Thursday, June 21, 2012 Connie asks

Q: Does this sound like RA, painful swollen ankle with redness, very painful to try to walk and put weight on it.

For the last few years my right ankle will flare up every so often with pain and hurting to walk causing me to limp. It usually goes away and has not caused too much discomfort. Two days ago it came back very strong. when I have been sitting or laying down and get up I can barely stand the pain when I put weight on my right foot. The ankle is red and swollen and the pain is pretty bad when I try to walk. It is making me favor the left side which is now causing the back to hurt some because of the funny way i am walking trying to lean or hold against the wall as I walk. If I put direct pressure of my weight the pain is very strong. As I am up for awhile the pain does not go away but it becomes less severe. But when I sit back down and then get up it is bad again. This ankle pretty much stays swollen however all the time to a degree. It really interfered today at work and does not seem to be any better tonight. I have done nothing to injure it however about 35 years ago I sprained this same ankle and I am now almost 65 can this be connected? I actually felt I needed a wheel chair today. Even when sitting if I move that foot there is pain. There is no other swelling from what I can tell such as the toe and I don't think it is gout. Could this be RA? Usually when it acts up it only lasts a short time sometimes just a few minutes and there never seems to be a reason. But this time does not seem to be going away.
Answer This
Answers (1)
V, Health Guide
6/22/12 12:05am

Hi, Connie,

 

We are not physicians here, but we do have experience with RA and other AI conditions.  Actually, this does not sound like RA. It sounds more like OA and/or some tendon or ligament issues to boot.  You need to see an orthopedic doctor for xrays and possibly an MRI. Your ortho could also do blood tests. If you don't have an orthopedic doc, you could start out with your PCP.  Regardless of which doc you see, you need to see a doctor. Pain that interferes w/your ability to live a "normal" life is a warning sign.   Please make an appointment to see what is going on with your ankle, and let us know how you are doing.

 

Best Wishes!

V

Reply
6/22/12 12:26am

Thanks for the reply. It got so intense today that I went to urgent care. They had to get a wheel chair out for me, I could barely walk at all. I had a slight fever and the ankle and instep area was even more inflamed. He took a few xrays and some blood. Not all the tests are back and won't be until Monday. He suspects it is gouty arthritis and gave me pain medicine and Indocin. Only trouble is I find this so hard to understand because I never eat the items on the list they say causes this so I am truly bewildered if it is indeed this. I came home and took the first dose of medicine and put my foot up elevated and it feels some better. they said white blood and red blood cells were good, no anemia, so I guess at this point it is wait and see. 

Reply
V, Health Guide
6/23/12 9:50am

To tell you the truth, gouty arthritis crossed my mind when I read your original post.  Hope you get some relief soon!  Let us know how you are doing, okay...???

 

V

Reply
6/25/12 5:20pm

Well they have all tests back except waiting on one more a AMA, she said all tests so far are coming back negative for gouty arthritis and they basicly have no idea what I am dealing with. The pain is much better but it is still swollen and red just not quite as severe. now I am really concerned. I was in so much pain they had to get a wheel chair for me and now I don't know anymore that when I started with them. Have absolutely no idea what to do next. This was the worst pain I ever experienced in my life including childbirth and severe back pain that put me in the hospital and TMJ surgery. Nothing ever was close to this pain. Does anyone have any suggestions of what else this could be and what kind of doctor I should go see. I never want to experience this pain again if I can help it.

Reply
Answer This

Important:
We hope you find this general health information helpful. Please note however, that this Q&A is meant to support not replace the professional medical advice you receive from your doctor. No information in the Answers above is intended to diagnose or treat any condition. The views expressed in the Answers above belong to the individuals who posted them and do not necessarily reflect the views of Remedy Health Media. Remedy Health Media does not review or edit content posted by our community members, but reserves the right to remove any material it deems inappropriate.

By Connie— Last Modified: 06/25/12, First Published: 06/21/12