Ankle swelling is a serious problem which is faced by many people at some point of time in life.
An individual may not be able to move his or her leg due to pain and swelling in the ankle. The above discussion clearly reveals the most common factors responsible for ankle swelling.
Following our article on managing acute calf tears we've had a lot of questions on swelling and risk of DVT. The most common question we receive on RunningPhysio relates to ongoing swelling following a calf tear. While people are often concerned about swelling, it is a normal part of the healing process in this and many injuries.
The nature of the injury – an injury to a large muscle like the gastrocnemius, which has a good blood supply, can lead to a considerable amount of swelling which can continue for some time as the injury heals. Muscle injuries take around 6-8 weeks to heal so it isn't unusual to have swelling that continues throughout this period. Ice – there is some debate on whether ice does actually reduce swelling or simply improve pain.
Please note: These are just general guides, specific advice from a health professional is recommended. A Deep Vein Thrombosis is the formation of a blood clot in a deep vein, usually in the legs. Astute readers amongst you will have noticed I'm being particularly careful with advising proper assessment from a trained health professional. If you have any suspicion of DVT get it checked out by a qualified health professional ASAP.
An assessment tool called the Well's Score can be used to determine the likelihood of a DVT and guide further investigation and management.
Reproduced from Scarvelis and Wells (2006) – an excellent article on DVT diagnosis and treatment freely available online. Closing thoughts: calf swelling is a common and often totally normal part of the healing process following a calf injury and will resolve in time. Do you have consern with the use of compression calf sleeves vs socks as it relates to this post? My mother has just gone into a care home, she loves it, leaving me free after 5 years to live my own life. Two day ago I was playing basketball when I felt a pop in my calf muscle and I collapsed to the ground in extreme pain. My wife had a calf injury, complete with popping sound, in an exercise class a couple of weeks ago.
Hypochromic anemia, which results in the red blood cells lacking the normal level of hemoglobin, is one potential cause of green skin. Those who have discolored skin that is unrelated to injury or lasts more than several days should have a complete blood count run by their doctor.
Some of the most common causes of green skin are anemia and discoloration from wearing certain kinds of jewelry.
Hypochromic anemia, once commonly known as chlorosis, is one potential cause of green skin.
Another potential cause of green skin is bruising, which generally involves internal bleeding into extracellular space within the skin.
Though anemia and bruising can cause greenish skin colors, they typically won't result in a very bright green hue. Copper can really change your skin quite dramatically f it reacts badly to your particular set of chemicals. I find it interesting that anemia and wearing copper jewelry both turn your skin green; even more interesting that they thus end up in the same article. Please enable JavaScript in your browser to experience all the custom features of our site, including the ability to make a purchase. You must have JavaScript enabled in your browser to utilize the functionality of this website. Ulcers occur when the skin breaks down allowing air and bacteria to get into the underlying tissue. Associated symptoms of a venous leg ulcer are caused by blood not flowing properly through your veins. Years of research have shown that the usual causes of leg ulcers are not a problem with the skin itself, but rather with the underlying blood supply to the skin. Because blood supply to the skin is crucial, ulcers can occur as a result of poor circulation and so it is also mostly associated with disorders that affect circulation, such as diabetes, rheumatoid arthritis and hypertension. Diagnosis is usually made based on symptoms, location and the way the surrounding skin of the ulcer looks. Leg ulcers usually occur in the elderly more so than any other age group, due to poor circulation in aging limbs. Two conditions that add to the complications of leg ulcers in the elderly are obesity and diabetes. Venous (Varicose) Ulcers mostly occur due to improper functioning of the valves connecting the superficial and deep veins. Arterial (Ischemic) Ulcers are caused by poor blood circulation as a result of narrowed arteries or by damage to the small blood vessels from diabetes.
Treatment for leg ulcers should include weight loss if you are overweight and regular exercise to promote good circulation. Once the causes of leg ulcers are under control, (for example the blood sugar level in diabetes) the ulcer should heal by itself. If an underlying disease is one of the causes of leg ulcers, it's important that it is treated - for example hardening of the arteries. Sit with your legs raised whenever you have the opportunity - above heart level if possible.
If your work requires a lot of standing or sitting, try to vary your stance as much as possible.
Preeclampsia is a pregnancy condition in which high blood pressure and protein in the urine develop after the 20th week (late 2nd or 3rd trimester) of pregnancy. Causes The exact cause of preeclampsia is not known. The joints of the foot are seriously damaged and in medical terms this disorder is called neurogenic arthropathy. The main cause for getting Charcot foot is diabetic neuropathy which reduces the sensation in the nerves.
Charcot foot can be caused by peripheral neuropathy, spinal cord injury, neurosyphillis and Hansen’s disease. Normally such neuropathic disorders may take several years to develop, but Charcot foot can progress rapidly within a week or two. An individual with neuropathic problems like Achilles tendon is likely to develop Charcot foot.
It is necessary to diagnose the problem in initial stages to prevent more damage to the joints and bones. If the surgeon insists on using wheelchair or casting for a while, you should follow his instructions.
Lastly one has to make necessary changes in lifestyle to prevent further damage to the affected feet.
In case of severe deformity surgery is done for repairing the joints and bones which have lost shape due to neuropathy. Avoid injury or trauma to your feet while walking or running and do not overdo any type of exercises if you are diabetic. Lastly you should follow the advice of your doctor in wearing castles or braces until the foot are completely healed.
Edema is the noticeable swelling resulting from fluid accumulation in certain body tissues.
The swelling, also referred to as dependent edema, is brought about by the accumulation of excess fluid beneath the skin in the interstitial spaces or compartments within the body tissues that are outside of the blood vessels.
Occasionally pitting edema and non-pitting edema can occur without an underlying disease and it is then known as idiopathic edema. Pregnancy can cause edema in the legs as the uterus puts pressure on the vena cava, a major blood vessel that returns blood to the heart from the legs, and progesterone relaxes the walls of the blood vessels. Standing or sitting for long periods of time particularly in hot weather can cause excess fluid to accumulate in feet, ankles and lower legs. Low protein levels in the blood caused by malnutrition, kidney and liver disease can also cause edema.
Congestive heart failure is a condition in which the heart can no longer pump efficiently, and causes fluid buildup in the lungs and other parts of the body. Severe chronic (long-term) lung diseases, including emphysema and chronic bronchitis, increase pressure in the blood vessels that lead from the heart to the lungs. Tiny valves inside the veins of the legs can become weakened, causing a common problem called venous insufficiency.
Most incidences of edema in children and infants are related to serious health conditions, so changes in your child should be monitored to avoid complications.
Children with acute or chronic upper airway obstruction are at risk for negative-pressure pulmonary edema, associated with upper airway obstruction. While quite rare, Nephrotic Syndrome (NS), a disorder of the kidneys, can cause edema in children. Periorbital edema should be closely monitored, as it may be the result of a more serious condition, such as congestive heart failure and liver diseases.
Children and infants with diabetes may also experience edema as a side effect from insulin treatment. The diagnosis of pitting and non-pitting edema are determined by the symptoms on physical examination. Edema itself is usually a symptom of an underlying condition and can be noticed as swelling or puffiness of your face, hands, feet, legs, or around your eyes. If you experience shortness of breath, chest pain, redness or heat in a swollen edematous area, or a swelling of only one limb, consult a doctor immediately.


Depending on the causes of edema and whether it is temporary or permanent, treating edema usually focuses on treating the condition that is causing it.
If a blocked or damaged blood vessel is suspected as one of the causes of edema, surgery may be needed to improve the flow of blood. Treating edema should include protecting any swollen, edematous areas of the body from pressure, injury and extreme temperatures. Oatmeal, aka medicine porridge, has chemicals called avenanthramides that reduce itching and inflammation. Please note that we are unable to respond back directly to your questions or provide medical advice.
As the fastest growing consumer health information site a€” with 65 million monthly visitors a€” Healthlinea€™s mission is to be your most trusted ally in your pursuit of health and well-being. The bulk of muscle found on the backside of your lower leg is formed by the group of muscles called the triceps surae, commonly known as your calf muscles. Together, when these two muscles contract, the main function they help you perform is pressing the balls of your feet into the ground (plantar flexion at the ankle) to propel you forward or up into the air.
What’s interesting to also know is that your calf muscles greatly contribute to the proper blood and lymphatic fluid circulation of your entire body.
The gastrocnemius attaches on the back portion of the two bottom “knobs” of the thigh bone (medial and lateral epicondyles of the femur). The soleus muscle attaches onto the upper back portion of your shin bone (tibia) and along the top part of the fibula which is the thinner bone bracing the outside of your lower leg.
Watch the video below to see more pictures and explanations of the muscle anatomy of your calf muscles. Also, be sure to watch the other videos posted below about your calf muscles, Achilles tendon, and feet! Angelo is a former Support Scientist for NASA and 2nd Degree Black Belt Taekwondo instructor. Any kind of injury in the ankle should not be ignored and reported to the doctor immediately, so as to prevent the ankle to swell. Gout is a condition associated with excessive build up of uric-acid crystals inside the ankle’s fluid. This problem occurs due to improper flow of blood in both legs. Chronic ankle swelling is mostly observed in people suffering from peripheral edema.
Improper blood flow causes blood clotting, which eventually leads to swelling in the ankle and the foot.
The understanding about the ankle swelling causes would help to treat the problem in an effective way. Firstly let's be clear, if you have any concerns after an injury you should consult your GP or Physio for proper assessment and treatment. Normal movement helps to clear swelling, so oedema can be aggravated by periods of inactivity. In clinic we sometimes see swelling long beyond this initial time scale, it can become chronic and remain for several months. Regular small amounts of comfortable activity are usually helpful to reduce swelling but don't over do it! Little and often is key, recommendations vary so check with your Physio what's most appropriate for you. A concern with DVT is that this clot can be mobilised and move to a vulnerable part of the body, such as the lungs, where it restricts blood flow and causes lasting damage. In some situations where other symptoms and risk factors are present there is the possibility of deep vein thrombosis. In some cases, this condition can also be associated with severe health problems, such as multiple organ failure. This condition results in the red blood cells lacking the normal level of hemoglobin that normally gives them their red color.
Bruises often initially appear reddish-blue or purple, which is due to the red pigmentation present in the blood's hemoglobin. There have, however, been instances of skin taking on such a vibrant tone after multiple organ failure. It looks kind of like a bruise or dirt, but almost never goes away, and when it does, it usually comes back within a matter of days.
After all, we know that people who eat very large amounts of tomatoes (or tomato soup or paste) every day slowly but surely get an orange color.
If you're younger and haven't been growing a beard for that long, it might be that your hair has just gotten thicker and darker over time. I shave everyday and recently, I start noticing that my beard and mustache area are discolored. I get iron infusions weekly, but even before the infusions started, my skin was far from ever turning even a hint of green.
I don't know how else you would organize that information; I guess I just wouldn't have expected it. I have had it a couple of times, though I try very hard to maintain a healthy hemoglobin count. Therefore successful prevention for leg ulcers and successful treatment for leg ulcers must be directed at correcting the underlying cause, not the ulcer itself. A diagnosis is determined by the patient’s medical history, a thorough physical examination by a wound specialist or physician, and laboratory tests, which may include X-rays, MRIs, CT scans and noninvasive vascular studies to help develop a treatment plan.
Ulcers in the elderly affect their quality of life, especially if they are affected by them chronically.
Since many elderly individuals spend a majority of their time sitting, one of the best remedies is to keep their legs elevated, preferably above the heart.
The failure of these valves causes blood to improper flow of the veins, causing varicose veins. Decreased circulation from diabetes is the main reason for the development of diadetic leg ulcers. Treatment may involve wound cleansing, anti-inflammatory treatment and application of dressings. Leg and foot ulcers have a tendency to recur in elderly people, and sometimes may require years of therapy. The nerves of the foot get damaged due to loss of blood flow and subsequently the bones are also weakened. Since the nerve begins to lose sensation the affected person will not feel any pain on his foot even when it is hurt or damaged.
The nerves will not send signals to the brain when there is any injury or pain in the foot. If left untreated, the affected feet may gradually change its shape getting badly deformed.
If diagnosed with the problem of Charcot foot, it is necessary for you to follow the instructions of your doctor. It is most commonly found in the feet, ankles and legs although it may also affect the face, hands and other parts of the body and body organs. Excess fluid accumulation in the lower regions of the body, such as the ankles, feet, and legs, is referred to as peripheral edema. Pitting edema is the term used to describe edema when pressure applied to the skin of the swollen area is released and an indentation is left behind (e.g. This is most common in women who experience it in their legs and feet when they are pre-menstrual or pre-menopausal – it is then often known as cyclical edema. Fluid retention during pregnancy also can be caused by a more serious condition called pre-eclampsia.
The proteins help to hold water inside the blood vessels so fluid does not leak out into the tissues.
This pressure backs up in the heart and the higher pressure causes swelling in the legs and feet. This makes it more difficult for the veins to pump blood back to the heart, and leads to varicose veins and a buildup of fluid. This condition may also occur after head injury, seizure, or accidental chemical ingestion or inhalation. As the main symptom of NS, edema is commonly seen around one or both of the eyes, also referred to as periorbital edema, but may be found in other parts of the body such as the legs. Other causes of periorbital edema in children and infants may include allergies or infections, such as conjunctivitis.
However, children with diabetes should report this to their pediatrician, as it may be a symptom of cerebral edema (brain swelling), a rare but serious complication of diabetes. The doctor will examine the skin over the swollen area to check whether it may be stretched or shiny.
Amongst others edema can indicate disease of the heart, liver, thyroid, lymphatic system or kidneys (causing salt retention).
A low dose of a diuretic (water pill) may be prescribed to reduce the swelling and help you expel the excess fluid, but it is important to remember this just treats the symptom and is not necessarily addressing the cause.
They also block the action of histamines a€” the chemicals in your body that cause allergic reactions. Both of which will support, guide, and inspire you toward the best possible health outcomes for you and your family. The gastrocnemius (pronounced gas-trok-nee-mee-us) is the most superficial muscle that’s most readily seen making the meaty bulge of the upper portion of your lower leg.
This comes into play when you are walking, running, sprinting, or jumping or any movement that requires you to push away from the ground or point with your toes. When calf muscles contract while you walk, they help to pump fluids back up towards your heart. It is important to treat the swelling and inflammation in the ankle as soon as possible, so that the problem does not aggravate. At times, an individual may also suffer from a fracture in the ankle due to stress and tension, consequently resulting in swollen ankle. Obesity and pregnancy are the two major factors resulting in peripheral edema, eventually resulting in swollen ankles.


With the help of using ankle wraps, exercising the ankles in a gentle way, eating nutritious foods and applying cold packs on the ankle, ankle swelling would be treated to a great extent. When you've injured the calf itself working the muscle is often painful and so this normal pumping action is reduced, meaning swelling remains in the calf, foot and ankle. With calf tears there is a risk of DVT, which, although small, means I don't want to take any chances by giving out unsafe advice.
It is also possible for green skin to simply be the result of bruising, though skin discolored in this way will generally be highly localized and exhibit a range of hues as it heals. Consequently, people with hypochromic anemia sometimes exhibit a green pallor to their skin.
This then breaks down into compounds like biliverdin, biliruben, and hemosiderin, each of which has a different color. In cases such as multiple organ failure, or sepsis, it may become possible for food dyes to be absorbed into the extracellular space.
Perspiration from the skin may react with the copper, in effect corroding the surface of the jewelry and resulting in the same type of copper salts that cause copper-based items, like the U.S.
However, for the last two months, I have not been getting them, as I have shifted to an iron rich diet, but without iron supplementation.
There are special craft sealants you can get, like resin, but if you want a quick and easy do-it-yourself solution I'm pretty sure that clear nail polish will do it. It's not like you would mistake them for a martian with a green skin color, but I have definitely seen people go so pale from sickness that they looked faintly green.
I think sometimes we get a bruise but we don't even realize it for a couple of days. I don't know about other people, but my bruises always go from purple to green to yellow and it usually takes a week for it to completely heal. I can't imagine not noticing the other symptoms, like tiredness and low appetite, long enough for your skin to turn green.
Many elderly individuals are inactive, making it very hard to treat ulcers in a traditional manner.
Treatment for leg ulcers greatly depends on the factors that cause the ulcer or have prevented healing. So long as there is no arterial disease, venous leg and foot ulcers will benefit from elevation and compression dressings. If a person continues to walk with Charcot foot without taking treatment, it can cause change in shape of his foot. This condition gives rise to serious deformity and change in shape of the foot and hence diabetic patients should regularly check their foot to ensure that there is no nerve damage. Diabetes is the main cause for getting peripheral neuropathy and the patient will continue walking since there is no pain making the disease to worsen. Due to repeated carelessness the position of the foot becomes worse which may again cause more injury to the jonts while walking.
Very often the pain may not be felt by the person and if at all they feel it only as bearable pain. The affected feet should be totally immobilized until the inflammation is healed completely.
Some patients will have to use crutches for balancing the weight and to prevent further damage to the affected feet. By wearing braces one can prevent the formation of ulcers in the feet which may lead to the amputation of the feet. Check both the feet each day to notice any swelling or tenderness which is indicative of Charcot foot. Pregnant women and older adults are often affected with this condition, but it can happen to anyone.
If a blood protein, called albumin, gets too low, fluid leaks out the blood vessels and edema occurs, especially in the feet, ankles and lower legs. Because edema can be a symptom of a serious underlying disorder, and can cause serious consequences itself, it is always important to seek medical advice.
Cuts, scrapes and burns in areas that have edema take much longer to heal and are open to infection. If you’re standing and your knees are straight and you plantar flex at the ankle, the gastrocnemius and the soleus work together (synergistically) to create that movement.
Because these two heads of the gastrocnemius cross the knee joint, it also works in conjunction with the hamstrings to bend the knee.
The connective tissue coverings of the gastrocnemius and soleus join to form the Achilles tendon that connects into the heel bone (calcaneus).
In order to treat the swelling in ankle, it is first important to learn about the causes of ankle swelling. Use your thumb to exert a gentle consistent pressure for around 10 seconds then release, with pitting oedema you will usually see a small indentation left in the swelling. Please, if you have any concerns don't scour the internet for answers, see a health professional!
Calf swelling with no redness, or pain, without any risk factors makes DVT considerably less likely especially if the Well's Score is below 2. For the next two days I felt crampy pains in my knee, my thigh, the front of my calf and then the back of it.
Unless the discoloration is obviously localized to a bruise or linked to wearing jewelry, only a medical professional can properly diagnose the problem. Other symptoms of the condition can include shortness of breath, headaches, and a lack of appetite, while potential causes include B6 deficiency, low iron absorption, certain types of infections, or even lead poisoning. Biliverdin in particular can have a greenish hue, and its presence in a bruise can cause the skin to appear green.
So if I don't realize I have a bruise until two or three days after I get it, I come across a green area.
There is every chance for the person to get his feet hurt without his knowledge and they will feel very minimal pain. When your knees are bent, such as in a deep squatting position, the soleus will be the main muscle contracting to stabilize and plantar flex at the ankle to aid in getting you back up to a standing position. If you know someone that stands a lot without moving too much, such as a grocery clerk, you might notice that they may often complain about their feet or ankles being achy and swollen. A DVT only effects around 1 in 1000 people per year but can have serious consequences, most notably pulmonary embolism, which can be life threatening. A bruise often has many of these compounds present at any time during the healing process, so colors such as red, blue, green, yellow, and golden brown can all be present in a bruise. Food dyes are deemed safe for human consumption based partially on not being absorbable, but in cases where multiple organ failure or sepsis are present, they may be absorbed.
What can I do to get rid of this discoloration? Also, I have a couple of brown moles which have a slightly greenish-bluish color around them. Subsequently the bones begin to regenerate in shape giving rock like appearance on the foot.
One should be very cautious in not damaging the feet in order to prevent further damage or deformity to the foot.
The reason is that when standing still, fluids will “drain” into the feet and ankles and if you’re not walking (or plantar flexing) with enough frequency, the fluids will pool and the hydrostatic pressure from the swelling (and the static stress from standing) will cause the feet, ankles, and lower legs to ache and feel tired. As you push the ball of your rear foot to move you forward, you’ll notice that your knee bends. Now two more days on, the back of my calf really hurts, in fact it hurts more and more, but the trigger for the pain seems to be when I bend it. If it doesn't go away, then it might be something else and you should see a doctor in that case. You can thank your gastrocnemius for allowing this smooth transition of muscle contraction from your foot to the ankle through your knee and into the hip. Is it possible to eat certain foods with green pigments in very large amounts and slowly accumulate the pigment in or under the skin? Tests to monitor the baby's well-being include pregnancy ultrasound, non-stress test, and a biophysical profile.
Charcot foot affects the metatarsal bones of the feet and very often this affects both the feet. I see no cause for worry on Wells Scale you gave us (my diagnosis), I will to to GP asap, but in the meantime, what on earth is going on????
She’s been worried about walking around on it, but I found this article this morning and it made both of us feel a lot better. This hurts more and more, and I find it very painful indeed now to get up off the floor, as an example.
You may receive different treatments to help trigger labor, or you may need a c-section. If your baby is not fully developed and you have mild preeclampsia, the disease can often be managed at home until your baby has a good chance of surviving after delivery.
The further along you are in the pregnancy before you deliver, the better it is for your baby. The severity of the preeclampsia. There are some language issues with GP, his French is better than mine, and I just want to know I don’t have DVT and how to get better. However, sometimes the high blood pressure will get worse in the first several days after delivery. A woman with a history of preeclampsia is at risk for the condition again during future pregnancies. The infant's risk of death depends on the severity of the preeclampsia and how prematurely the baby is born. Possible Complications Preeclampsia can develop into eclampsia if the mother has seizures. This allows the health care provider to find and treat conditions such as preeclampsia early. Proper prenatal care is essential. At each pregnancy checkup, yor health care provider will check your weight, blood pressure, and urine (through a urine dipstick test) to screen you for preeclampsia. As with any pregnancy, a good prenatal diet full of vitamins, antioxidants, minerals, and the basic food groups is important. Cutting back on processed foods, refined sugars, and cutting out caffeine, alcohol, and any medication not prescribed by a doctor is essential.



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