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Hi, I Have Had Swollen Ankle On My Right Foot
Question: Hi, I have had swollen ankle on my right foot now for about 3 months. I take Amlodipoine that can do this it seems...It goes down after a while, but I do have neurogenic claudication when I walk plus mild to moderate PAD. I know I have sked this before, but a recent ECHO of my heart showed mild calcification of the aorta valve and AS too...all mild...I try to walk but since I now have severe osteo-arthritis of my left knee, this is difficult but I must continue to exercise. I have a stationary bike here at home and have started that....is this as good exercise as walking for my conditions? My neurogenic claudication has stabilized, but I do not know about my PAD. I am 73...comments and insights please and reassurances? I take Crestor, only 5 mg per day = LDL is 57.5 mg. L. BP is 125/56. HDL is 1.05 mmoL. I am anxious about all of this, naturally. I am still young.
Brief Answer:
Opinion as follows:
Detailed Answer:
Hello!
Welcome back on -Ask a Doctor- service!
I understand your concern and would explain that in order to properly judge on PAD it is necessary to correlate the clinical background (the level of walking free of symptoms like pain, claudicatio) with imagine tests like limbs Doppler ultrasound, angio CT or and angio MRI.
There are several therapeutic approaches regarding PAD, probably the best one would be to undergo physical training and rehabilitation programs in order to achieve a better muscle conditioning and possibly blood vessels collaterals and improve this way blood perfusion.
As you have mild to moderate PAD, means you may walk and even perform on a home bike or treadmill. If arthritis is not a limiting condition, I encourage you to continue pysical training on an escalating pattern and if this is not possible a simple walk 2-3-4 km daily would be a rationale alternative.
Meanwhile, taking antiagregants (like Aspirine) and continuing on statin (like Crestor) is highly recommended. Perhaps the addition of low Rivaroxaban doses would help to further minimize potential peripheral ischemic events.
Regarding would ankle swelling, besides Amlodipine other causes like venous insufficiency should be sought as well.
After reviewing your echo report, I would say that AS seems almost mild and you shouldn't worry too much about it. Just keep better controlling your blood pressure values and lipid profile.
Hope to have been helpful to you!
If you have any further questions, feel free to ask me again.
Kind regards,
Dr. Iliri
Opinion as follows:
Detailed Answer:
Hello!
Welcome back on -Ask a Doctor- service!
I understand your concern and would explain that in order to properly judge on PAD it is necessary to correlate the clinical background (the level of walking free of symptoms like pain, claudicatio) with imagine tests like limbs Doppler ultrasound, angio CT or and angio MRI.
There are several therapeutic approaches regarding PAD, probably the best one would be to undergo physical training and rehabilitation programs in order to achieve a better muscle conditioning and possibly blood vessels collaterals and improve this way blood perfusion.
As you have mild to moderate PAD, means you may walk and even perform on a home bike or treadmill. If arthritis is not a limiting condition, I encourage you to continue pysical training on an escalating pattern and if this is not possible a simple walk 2-3-4 km daily would be a rationale alternative.
Meanwhile, taking antiagregants (like Aspirine) and continuing on statin (like Crestor) is highly recommended. Perhaps the addition of low Rivaroxaban doses would help to further minimize potential peripheral ischemic events.
Regarding would ankle swelling, besides Amlodipine other causes like venous insufficiency should be sought as well.
After reviewing your echo report, I would say that AS seems almost mild and you shouldn't worry too much about it. Just keep better controlling your blood pressure values and lipid profile.
Hope to have been helpful to you!
If you have any further questions, feel free to ask me again.
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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