[50F] Experiencing moderate knee swelling and plantar fasciitis

Patient Description

A 50-year-old female is experiencing moderate swelling in her knees, which worsens with standing, and has been persistent for 4 days. She finds relief for her swollen legs and feet with compression stockings, but they do not alleviate the knee swelling. Additionally, she suffers from throbbing foot pain due to plantar fasciitis, which has been a recurring issue for several months. The patient has a medical history of diabetes, high blood pressure, and hypothyroidism, with diagnoses made between the ages of 16 and 20. Her current medications include insulin, levothyroxine, and blood pressure medication. She reports no known drug allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the information provided, possible explanations for your symptoms include:

  • Venous Insufficiency: This condition occurs when your leg veins don't allow blood to flow back up to your heart. Symptoms can include swelling in your legs and feet, throbbing or cramping in your legs, and changes in skin color around your ankles.

    • Treatment typically involves lifestyle changes and medical procedures to improve blood flow in your leg veins.
  • Hypothyroidism: This is a condition in which your thyroid gland doesn't produce enough of certain crucial hormones. Hypothyroidism may not cause noticeable symptoms in the early stages, but over time, untreated hypothyroidism can cause a number of health problems, such as obesity, joint pain, and heart disease.

    • Treatment of hypothyroidism involves daily use of the synthetic thyroid hormone levothyroxine, which you are already taking.
  • Side effects of medication: Some medications, including certain diabetes medications, can cause swelling in the legs, feet, and ankles.

    • If you suspect your symptoms are due to a medication you're taking, do not stop taking the medication without first consulting your doctor.

What you can do

  1. Elevate your legs whenever possible. This can help reduce swelling and improve blood flow.
  2. Wear compression stockings, as you have been doing. These can help promote circulation and reduce swelling.
  3. Stay active. Regular physical activity can help improve your circulation and reduce swelling.
  4. Maintain a healthy weight. Being overweight can increase your risk of swelling and other health problems.
  5. Monitor your symptoms and report any changes to your doctor.

What you should look out for

You should seek immediate medical attention if:

  • Your swelling is accompanied by chest pain, difficulty breathing, or dizziness. These could be signs of a serious heart or lung condition.
  • You have a high fever, chills, or a red or warm spot on your leg. These could be signs of an infection.
  • Your swelling is severe, sudden, or accompanied by other serious symptoms.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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1 yr ago

Top picked over-the-counter products for Venous Insufficiency and Varicose Veins Management

People Also Ask


What are the common causes of knee swelling?

Common causes of knee swelling include injuries such as sprains or strains, arthritis, bursitis, and conditions like venous insufficiency. It can also be due to fluid buildup from various medical conditions.


How can venous insufficiency be managed or treated?

Venous insufficiency can be managed with lifestyle changes such as regular exercise, leg elevation, and wearing compression stockings. In some cases, medical procedures like sclerotherapy or surgery may be necessary to improve blood flow.


What are the potential side effects of diabetes medications related to swelling?

Some diabetes medications, particularly thiazolidinediones, can cause fluid retention leading to swelling in the legs, feet, and ankles. It's important to discuss any side effects with your doctor to adjust treatment if necessary.


How does hypothyroidism contribute to joint pain and swelling?

Hypothyroidism can lead to joint pain and swelling due to the body's slowed metabolism, which can cause fluid retention and inflammation. Proper management with levothyroxine can help alleviate these symptoms.


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