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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swelling On Leg And Knee?

Hello...I am a 63 year old male with a swollen left leg, foot and knee. I weigh 350 and am 6 1 . I have had a doppler vein scan...no blood clots. I have also had a blood test for diabedes and a thyroid blood test...both normal. I have intense pain in my knee and heat or cold do not seem to help. The back of my calf has 3 deep dimples that look like healed over knife slashes. All the hair is off the calf and it is very hard. I have been to a dermatologist who diagnosed it a edema and refered me to the wound clinic at the local hospital. (appointment is next week). I am on benicar hct and atenolol for blood pressure and have take pravastatin and then crestor (13 weeks). This was about the time when the swelling appeared, about 10 weeks ago. Any help you can offer will relieve my anxiety. Thanks
Fri, 17 Apr 2015
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Orthopaedic Surgeon,  's  Response
Hi,
i can understand the pain and discomfort you are going through.
you have cleared that you have no DVT which is the most dreaded complication, but let me tell you that DVT can still develop if you do not keep the feet moving, you have no diabetes or thyroid problem, now the only source left for unilateral (only one leg) edema is lymphatic obstruction and the edema in such cases is non pitting.
you will need an lymphangiogram to see if this system is blocked, moreover you also need to rule our infection as a cause, although it is unlikely, as it manifests fast, but still possibility has to be kept in mind.
take care and consult your doctor to get investigated, till then keep limb elevated, put a compression dressing like a crepe bandage over the limb, do not walk more and keep your toes moving constantly.
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What Causes Swelling On Leg And Knee?

Hi, i can understand the pain and discomfort you are going through. you have cleared that you have no DVT which is the most dreaded complication, but let me tell you that DVT can still develop if you do not keep the feet moving, you have no diabetes or thyroid problem, now the only source left for unilateral (only one leg) edema is lymphatic obstruction and the edema in such cases is non pitting. you will need an lymphangiogram to see if this system is blocked, moreover you also need to rule our infection as a cause, although it is unlikely, as it manifests fast, but still possibility has to be kept in mind. take care and consult your doctor to get investigated, till then keep limb elevated, put a compression dressing like a crepe bandage over the limb, do not walk more and keep your toes moving constantly.