Members do not see these Ads. Sign Up.

Hi

I wondered if anyone could help me?

38 year female presented with right foot swelling along the whole of the medial side of the foot BUT this only happens every 2 weeks. This swelling lasts for a few days where she will rest it and take ibuprofen, she informs me that the foot is difficult to walk on and also itches due to the swelling. This has been happening for 10 years.
On palpation today, no pain was reproduced and gait analysis revealed nothing majorly abnormal. She does not get pain in the gastroc. No varicose veins or anything abnormal in the area. She has a requisition for a x-ray but am unsure if it will show anything. She does have orthotics (prescribed by another podiatrist) and she feels they aggravate the condition. The orthotics were prescribed years after the problem occurred. As usual the patient didn't have them with her!
I am a little lost as to how to proceed apart from encouraging her to go for the x-ray but feel an MRI would be better suited as doubtful it is bone origin. I did consider the chance it may be a blocked lymph vessel as she mentioned she does have a few blocked lymph nodes around the arm and chest area. I suggested to her to try compression stockings or even an elastic ankle support brace to contain the swelling.
Any comments would all be gratefully accepted as I am at a loss as to how to diagnose and then treatment options.
Many thanks for your time and expertise in this matter
Lucy