy may also be caused by diabetes but also other metabolic causes may be present or injury of spine. It is presented with burning pain without skin changes. Last, ischemic changes happen due to poor circulation in the legs. If this is not your case then these symptoms are indicating circulatory problems in legs which are common in this age and there may be present atherosclerosis that obstructs blood vessels and causes pain and blisters to form. You should do Doppler ultrasound of the leg or CT angiography to rule out such obstructive changes and then it can be treated properly by medications or by surgical and radiological procedures. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon