Conversation: The conversation between human and AI assistant.
[|Human|] I was diagnosed with an injured ankle as early as July 12th 2011 . The 1st doctor I went to diagnosed it to be a sprain and advised me to wear a compressive ankle socks with just some ointments and anti inflamatory drugs . I continued carrying on normal activity without giving the leg much rest . A week later i went to another doctor who advised partial rest with the same ankle socks Another week and with an MRI scan i was diagnosed with a ligament tear of the right ankle . I was made to take complete rest with a plaster of paris to support the leg . My movement was restricted completely as the cast was too heavy . Since i m someone use to sleeping on my right side i could not avoid sleeping on the right ankle despite the cast . Ws taking Zerodol tablets . The cast was put for 3 weeks and was removed on August 17th . As there was tremendous swelling i was given was therapy for a week . Even after that i restrcited my movement keeping my leg elevated as much as i can and tried walking with the help of a walker . I have got back to work on September 12th . An 8 hrs of desk job and climbing stairs my leg swells profusly and by the end of the day it looks like i have a mild elephantisis on the right foot. I had severe clotting and pain on the little toe on the rigth leg which has greatly come down now . But the sweeling of the foot inhibits normal movements and at times when i try walking normal i feel pain. I m still unable to walk normally and can feel mild pain at the ankle . The leg is normal only if its elevated and given rest . I can only mildly move the foot up and down and have not gained complete felxibility . My doctor has not advised any form of Physiotherapy apart from moving the toe digits and moving the foot up an down. I am currently taking Ubicar medicines I wanted to know if its normal for the leg to swell tremendouly even after nearly 2 months of removing the cast.? How long would it take to heal completely ? Is there anything that can be done to stop the sweliing ?
[|AI|]  Hi, Your problem seems to be going for a long time from 2011. So to answer your questions it is not normal for the foot to swell up so severely even after two months of removal of the cast.  Complete healing of the will depend on if you have a blocked vein or a chronic deep vein thrombosis. For this you need to a Doppler study which is an ultrasound examination which will tell you will need if the veins are OK, if the other parts of the limb are OK. Now since the swelling is there for a long time you will need to use anti DVT stockings (or anti-varicose vein stockings) which goes above the knee. This should be worn throughout the day.  All this only if the ultrasound exam is normal. Along with this need elevation while sleeping and sitting at home. And exercises for the whole limb to regain muscle strength and activate the blood flow. Hope I have answered your queries. Let me know if I can assist you further. Take care