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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Swelling In Foot?

Hi.I've been mauled by a rothwyler dog on may 15th on both my limbs,in which the left lower limb on my ankle was severely bitten. Where the flesh was bitten off..I've been hospitalised for a month and a half,wounds have closed completely in september,eversince I have been elevating my left foot,coz it used to swell a lot,its now december,my left foot is still so stiff,can hardly walk a distance,can't wear shoes and when I tickle the underneath of my foot it has that slight tingling rush.....what do you think is the problem and what should I do,it is very depressing with all the scars and the stressful part is that my foot doesn't work the way it supposed to......thank you your reply will be much appreciated....
Wed, 26 Apr 2017
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Orthopaedic Surgeon,  's  Response
Hi there. It does appear from your history that you have sustained a severe injury to the left ankle and foot region. Now the first thing that you have to understand is that the problem of recurrent swelling will be a persistent one and will only resolve so much. The overall blood supply over the foot and ankle is relatively poor, and further more the multiple scars which are present around the foot would make the venous and lymphatic drainage difficult. This would lead to fluid retention which should have ideally been pumped back so the result would appear as generalised swelling of the foot. The tingling sensation at the sole of the foot is probably due to a nerve injury that you would have sustained there. If i had a patient who'd present to me with such symptoms, i would prescribe a course of Pregabalin 75mg and B complex tablets for the nerve injury and advise using compression stockings for the foot. Do active and passive ankle range of movement exercises to reduce some of the stiffness that you might be experiencing now. Ask your physiotherapist to help you out for the same.
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What Is The Treatment For Swelling In Foot?

Hi there. It does appear from your history that you have sustained a severe injury to the left ankle and foot region. Now the first thing that you have to understand is that the problem of recurrent swelling will be a persistent one and will only resolve so much. The overall blood supply over the foot and ankle is relatively poor, and further more the multiple scars which are present around the foot would make the venous and lymphatic drainage difficult. This would lead to fluid retention which should have ideally been pumped back so the result would appear as generalised swelling of the foot. The tingling sensation at the sole of the foot is probably due to a nerve injury that you would have sustained there. If i had a patient who d present to me with such symptoms, i would prescribe a course of Pregabalin 75mg and B complex tablets for the nerve injury and advise using compression stockings for the foot. Do active and passive ankle range of movement exercises to reduce some of the stiffness that you might be experiencing now. Ask your physiotherapist to help you out for the same.