Dr. Sugreev Singh
Internal Medicine
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Patient's Query
Hello doctor,
I am 51 years old. I am suffering from ankle joint pain and swollen left knee for two months. I can walk but get pain in both ankle joints while walking, and I kind of limp while walking every step. It is tough to walk. When trying to get up from the chair, I struggle a bit, no pain, though, nor I have back pain. Also, standing continuously for more than 5 minutes cause pain below the feet. I am attaching my reports. I request you to suggest your solution so that I can get my free walk back. Also, I have attached photos of my knee. I also consulted a few doctors, attaching the prescription as well. I have BP and sugar. My BP is 140/90 mmHg. For BP, I use Telsartan H 80 and for sugar, Teneligliptin 20 mg.
Hi,
Welcome to icliniq.com.
Thank you for attaching pictures (attachment removed to protect patient identity) and a good description. I am concerned about you.
All the reports are normal, except for a few. Your ankle shows an injury in one of its bones. Or may the picture is not so clear, so I am unable to differentiate properly. And other things were vitamin D insufficiency. Other reports are normal. Because there is damage or can say fracture in the ankle joint, that is why it pains and when you walk and due to movement swelling occurs.
In such cases, it needs to be fixed with plaster or pins. I would suggest you meet your nearby orthopedic doctor. He will fix it. Because if you do not fix there can be dislocation, which can lead to more swelling and pain. While you walk, do with support so there would not be much pressure on your ankle.
Are you taking the medicines prescribed above? Due to injury in the knee, there is a slight decrease in joint space or maybe arthritis. That has to be corrected with medications.
If you are not taking the medicines prescribed above, then please take tablet Calcium, Vitamin D 500 mg once daily after meals for ten days (it will help in bone healings as well vitamin D insufficiency), tablet Ibuprofen 600 mg twice daily after meals (for pain and swelling) for the next five days, tablet Pantop (Pantoprazole) 40 mg once a day before meal (for acidity caused by medicine).
Apply Diclofenac gel two to three times a day on the swelling. Do not walk much until it gets fixed. Consult a nearby orthopedist for bandage and mobilization of the ankle. You can continue your BP and sugar medicines as it is.
I hope this helps.
The Probable causes
Investigations to be done
Differential diagnosis
Probable diagnosis
Treatment plan
Preventive measures
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Internal Medicine
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