[39F] With chronic foot, ankle, and hip pain

Patient Description

A 39-year-old female reports chronic pain in the right foot, ankle, and hip. The foot and ankle pain has persisted for 5 years, with a severity rating of 8 out of 10, described as constant throbbing. The hip pain has been present for 15 years, rated at 6 out of 10, and is exacerbated by lying on the right side, though it improves when lying on the left side. The patient experienced an injury to the right ankle and foot approximately 5 years ago. There have been no imaging tests or treatments attempted for these symptoms. The patient has gained 30 pounds over the past 3 years and has been unable to lose the weight. There is no history of arthritis or other joint-related conditions, and no known pre-existing conditions such as diabetes or thyroid issues.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Chronic Ankle and Foot Pain: Given the history of injury to your ankle and foot, it's possible that you may have developed chronic pain due to unresolved issues from the injury, such as ligament damage or arthritis. Chronic pain can persist long after an injury has healed, especially if there was significant damage or if the area was not properly rehabilitated.

    • Treatment typically involves physical therapy, pain management strategies, and sometimes imaging tests to assess any structural damage.
  • Hip Pain: The hip pain you experience, especially when lying on your side, could be related to bursitis, which is inflammation of the fluid-filled sacs that cushion the hip joint. It could also be related to arthritis or other degenerative joint conditions, especially given the duration of your symptoms.

    • Treatment often includes anti-inflammatory medications, physical therapy, and lifestyle modifications to reduce stress on the hip joint.

What you can do

  1. Consult a Healthcare Provider: It's important to see a doctor or a specialist, such as an orthopedic doctor, to get a proper diagnosis and treatment plan. They may recommend imaging tests like X-rays or MRIs to better understand the cause of your pain.

  2. Physical Therapy: Engaging in physical therapy can help strengthen the muscles around your joints, improve flexibility, and reduce pain. A physical therapist can tailor exercises to your specific needs.

  3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help manage your pain. However, it's important to use these medications as directed and consult with a healthcare provider for long-term use.

  4. Weight Management: Since you've mentioned weight gain, working on weight management through a balanced diet and regular exercise can help reduce the stress on your joints and alleviate some of the pain.

  5. Use MDandMe: Consider using the MDandMe app to journal your symptoms, track your progress, and share your medical notes with your healthcare provider. This can provide valuable insights into your condition and help your doctor make informed decisions about your care.

What you should look out for

  • Worsening Symptoms: If your pain becomes more severe or starts to interfere significantly with your daily activities, seek medical attention promptly.

  • New Symptoms: If you notice any new symptoms, such as swelling, redness, or warmth around the joints, or if you develop a fever, it's important to consult a healthcare provider as these could indicate an infection or other serious condition.

  • Mobility Issues: If you experience difficulty walking or bearing weight on your foot, ankle, or hip, it's crucial to seek medical evaluation to prevent further injury.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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8 d ago


People Also Ask


What could be causing chronic pain in the foot and ankle after an injury?

Chronic pain in the foot and ankle after an injury could be due to unresolved issues such as ligament damage or arthritis. It's important to consult a healthcare provider for a proper diagnosis and consider treatments like physical therapy and pain management.


How can hip pain be managed if it worsens when lying on one side?

Hip pain that worsens when lying on one side could be due to conditions like bursitis or arthritis. Management strategies include using anti-inflammatory medications, engaging in physical therapy, and making lifestyle modifications to reduce stress on the hip joint.


What are some effective strategies for weight management to alleviate joint pain?

Effective strategies for weight management include maintaining a balanced diet, engaging in regular physical activity, and possibly consulting with a nutritionist or dietitian. Weight management can help reduce stress on joints and alleviate pain.


When should I seek medical attention for worsening joint pain?

You should seek medical attention if your joint pain becomes more severe, interferes with daily activities, or if you experience new symptoms like swelling, redness, warmth, or fever, as these could indicate a more serious condition.

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