Conversation: The conversation between human and AI assistant.
[|Human|] I experience a throbbing aching pain in my left ankle. The foot, ankle and lower leg swell 2x size of right ankle. When I move my foot from side to side the pain is unbearable. I have had x-rays and bone scans but no answers. What could be causing this.
[|AI|]  Hi, As the swelling is 2x and the x-ray and bone scans are normal. I will advise checking two things, one is the MRI and second is the blood and urine test.  This can help us understand what can be the cause. There can be two possibilities which can come in mind - one is the ankle sprain and second can be an increased uric acid level. But then also, this is just a speculation, as we are unaware of any past medical history like - hypertension, diabetes mellitus, etc. Only with the help of clinical findings, laboratory investigation and past medical history, we can help you with a proper diagnosis and treatment. For now, use the compression bandage, hot water fermentation, elevation of the limb above the level of the heart, ankle toe movements. This will help the swelling to reduce. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.