[41M] With throbbing, burning pain in right ankle post-meth injection

What might be happening

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

• Infection (Cellulitis or Abscess): Given the history of injecting meth into your ankle, there is a high risk of developing an infection. The symptoms of throbbing, burning pain, swelling, and heat are consistent with an infection. Infections can occur when bacteria enter the skin through an injection site.

  • Treatment: Typically involves antibiotics to treat the infection. In some cases, if an abscess (a collection of pus) forms, it may need to be drained by a healthcare professional.

• Achilles Tendonitis or Tendon Rupture: The pain and swelling around the Achilles tendon could indicate inflammation (tendonitis) or a partial tear. This can be exacerbated by the injection and subsequent infection.

  • Treatment: Rest, ice, compression, and elevation (RICE) are initial treatments. Anti-inflammatory medications may help, but a healthcare provider should evaluate the extent of the injury.

• Deep Vein Thrombosis (DVT): Although less likely, the symptoms of swelling, pain, and difficulty bearing weight could also be indicative of a blood clot in the deep veins of your leg. This is a serious condition that requires immediate medical attention.

  • Treatment: Blood thinners and other medications are used to treat DVT. Immediate medical evaluation is crucial.

What you can do

1. Seek Immediate Medical Attention: Given the risk of infection and other serious conditions, it is crucial to see a healthcare provider as soon as possible. They can perform a physical examination, order necessary tests, and start appropriate treatment.
2. Rest and Elevate: Keep your foot elevated to reduce swelling. Avoid putting weight on the affected foot to prevent further injury.
3. Apply Ice: Use an ice pack wrapped in a cloth to reduce swelling and pain. Apply for 15-20 minutes every 1-2 hours.
4. Avoid Further Injections: Do not attempt to inject any substances into your foot or any other part of your body. This can lead to severe complications.
5. Use MDandMe: Journal your symptoms, track your progress, and share your medical notes with your healthcare provider using the MDandMe app. This can help in monitoring your condition and providing valuable information to your doctor.

What you should look out for

• Worsening Symptoms: If the pain, swelling, or numbness increases, seek medical attention immediately.
• Signs of Severe Infection: Look out for fever, chills, spreading redness, or pus from the injection site. These are signs of a severe infection that requires urgent care.
• Difficulty Breathing or Chest Pain: These could be signs of a blood clot that has traveled to your lungs (pulmonary embolism) and require immediate emergency care.
• Inability to Move the Foot: If you lose the ability to move your foot or ankle, seek immediate medical attention.

Remember, while I can provide information and suggestions, I am not a doctor. It is essential to consult with a healthcare professional to receive a formal diagnosis and appropriate treatment.