Ankle swelling can be a common symptom of many different conditions, ranging from injury and infection, to blood clots and heart disease.
It is important to see a doctor to determine the cause of and treatment for swollen ankles. Treatment to get rid of swollen ankles varies depending on the cause.
For many causes of swollen ankles, the RICE method can be helpful:
- Rest
- Ice
- Compression wrap the foot or ankle
- Elevate the foot
Over-the-counter (OTC) nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin) or naproxen (Aleve) may be taken for pain.
Other treatments to get rid of swollen ankles include:
- Swollen ankles due to standing or sitting in the same position for too long will generally go away on their own once you start moving again.
- Treatment for swollen ankles due to eating too much salty food will go away on its own. Limiting or avoiding salty foods can help prevent swelling.
- Treatment for swollen ankles due to being overweight involves diet and exercise to lose weight.
- Swollen ankles due to an insect bite or sting can be relieved with ice or a cold compress applied to the area and raising the feet.
Treatment for swollen ankles due to foot or ankle injury includes:
- RICE method
- Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain
- Range of motion exercises (depending on the type of injury)
- Splints and braces
- Surgery
Treatment for swollen ankles due to arthritis and other autoimmune conditions depends on the specific condition and may include:
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
- Steroids
- Disease-modifying antirheumatic drugs (DMARDs)
Treatment for swollen ankles due to infection depends on the type of infection and may include:
- Sores due to diabetic neuropathy and other nerve problems
- Antibiotics
- Wound cleansing and management
- Surgery
- Ingrown toenail
- Lifting the nail
- Partially removing the nail or removing the nail and tissue in more severe cases
- Athlete’s foot
- Antifungal cream/lotion/gel
Treatment for swollen ankles due to venous insufficiency includes:
- Elevating the legs above heart level for 30 minutes three or four times per day
- Foot and ankle exercises
- Compression therapy
- Compression stockings
- Intermittent pneumatic compression pumps
- Compression bandages
- Medications
- Aspirin
- Antibiotics for infection of sores
- Horse chestnut seed extract
- Deep vein thrombosis (DVT)
Treatment for swollen ankles due to deep vein thrombosis (DVT) includes:
- Anticoagulants
- Thrombolytic therapy, in severe cases
- Inferior vena cava (IVC) filter
Treatment for swollen ankles due to lymphedema includes:
- Skin care
- Weight management
- Physiotherapy
- Compression therapy (i.e., compression bandaging, compression garments)
- Surgery, for severe cases
Treatment for swollen ankles due to heart, liver, or kidney disease includes:
- Treating the underlying condition
- Reducing the amount of salt (sodium) in the diet
- Diuretics to eliminate excess fluid
- Compression stockings
Treatment for swollen ankles due to pregnancy complications such as preeclampsia includes:
- The only treatment is delivery
- If preeclampsia occurs before term, there is an attempt to delay delivery to 37 weeks
Treatment for swollen ankles due to medication side effects includes:
- Stopping or switching medications
- Changing the dosage
- Never stop taking a prescribed medication without first talking to your doctor
What Causes Swollen Ankles?
Causes of swollen ankles include:
- Standing or sitting in the same position for too long
- Eating too much salty food
- Being overweight
- An insect bite or sting
- Foot or ankle injury
- Sprained ankle
- Tendonitis
- Bursitis
- Foot fracture
- Muscle strains
- Ligament strains
- Arthritis and other autoimmune conditions
- Osteoarthritis
- Rheumatoid arthritis
- Psoriatic arthritis
- Reactive arthritis
- Gout
- Lupus
- Infection
- Ingrown toenail
- Athlete’s foot
- Sores are common in people with diabetic neuropathy and other nerve problems of the feet
- Venous insufficiency
- Varicose veins
- Spider veins
- Blood clot in the veins of the legs
- Lymphedema
- Heart, liver, and kidney disease
- Pregnancy
- Often a normal sign
- Can be due to complications such as preeclampsia
- Medication side effects
- Hormones such as estrogen and testosterone
- Calcium channel blockers
- Steroids
- Antidepressants
- Non-steroidal anti-inflammatory drugs (NSAIDs)
- Diabetes medications
How Are Swollen Ankles Diagnosed?
Swollen ankles are a symptom and can be seen on physical examination. A doctor will also note the patient’s medical history, any underlying conditions, and the history of symptoms.
Tests used to diagnose the cause of swollen ankles may include:
- Imaging tests
- X-rays
- Computerized tomography (CT) scan
- Magnetic resonance imaging (MRI) scan
- Ultrasound
- Echocardiogram (“echo”)
- Blood tests
- Urine tests
From
https://www.nhs.uk/conditions/oedema/
https://www.uptodate.com/contents/ankle-sprain?search=sprained%20ankle&source=search_result&selectedTitle=1~45&usage_type=default&display_rank=1
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https://www.uptodate.com/contents/clinical-manifestations-diagnosis-and-management-of-diabetic-infections-of-the-lower-extremities?search=foot%20infection&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1
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https://www.uptodate.com/contents/lower-extremity-lymphedema?search=lymphedema&source=search_result&selectedTitle=3~150&usage_type=default&display_rank=3
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