[53F] Experiencing ankle pain and body stiffness

Patient Description

A 53-year-old female presents with body stiffness that is worse in the morning and sharp pain in the ankle when walking or turning the foot. She has noticed a soft, squishy lump on the right side of her ankle below the bone for over a week, which is painful but not red or warm to the touch. The patient reports that the stiffness has been present for several months, and the ankle pain started 2 weeks ago. She finds a little relief by being off her feet and applying ice. The patient had an X-ray of the ankle which showed no abnormalities. She has no known allergies or adverse reactions to medications and is not currently taking any medications, although she took prednisone while sick with a bad cough 3 weeks ago. There is no history of recent injuries, fever, chills, or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Ankle Sprain: This occurs when the ligaments in the ankle are stretched or torn. Symptoms typically include pain, swelling, and bruising. However, you mentioned that you have not had any recent injuries.

    • Treatment usually involves rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers may also help.
  • Gout: This is a type of arthritis that usually affects the big toe, but can also affect the ankle. It can cause severe pain, redness, and swelling. However, you mentioned that the lump is not red or warm.

    • Treatment usually involves medications to reduce pain and inflammation, and to lower uric acid levels.
  • Bursitis: This is inflammation of a bursa, which is a small fluid-filled sac that cushions joints. Symptoms can include pain, swelling, and difficulty moving the joint. However, this is usually associated with overuse or injury.

    • Treatment usually involves rest, ice, and over-the-counter pain relievers. In some cases, a doctor may drain the bursa or inject it with a corticosteroid.
  • Cyst: A cyst is a sac-like pocket of tissue that contains fluid, air, or other substances. They can form anywhere on the body, including the ankle. They can cause pain and discomfort, especially if they press on a nerve or cause a joint to bulge.

    • Treatment can involve draining the cyst or surgically removing it.

What you can do

  1. Continue to rest and elevate your ankle. Avoid activities that cause pain.
  2. Apply ice to your ankle for 15-20 minutes at a time, several times a day.
  3. Over-the-counter pain relievers may help with the pain.
  4. If your symptoms persist or worsen, make an appointment to see your doctor. They may refer you to a specialist, such as a rheumatologist or orthopedic surgeon, for further evaluation.

What you should look out for

  • Increased pain, swelling, or redness
  • Difficulty walking or bearing weight on your ankle
  • Fever or chills, which could indicate an infection
  • Any other new or worsening 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, testing, and care recommendations.

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11 mo ago

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People Also Ask


What could cause body stiffness that is worse in the morning?

Morning stiffness can be caused by various conditions, including arthritis, muscle strain, or lack of movement during sleep. It is important to consult a healthcare provider for a proper diagnosis.


What are the possible reasons for a soft, squishy lump on the ankle?

A soft, squishy lump on the ankle could be a cyst, bursitis, or another type of soft tissue swelling. It is important to have it evaluated by a healthcare provider to determine the exact cause.


How can I manage sharp ankle pain when walking or turning the foot?

Managing sharp ankle pain can involve rest, ice application, compression, and elevation (RICE). Over-the-counter pain relievers may also help. If pain persists, consult a healthcare provider.


What should I do if my symptoms do not improve with home treatment?

If symptoms do not improve with home treatment, it is important to see a healthcare provider for further evaluation. They may recommend additional tests or refer you to a specialist for more targeted treatment.


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