Swelling and sore ankle joint

The ankle is a complex in structure, mobile connection of the tibia, fibula and talus. It is located on the bend of the lower limb, connecting the lower leg and foot. Thanks to the joint, it is possible to bend and unbend the foot, to carry out its abduction and reduction.

The joint can withstand significant daily loads, but it is rather vulnerable – a person unsuccessfully tucks his leg (which is easy to do, for example, while jogging or when jumping even from a small height) and instantly gets a dislocation or fracture. Injuries are the most common joint pathology. Pain and swelling in the ankle joint without injury can be for other reasons – as a result of various diseases.

Ankle edema

What are the causes of swelling and pain?

  • In addition to fractures and dislocations of the ankle, which are often accompanied by an ankle fracture, swelling and pain in the joint can cause other injuries:
  1. injury;
  2. sprain or rupture of the ligaments (medial from the inner s >Types of Ligament Damage

    Edema in fractures with a change in bone structure is called trabecular. Such edema can also occur with arthritis and osteoporosis.

    • With injuries, ankle edema and pain, as a rule, are observed on one leg. The likelihood of the same injury to both limbs is extremely small, if we are not talking about a targeted external effect on the joints.
    • A tumor and pain in the joint area can occur when muscle damage occurs as a result of trauma.

    Varicosity

    • Swollen ankle with varicose veins. With this pathology, the veins expand, wriggle, and their valve apparatuses are destroyed.

    At the initial stage of the disease, stars from the vessels and nodes form, heaviness in the legs is felt, a slight swelling is visible, pain is felt when touching the veins.

    With the development of varicose veins, edema of the feet and lower leg begins, cramps the calf muscles, trophic ulcers are formed, etc.

    • Ankle swelling and pain can occur in arthrosis, a chronic disease that first affects the cartilage, and then all other structures of the joint (capsule, ligaments, synovial membrane).
    • A symptom of swelling of the ankle with reddening of the skin above it and pain is observed with diabetic osteoarthropathy. In this case, bone and joint tissues are destroyed, deformation of the foot occurs, and joint mobility worsens.
    • Another reason is ankle arthritis. This is an inflammatory disease that has a chronic or acute course. With arthritis, all elements of the joint are affected.
    • In rare cases, synovitis (inflammation inside the joint with accumulation of fluid) leads to pain and swelling.

    How is the diagnosis?

    The diagnosis is made on the basis of a survey and examination of the patient, followed by instrumental examination. If necessary, the diagnosis is supplemented by blood tests, urine tests. However, in each case, there are distinctive features in the diagnosis.

    • Injury is an occasion to contact a traumatologist. To clarify the preliminary diagnosis made by the doctor, the following instrumental methods are used:
    1. radiography;
    2. ultrasound examination (ultrasound);
    3. magnetic resonance imaging (MRI);
    4. computed tomography (CT);
    5. arthroscopy.

    The main method is radiography. Under it you need to understand the photographing of the joint using x-rays. This is a proven and informative way to identify various internal pathologies.

    Ultrasound, as the name implies, is based on the use of ultrasonic waves. The method is safe, allows you to study the soft tissues of the joint.

    MRI of the ankle

    MRI allows you to get an array of information, process it on a computer and simulate a three-dimensional image of the joint being examined.

    CT works according to a similar principle, only X-ray radiation is used here.

    Arthroscopy is performed using a special apparatus – an arthroscope. This is a minimally invasive procedure in which a small incision is made. Through it, the movable parts of the arthroscope are inserted into the joint and all pathological changes are examined, as well as medical manipulations are performed.

    • If osteoporosis is suspected, the patient is referred for densitometry to assess bone density.
    • With varicose veins, a phlebologist will help. When diagnosing, ultrasound Doppler ultrasonography, duplex angioscanning are mainly used.

    Doppler ultrasonography allows for a detailed assessment of the state of blood vessels using ultrasound.

    The second method combines Doppler examination and traditional ultrasound. The information obtained during its application is almost the same as that provided by the ultrasonic ultrasound scan.

    • The situation is more complicated with arthritis and arthrosis, as these diseases are caused by many reasons. A rheumatologist, for example, specializes in the diagnosis and treatment of rheumatoid, psoriatic, reactive arthritis, ankylosing spondylitis, etc. If arthritis is caused by infectious pathogens, the help of an infectious disease specialist will be needed.

    In other cases, depending on the origin of the pathology, surgeons, orthopedists or traumatologists will help.

    To clarify the diagnosis, use radiography, MRI or CT.

    • The same methods are used in the diagnosis of diabetes, plus ultrasound or duplex scanning of blood vessels. Diagnosis is carried out by a rheumatologist and endocrinologist.
    • With synovitis, arthroscopy, biopsy, cytological examination are used.

    Ankle swelling and pain – how to treat?

    Treatment boils down to eliminating pain, relieving edema, and treating the pathologies that caused them.

    These factors determine how long the therapy will last. Duration can be one day, week, month or longer.

    Hypothiazide

    Shishkevich Vladimir, orthopedic and traumatologistShishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.

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    Medication

    1. To get rid of puffiness, diuretics are used (Furosemide, Hypothiazide, etc.).
    2. Non-steroidal anti-inflammatory drugs (Ibuprofen, Diclofenac, etc.) relieve inflammation and reduce pain.
    3. Local anesthetics are used (Lidocaine, Novocaine, etc.)
    4. To accelerate the restoration of cartilaginous tissue, the use of chondroprotectors (Orthoflex, Teraflex, etc.) is practiced.
    5. The hormonal drug “Hydrocortisone” is injected into the joint. It is prescribed to slow down the process of joint destruction and alleviate the patient’s condition.
    6. In those cases when infections are the cause of the joint pathology, antibiotics are prescribed.
    7. With varicose veins, diabetes mellitus, a specialized treatment of these diseases is carried out with the use of venotonics, sugar-lowering drugs.

    Physiotherapy

    The list of physiotherapeutic procedures includes UHF-therapy. It is based on the use of ultra-high frequency electromagnetic fields.

    Well resolves edema and reduces pain by using interference currents.

    With severe pain, transcranial electrical stimulation helps.

    In addition to these procedures, magnetotherapy, paraffin and ozokerite applications are used.

    Orthosis

    Orthoses

    When a joint is damaged, temporary immobilization is important to prevent further damage. Previously, medical bandages were used for this. Today, orthoses are more often used to immobilize the joint. They resemble golf or a sock in shape. Made from modern materials.

    In the case of traumatic injuries, the diet does not matter. Diet is important in terms of normalizing weight to reduce the workload on the joint. It plays a certain role when swelling and soreness of the joint are caused by metabolic disorders or other diseases.

    In diabetes, you can’t eat chocolate, sweets, honey, raisins, grapes and other sweets. Smoked, spicy, salty, spicy dishes are excluded from the menu. Sugar is consumed in small quantities, in doses recommended by your doctor.

    With varicose veins, the diet is aimed at eating more foods that help improve the condition of blood vessels and blood, and also reduce coagulation to prevent blood clots.

    In the first case, we are talking about foods with a high content of vitamin C. Black currants, citrus fruits, sauerkraut, etc. must be present in the diet.

    It is recommended to increase the use of seafood (mussels, shrimp, etc.), which contain substances that strengthen the walls of blood vessels.

    Products such as redcurrant, garlic, lemon, onion thin the blood.

    How can I treat at home?

    You can get rid of edematous and painful manifestations at home. Traditional medicine offers a wide range of recipes for the treatment of edematous phenomena and pain. However, before applying them, you need to remember that some recipes, such as alcohol, have a warming property. Immediately after the injury, heat must not be applied to the site of damage. I need a cold. To this end, ice may be applied.

    After a couple of days, you can use recipes with a warming effect. The list of recipes includes alcohol tinctures on herbs for rubbing and compresses, potato compresses, ointments, foot baths.

    Rub, smear, apply compresses must be at least twice a day. Pathological manifestations, depending on their causes, either pass or decrease.

    What you need to know about prevention?

    1. It is necessary to strengthen the muscles and ligaments of the ankle.
    2. In a state of fatigue, do not exercise.
    3. You can’t jump from a height.
    4. It is necessary to keep body weight normal.
    5. You need to eat right.
    6. It is necessary to treat diseases in a timely manner.

    When the ankle hurts and swells, it is necessary to consult a traumatologist. Do not wait for everything to go by itself. Timely treatment started will help to avoid undesirable complications.

    You can learn more about ankle arthritis from the video:

    More information on various injuries can be obtained from the video:

    How to cure an ankle tumor and relieve leg pain?

    The ankle is considered the most movable part of the leg, which can be injured at any time. Ankle swelling and pain – how to treat and relieve inflammation? These questions often arise in people of an older age group, when after walking or physical labor unpleasant discomfort appears, which causes severe pain to the patient and restricts him in movements. What causes provoke the formation of negative manifestations and how to deal with them?

    Why does the ankle hurt and swell?

    Why does the ankle swell and hurt? How to treat a damaged part of the body, only a specialist knows. According to doctors, there are various reasons that can trigger inflammation and swelling of the ankle. First of all, it can be traumatic effects that can be obtained when walking and at home. In addition to injuries, the ankle can hurt and swell with the development of various ailments. Such diseases include:

    1. Arthritis. This ailment takes first place among common diseases when the foot swells and hurts. With this disease, an acute painful syndrome manifests itself, which leads to a limitation of motor activity. In addition, inflammation, redness, fever and swelling of the ankle joint can be observed in the affected area.
    2. Osteoarthrosis, which damages the cartilaginous region, as a result of which the process of deformation of the joint cavity is started. Damage to the ankle can be accompanied by damage to the knee and thigh. This ailment is considered a serious pathology, which leads to a limitation of human performance.
    3. With gout, metabolic processes are disturbed, as a result of which salt crystals accumulate in the joints of the joint cavity. In this regard, an inflammatory process is formed, which is localized in the ankle region. The patient has severe pain and swelling of the ankle.
    4. Fascitis of the plantar, in which an inflammatory process is formed in the fascia. This ailment is prone to people who daily engage in physical labor, and the main load goes to the heel. In addition, the disease can develop in people with a deformed foot and overweight.

    As already mentioned, the main causes of damage to the ankle are traumatic effects. Bruises, fractures, and sprains result from a fall or a strong blow. Such damage can be fixed on one or two lower limbs at once. According to doctors, after a sprain in a person, the leg instantly swells. Painful sensations can occur after a careless turn or foot movement, which causes severe suffering to the patient.

    Subluxation and dislocation is often accompanied by a fracture, in which urgent rehabilitation is necessary. With this turn of events, the heel zone is deformed. Therefore, if the ankle joint swells and hurts, only an experienced doctor should determine how to treat the injured area. Do not self-medicate and postpone the trip to the doctor, as this can lead to irreversible consequences.

    Traditional medicine

    For the treatment of pathology, an integrated approach is needed. First of all, it is necessary to identify the true causes of unpleasant manifestations. For this, the attending physician conducts a certain diagnosis, on the basis of which he develops a comprehensive treatment.

    The main treatment includes physiotherapeutic measures, therapeutic exercises, medication, manual therapy and balanced nutrition. Treatment of the disease begins with a decrease in the load on the damaged area of ​​the leg to reduce pain. Complete rest is recommended, so the diseased part of the body is fixed with an elastic bandage.

    If the patient is overweight, efforts must be made to reduce weight. An unnecessary load on the damaged area of ​​the leg is useless. It is necessary to abandon long walks, as this can provoke an exacerbation of pathology.

    In addition, it is necessary to take painkillers and anti-inflammatory drugs that can eliminate painful symptoms and inflammatory processes in the area of ​​damage. Local effects, which are presented in the form of ointments, creams and gels, bring an excellent effect. For the desired result, they must be applied systematically.

    Physiotherapeutic treatment includes acupuncture, hydrogen sulfide baths, ultraviolet radiation, healing mud and swimming. The complex of therapeutic exercises is selected individually for each patient, since improper and excessive exercise can provoke the appearance of severe pain.

    Therapeutic exercises help to tone the muscle group and restore the former motor activity of the joints.

    Many experts argue that with the right approach to physical exercise, you can overcome the ailment without the use of drug therapy.

    In order to quickly come to a full recovery, it is necessary to include a balanced diet in the main treatment. It saturates the body from the inside with useful vitamin and minerals. Based on the analysis received, the attending physician recommends that the patient abide by the rules in the daily diet. Such a diet is not only necessary for joint therapy, but also helps to lose extra pounds.

    The following foods should be absent from the daily diet:

    • pickles;
    • strong coffee or tea;
    • fast carbohydrates found in confectionery;
    • spicy seasonings;
    • fatty foods;
    • sausage;
    • citrus.

    Products that should be included in the diet:

    • greenery;
    • garlic, onion;
    • seafood;
    • flax oil;
    • freshly squeezed berry and vegetable juices;
    • non-fat varieties of cape: bird, rabbit, beef, veal.

    No need to make independent decisions about the diet. All questions relating to the treatment of the disease should be agreed with an experienced specialist, since only a doctor can determine the individual characteristics of a person after passing certain tests. The doctor is developing an effective treatment that can affect the full recovery without any negative consequences.

    Alternative treatment methods

    Since ancient times, traditional medicine has been used to treat many diseases. Such treatment helps to reduce the negative manifestations that cause the patient great discomfort. However, it is worth remembering that separately non-traditional methods of therapy can only eliminate the manifestations of the disease, and only medication can stop the development of the disease.

    The most popular recipes that help reduce negative signs in the legs are as follows:

    1. Hot compress of milk. In heated milk, moisten gauze and apply legs to the affected area. This tool helps relieve pain when stretching the connecting tissues.
    2. Protein lotions. Separate the protein from the yolk, beat and apply on cheesecloth. This tool is applied to the damaged area when stretching soft tissues. Such a lotion can be left all night.
    3. Chicken yolk ointment. To do this, grate soap on a fine grater, add a little clean water and beaten yolks to the mixture. Stir the composition to a pasty state. The ointment is applied to the problem area of ​​the body and is fixed with gauze. This mixture perfectly relieves painful manifestations.
    4. Onion compresses. Onions are finely chopped and mixed with a little sugar. Apply the entire mixture to the damaged area and fix it with a thick cloth. This compress is advisable to apply for 24 hours.

    Onions and garlic are an excellent antiseptic that helps to eliminate pain in the affected area in a short time, especially if the ankle is swollen. Of these products, you can make various ointments, compresses, lotions or ordinary rubbing. However, do not forget that all decisions regarding the treatment of the disease should be agreed with the attending physician. Do not treat the pathology yourself, as this can lead to irreversible consequences.

    Edema of the ankle joint: causes and treatment

    The causes of edema of the ankle joint can be very different, ranging from the effects of trauma, ending with a malignant tumor and heart damage. Do not underestimate the symptom, as it often indicates a serious illness. The consequences depend not only on the cause, but also on the degree of impaired articular function.

    Why does the ankle swell?

    The ankle joint is the joint of the bones of the lower leg with the foot. Its edema is a sign of inflammation, accumulation of synovial fluid in the joint cavity or fluid accumulation in the peripheral tissues of the body. The photo shows how the swelling looks in the ankle.

    Ankle edema can occur for local and general reasons. Local diseases include those that directly affect the joint area and surrounding tissues – arthritis, arthrosis, synovitis, bursitis, tendonitis. Common include diseases of the internal organs and connective tissue, which are accompanied by swelling of the ankle region.

    Treatment depends on the cause that led to the swelling. Medications, physiotherapy are used. In some cases, surgical intervention is indicated.

    Arthritis

    The most common cause of swelling of the ankle is arthritis. Arthritis is an inflammatory disease of the joints. Arthritis is always manifested by signs of inflammation: edema, redness of the skin, local temperature increase, impaired limb function.

    Arthritis can develop for various reasons. The following varieties are distinguished:

    • post-traumatic – occurs after an injury;
    • reactive – occurs as a reaction to an infection;
    • purulent – accompanied by purulent inflammation, the cause is bacteria;
    • rheumatoid – has an autoimmune nature;
    • gouty – develops with gout.

    Arthrosis

    Arthrosis is a degenerative joint disease. The risk of developing osteoarthrosis increases in humans with age. The main symptoms of arthrosis are pain and impaired limb function.

    With arthrosis, inflammation is usually absent. This also applies to such signs as redness, local temperature increase. Swelling with arthrosis occurs with the development of complications in the form of reactive synovitis.

    Damage to other joint structures

    The ankle region can swell with damage to the following structures:

    1. Tendons. With their inflammation, tendonitis develops.
    2. The synovial membrane. With inflammation of the synovial membrane, synovitis develops.
    3. Tendon bag. With inflammation of the bag, bursitis develops.
    4. Ligaments. The defeat of the ligaments occurs when they are stretched or torn.

    With any of these diseases, the ankle region can swell.

    Other diseases

    Swelling of the ankle region can be a manifestation of not only articular pathology. Symptom may indicate a variety of diseases. What pathologies can cause ankle swelling:

    In addition to edema, other symptoms are also characteristic of each pathology. For example, shortness of breath with heart failure, varicose veins with varicose veins, etc.

    Diagnostics

    Often, edema is just one of the symptoms of the disease. It is necessary to pay attention to other manifestations:

    The area of ​​the foot and ankle can hurt due to inflammation, especially with arthritis or synovitis. With pathology of the heart or kidneys, the affected area is painless.

    Impaired limb function

    Failure to make active movements indicates arthritis or arthrosis. With other diseases, movements are preserved.

    Damage to only the left or right joint often indicates an injury or an inflammatory process. In general diseases, the joints are affected symmetrically.

    On palpation, edema can be soft or dense.

    For the diagnosis, additional research methods are used:

    1. General blood test – allows you to identify signs of inflammation (leukocytosis, increased ESR).
    2. Survey radiography. Allows you to identify changes in the articular surfaces of bones with arthritis and arthrosis, the effects of trauma.
    3. Dopplerography of the vessels of the legs. Used to assess the condition of the valves of the veins, identify vascular obstruction.

    How to treat edema

    Treatment depends on the cause that led to the swelling. Medications, physiotherapy are used. In some cases, surgical intervention is indicated. For example, with a traumatic lesion, deforming arthrosis or arthritis. It is not recommended to self-medicate, the doctor should select the therapy in each individual case.

    What to do in case of injury

    If ankle edema occurs after receiving an injury, first aid is necessary:

    1. Stop the load on the ankle.
    2. Immobilize (immobilize) the affected limb.
    3. Apply ice or a cold compress to the affected area.

    It is contraindicated to warm a limb or use folk remedies immediately after injury. For further treatment, consult a doctor.

    Main treatment

    The main treatment depends on the cause that led to the swelling:

    Inflammatory diseases (arthritis, synovitis, bursitis, tendonitis)

    The basis of therapy is the use of anti-inflammatory drugs. They come in general and local action.

    General-purpose drugs are available in the form of tablets and ampoules for injection. These include Movalis, Ibuprofen, Nimesil.

    Local preparations are available in the form of gels and ointments. For example, Voltaren gel, Diclofenac.

    Chondroprotectors – chondroitin and hyaluronic acid are used.

    For symptomatic treatment, diuretics are prescribed – Furosemide, Hypothiazide, Spironolactone.

    Surgery is often required.

    After stopping the acute process, physiotherapy is prescribed – electrophoresis, paraffin therapy, ultraviolet radiation.

    Folk remedies

    With swelling of the ankle, traditional medicine recommends applying fresh cabbage leaves to the affected area.

    In general, alternative recipes for this pathology are rarely used, since they do not have effectiveness.

    Videos

    We offer you to watch a video on the topic of the article.

    Education: Rostov State Medical University, specialty “General Medicine”.

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    How to treat an ankle joint when it swells and hurts?

    The ankle joint is one of the joints that, according to official statistics, is most often injured.

    In addition, ankle structures are often affected by degenerative-dystrophic, as well as infectious lesions, which provoke the development of the inflammatory process.

    Ankle pain is a fairly common problem

    As a result of pathological changes in the joint area, a swelling zone and painful sensations appear, which significantly limit the mobility of its elements and limit a person’s ability to walk normally. So why does the ankle swell and hurt, how to treat a similar problem and what will prevent it?

    Why does swelling and pain develop?

    The ankle joint is formed as a result of the articulation of the tibia and tibia with the talus of the foot.

    This anatomically complex formation throughout life is subjected to a huge amount of stress, including the need to carry the body weight of a person daily.

    In this regard, this bone joint is very vulnerable to pathological changes that provoke various diseases of the ankle joint.

    Injury

    The most common cause of an ankle swelling is an injury to the joint of the same name. After injury to the soft tissues, their local swelling occurs, which provokes a violation of local microcirculation and innervation of the components of the joint. This further complicates the swelling of muscle tissue, causes hemorrhages in the intraarticular cavity, and increases pain in the ankle and heel.

    For more information about injuries of the ankle joint and how to avoid them, see the video:

    The most common injuries that lead to swelling and pain in the ankle include:

    • blunt joint injuries without compromising the integrity of the skin;
    • penetrating wounds with perforation or rupture of the joint capsule;
    • tearing, tearing or tearing of ligaments;
    • sprains;
    • bruises;
    • cracks and fractures with displacement of the tibia and talus.

    As a result of the injury, as the defect heals, dystrophy of the joint structures occurs, which significantly impairs their functionality. It is this that becomes the reason that the ankle joint hurts when walking, even after a fairly long period after the injuries. Post-traumatic arthrosis in practice is also manifested by instability of the joint, weakness of the ligamentous apparatus and additional subluxations of the joint.

    Inflammatory process

    Another cause of swelling of the ankle joint is the inflammatory process in the joint of an infectious and autoimmune origin.

    As a rule, bacterial acute arthritis, which is accompanied by pain in the ankle joint and upper foot, local edema, impaired function and severe hyperemia of the skin, occurs against the background of penetrating wounds with infection of the articulation elements or as a result of septic introduction of infectious agents into the joint cavity with the blood stream.

    With bacterial arthritis, severe pain and swelling in the ankle joint occurs, which can completely limit the possibility of making movements in it.

    Bacterial arthritis of the ankle can completely limit movement in the joint

    Autoimmune damage to the ankle is characteristic of the rheumatic process, gout, scleroderma, and the like. With this type of disorder, there is aching pain in the ankle joint or swelling of the ankle joint without pain, as well as a change in its function when trying to run, strong physical exertion, and the like.

    Very often, with a non-infectious lesion, the ankles on both legs hurt.

    The autoimmune process eventually transforms into severe arthrosis with a sharp restriction of mobility, which limits the movement of a person and is one of the reasons for his disability.

    Other possible causes

    Regardless of the cause of the pathological process, when the ankle joint swells and hurts, specialists identify several main factors that determine the development of symptoms of the disease:

    • violation of microcirculation in the tissues of the joint with the development of its local edema;
    • damage to the integrity of muscle tissue and ligamentous apparatus by bone fragments or as a result of mechanical overstretching;
    • accumulation in the periarticular bag and cavity of articulation of fluid mixed with pus, blood, effusion, and the like;
    • venous valve insufficiency.

    Sometimes people say that for no apparent reason they have pain in the ankle after running. A similar phenomenon is characteristic of athletes who have a history of joint injuries, or individuals who have rapidly gained weight. Also, the ligaments of the ankle hurt at the initial stages of the destructive process in the joint, which can be triggered by degenerative changes in the spine, venous congestion, and the like.

    Ankle pain may occur after running

    Features of treatment

    What to do if the ankle swelling? It is important to remember that treatment and the causes of pain in the ankle joint are two interrelated concepts that are inextricable.
    In general, the treatment of diseases of the ankle joint, which lead to its edema and impaired function, has several goals at once:

    • the resumption of the normal anatomical position of the structural components of the joint, as well as, if necessary, their integrity;
    • elimination of pain syndrome;
    • elimination of edema;
    • normalization of blood supply and venous outflow;
    • removal of pathological fluid from the ankle cavity.

    So, what is the treatment for ankle joints that hurt and swell? If the leg is swollen in the region of the ankle joint, it is necessary to verify the integrity of the bones and ligaments that hold the joint. This question is especially relevant in cases where swelling was preceded by trauma.

    A person should ensure the immobilization of the distal parts of the lower limb on the side of the lesion and send him to a medical institution for an X-ray examination to determine the presence of cracks, fractures or tears of the ligaments in the ankle joint.

    First aid for joint injuries, which lead to the development of pain in the bone of the ankle joint and its swelling, should include:

    • immobilization of the limb using tires or a tight bandage;
    • in the case of an open wound – its washing with an antiseptic and an aseptic dressing;
    • applying cold to the lesion site, which helps prevent internal hemorrhage and reduce soft tissue swelling;
    • calling a medical team or self-transportation of a victim to a hospital of a medical institution.

    It is very important to provide first aid and seek medical help.

    Specialized treatment for ankle swelling includes:

    • the appointment of antibacterial drugs if necessary, prevention of penetration into the joint infection;
    • taking non-steroidal anti-inflammatory drugs that relieve pain, swelling and other manifestations of inflammation;
    • intravenous administration of drugs that normalize microcirculation and venous outflow.

    Some diseases of the ankle joint and foot, which are not accompanied by serious violations of the functionality of the joint, need only local therapy and temporary rest.

    In such cases, patients are recommended ointments and gels for external use, which reduce soft tissue swelling and partially eliminate pain, accelerating the regeneration of damaged parts of the ankle.

    Swelling of the ankle

    The lower limbs withstand huge loads that are associated with the vertical position of the body. Therefore, a tumor of the ankle joint develops often, as a result of various injuries or pathological processes that can affect not only the ankle, but also threaten healthy joints of the human body.

    Reasons for swelling of the ankle

    What external exposure can cause unpleasant symptoms?

    Most often, the joint swells and hurts during an injury, and in most cases this is what leads the person to the hospital. A tumor develops due to such reasons:

    • Dislocation of the ankle. At this point, the right or left joint is displaced due to rupture of the ligamentous apparatus. After a dislocation, the leg swells, an ankle and skin deformity occurs, a strong pain syndrome develops.
    • Fracture of the heel. It can be suspected if the joint swells, a hematoma has formed. The rarest of all possible injuries.
    • Stretching of the ligamentous apparatus. On the legs, swelling occurs immediately, which is provoked by hemorrhage. Painful sensations develop immediately and increase with movement.
    • Plantar fasciitis. In this case, the fascia becomes inflamed, i.e., connective tissue, which originates from the calcaneus. The pain is localized in one heel, but sometimes extends to the ankle.
    • External ankle fracture. In this case, both the joint and the ankle hurt and swell. Sometimes manifested by redness at the site of hemorrhage and hematoma.
    • Fracture of both ankles. If the ankle joint sharply swollen or turns blue, and also sharply increased on the external and internal sides, the skin integuments burn at the site of damage, then these are signs of a fracture with a subluxation.

    Pathologies that provoke swelling

    If the ankle joint is swollen, the skin turns red and burns, and other symptoms also appear, this signals the onset of the inflammatory process, which may be the result of pathologies such as:

    • deforming arthrosis;
    • arthritis;
    • gout;
    • osteochondrosis of the lumbosacral region;
    • heel spur;
    • longitudinal or transverse flat feet;
    • bursitis;
    • synovitis.

    Common symptoms of ankle problems

    With various pathologies, the symptomatology varies significantly, however, there are general characteristics that will help to orientate and indicate the problem, namely:

    • swelling of the ankle joint;
    • ripple in a damaged place;
    • increase in local temperature;
    • pain, increasing in the process of movement;
    • limitation of mobility.

    What diagnostic tests are relevant for swelling?

    If unpleasant symptoms appear in the ankle joint, then first of all, you should consult a specialist. Since the causes of redness, swelling, pain and swelling are many, it is impossible to independently identify them. In the office of the therapist or traumatologist, the patient will undergo an initial examination and establish what could affect the development of unpleasant manifestations. After that, such studies will be appointed:

    • blood and urine tests;
    • Ultrasound of the damaged joint;
    • radiographic image;
    • MRI of the damaged area.

    How to treat swollen ankle?

    Features of drug therapy

    After identifying the cause that provoked the ankle edema, they begin to carry out complex treatment. To begin with, the patient is prescribed a medical course, which includes:

    • Anti-inflammatory drugs. Affect the focus of inflammation and help eliminate unpleasant manifestations. Often use “Diclofenac”, “Movalis”, “Indomethacin”, “Piroxicam”.
    • Painkillers. In this case, resort to local remedies that help relieve swelling in the area of ​​the foot joint, penetrating directly into the soft tissues. Most often, Diklak and Fastum gels are used.
    • Means that restore blood flow in the damaged area. Among them are Detralex, Diosmin.
    • Corticosteroid injection. It is possible to treat a swollen ankle with this method in the most difficult cases.

    When is a physiotherapy performed during swelling?

    To eliminate pain, inflammation, swelling, specialized procedures are additionally prescribed. They are carried out after the elimination of acute symptoms, otherwise such manipulations can cause harm. Joint swelling is eliminated with the help of physiotherapy such as:

    • mud therapy;
    • UHF irradiation;
    • acupuncture;
    • electrophoresis;
    • hydromassage;
    • hydrogen sulfide baths;
    • a complex of physiotherapy exercises;
    • laser therapy;
    • magnetotherapy.

    Doing various physiotherapeutic manipulations is possible only as directed by a doctor.

    Are folk remedies used for swelling?

    Under the influence of heat, blood circulation improves.

    Traditional medicine can succeed if the injuries to the leg are minor and did not cause serious complications. In this case, resort to the help of safe, natural, non-toxic agents that do not provoke side effects. Among the tested recipes are the following:

    • Baths with medicinal herbs. Medicinal plants include chamomile, calendula, a string and many others that are bought with ready-made fees at a pharmacy and brewed in boiling water. After this, the broth is diluted in a basin with warm water, and the damaged ankle is lowered.
    • Garlic ointment. To do this, 5 cloves of garlic are mixed with ground eucalyptus leaves and softened butter. It is allowed to stand in the refrigerator for 4 hours, after which it is applied to the place where the joint was inflamed and the leg was swollen. Withstand 1,5 hours.

    Is diet therapy for swelling of the ankle?

    Folk remedies are not the only way to affect the state of the body. Another way to help restore the normal functioning of the joint and remove unpleasant manifestations is to adjust your diet. It is recommended to balance it by adding more foods that contribute to the removal of fluid from the body. This list includes berries, natural juices, low-fat fish, herbs, fermented milk products, porridges cooked on water. It is worth giving up on excessively salty foods, spicy, smoked and everything that can hold moisture in the body.

    What to do to prevent swelling of the ankle?

    To prevent the development of possible pathologies of the ankle, not to spend a lot of money, as well as time for treatment, it is recommended to adhere to such rules:

    • eliminate all inflammatory processes in a timely manner;
    • secure the joint at the time of playing sports;
    • visit a doctor with related pathologies;
    • reduce body weight;
    • balance the daily menu;
    • choose high-quality and comfortable shoes.

    A tumor on the ankle becomes a serious sign, which manifests itself with a traumatic effect of various types. If the lower extremities are swollen, then this process does not work on its own, therefore it is recommended to seek the advice of a specialist and identify the root cause that triggered the symptom. And if necessary, undergo a therapeutic and rehabilitation course that will help prevent the development of the disease.

    Edema of the ankle joint: causes and treatment

    The causes of edema of the ankle joint can be very different, ranging from the effects of trauma, ending with a malignant tumor and heart damage. Do not underestimate the symptom, as it often indicates a serious illness. The consequences depend not only on the cause, but also on the degree of impaired articular function.

    Why does the ankle swell?

    The ankle joint is the joint of the bones of the lower leg with the foot. Its edema is a sign of inflammation, accumulation of synovial fluid in the joint cavity or fluid accumulation in the peripheral tissues of the body. The photo shows how the swelling looks in the ankle.

    Ankle edema can occur for local and general reasons. Local diseases include those that directly affect the joint area and surrounding tissues – arthritis, arthrosis, synovitis, bursitis, tendonitis. Common include diseases of the internal organs and connective tissue, which are accompanied by swelling of the ankle region.

    Treatment depends on the cause that led to the swelling. Medications, physiotherapy are used. In some cases, surgical intervention is indicated.

    Arthritis

    The most common cause of swelling of the ankle is arthritis. Arthritis is an inflammatory disease of the joints. Arthritis is always manifested by signs of inflammation: edema, redness of the skin, local temperature increase, impaired limb function.

    Arthritis can develop for various reasons. The following varieties are distinguished:

    • post-traumatic – occurs after an injury;
    • reactive – occurs as a reaction to an infection;
    • purulent – accompanied by purulent inflammation, the cause is bacteria;
    • rheumatoid – has an autoimmune nature;
    • gouty – develops with gout.

    Arthrosis

    Arthrosis is a degenerative joint disease. The risk of developing osteoarthrosis increases in humans with age. The main symptoms of arthrosis are pain and impaired limb function.

    With arthrosis, inflammation is usually absent. This also applies to such signs as redness, local temperature increase. Swelling with arthrosis occurs with the development of complications in the form of reactive synovitis.

    Damage to other joint structures

    The ankle region can swell with damage to the following structures:

    1. Tendons. With their inflammation, tendonitis develops.
    2. The synovial membrane. With inflammation of the synovial membrane, synovitis develops.
    3. Tendon bag. With inflammation of the bag, bursitis develops.
    4. Ligaments. The defeat of the ligaments occurs when they are stretched or torn.

    With any of these diseases, the ankle region can swell.

    Other diseases

    Swelling of the ankle region can be a manifestation of not only articular pathology. Symptom may indicate a variety of diseases. What pathologies can cause ankle swelling:

    In addition to edema, other symptoms are also characteristic of each pathology. For example, shortness of breath with heart failure, varicose veins with varicose veins, etc.

    Diagnostics

    Often, edema is just one of the symptoms of the disease. It is necessary to pay attention to other manifestations:

    The area of ​​the foot and ankle can hurt due to inflammation, especially with arthritis or synovitis. With pathology of the heart or kidneys, the affected area is painless.

    Impaired limb function

    Failure to make active movements indicates arthritis or arthrosis. With other diseases, movements are preserved.

    Damage to only the left or right joint often indicates an injury or an inflammatory process. In general diseases, the joints are affected symmetrically.

    On palpation, edema can be soft or dense.

    For the diagnosis, additional research methods are used:

    1. General blood test – allows you to identify signs of inflammation (leukocytosis, increased ESR).
    2. Survey radiography. Allows you to identify changes in the articular surfaces of bones with arthritis and arthrosis, the effects of trauma.
    3. Dopplerography of the vessels of the legs. Used to assess the condition of the valves of the veins, identify vascular obstruction.

    How to treat edema

    Treatment depends on the cause that led to the swelling. Medications, physiotherapy are used. In some cases, surgical intervention is indicated. For example, with a traumatic lesion, deforming arthrosis or arthritis. It is not recommended to self-medicate, the doctor should select the therapy in each individual case.

    What to do in case of injury

    If ankle edema occurs after receiving an injury, first aid is necessary:

    1. Stop the load on the ankle.
    2. Immobilize (immobilize) the affected limb.
    3. Apply ice or a cold compress to the affected area.

    It is contraindicated to warm a limb or use folk remedies immediately after injury. For further treatment, consult a doctor.

    Main treatment

    The main treatment depends on the cause that led to the swelling:

    Inflammatory diseases (arthritis, synovitis, bursitis, tendonitis)

    The basis of therapy is the use of anti-inflammatory drugs. They come in general and local action.

    General-purpose drugs are available in the form of tablets and ampoules for injection. These include Movalis, Ibuprofen, Nimesil.

    Local preparations are available in the form of gels and ointments. For example, Voltaren gel, Diclofenac.

    Chondroprotectors – chondroitin and hyaluronic acid are used.

    For symptomatic treatment, diuretics are prescribed – Furosemide, Hypothiazide, Spironolactone.

    Surgery is often required.

    After stopping the acute process, physiotherapy is prescribed – electrophoresis, paraffin therapy, ultraviolet radiation.

    Folk remedies

    With swelling of the ankle, traditional medicine recommends applying fresh cabbage leaves to the affected area.

    In general, alternative recipes for this pathology are rarely used, since they do not have effectiveness.

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    Education: Rostov State Medical University, specialty “General Medicine”.

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Shishkevich Vladimir

Shishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews. It specializes in the treatment of diseases in orthopedic, traumatological, vertebrological profiles

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