Could my sore and swollen ankle be related to my MS?

I have MS and my right leg is affected. I have difficulty with lifting it and it has impacted on my ability to walk any real distance. Recently my ankle is swollen.  Could this be related to my MS?

There are a variety of things that could be influencing swelling of the lower legs, feet and ankles. It would be a good idea to speak to your healthcare professionals. You should start with your primary care team (GP or practice nurse) initially, and your MS team if they feel that the swelling is connected to your MS.

Swelling of the lower legs, feet and ankles (oedema) could be caused by an injury, infection or problems with your heart, liver or kidneys. Your GP would be able to do some tests and then give advice or prescribe medication if needed.As lower leg swelling is a common issue for people with limited mobility, your MS team will also be able to advise if your swollen ankle is caused by your MS.

Leg and feet swelling can occur in people with MS for a number of reasons, particularly if it has become difficult to walk and your mobility is now limited. In this situation, excess water may build up in the tissues and cause the lower legs to become swollen. As I am sure you are aware, swollen legs can be painful and uncomfortable. If untreated, oedema can cause skin tightness, ulcers and cellulitis.

Your MS team or your GP practice may place a referral for you to get the support of a physiotherapist. Physiotherapists are trained in massage that can help encourage the movement of lymphatic fluid and can advise about aids and equipment that may help such as electro therapy devices or massaging aids.

In terms of home-based self-management techniques, we have some suggestions that we hope are helpful.

Elevate your legs when you are resting or sitting. When elevating your legs you should raise your legs above the level of your heart to help drain fluid and reduce swelling. It is also important to adjust your sitting position regularly and ensure that you have adequate and proper cushioning on your chair (or wheelchair)

• Stretch and exercise your lower limbs as much as is possible. This should include exercising your ankles regularly when you are sitting or resting (with your legs elevated). You should regularly ‘rotate’ (swirl your feet in circles) and ‘pump’ (bring toes up then push them down to lift up your ankles and feet
• Wear compression stockings. Your GP or practice nurse may recommend a certain type but these are widely available from mobility shops and pharmacists

The NHS has some good information at www.nhs.uk/conditions/oedema