My wife feels pain in and around the ankles after waking up in the morning. Why?

Hi,

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Your wife has symptoms of inflammatory arthritis. Ankle arthritis is seen in different conditions like rheumatoid arthritis, spondyloarthropathy, sarcoidosis, and Poncet's disease. Please mention whether she has other symptoms such as pain in the small joints of the hands, backache, hip pain, fever, weight loss, and cough. A thorough history helps us to have a definitive diagnosis. She needs to do some investigations such as chest X-ray, X-ray of both feet, ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), CBC (complete blood count), AST (aspartate transaminase), ALT (alanine transaminase), and KFT (kidney function tests). These are some basic investigations needed to be done. She needs to do some specific tests to confirm the diagnosis. For symptomatic relief, she can take a tablet of Naproxen 500 mg or Etoshine 60 mg (Etoricoxib).