Swelling of the lower leg and ankle is a common problem. Determining the cause of ankle swelling is the first step to finding effective treatment. Once the cause of the ankle swelling is determined, effective treatment can be initiated.
Ankle swelling causes the accumulation of fluid within the ankle joint or in the soft tissues surrounding the ankle.  Common causes of ankle swelling include:
A traumatic injury, such as an ankle sprain   or a broken ankle  , is the most common cause of ankle swelling. Patients almost always remember the particular injury, but occasionally even subtle injuries can also lead to ankle swelling. Also, stress fractures  can occur around the ankle joint leading to swelling.
Gout is due to the accumulation of uric acid crystals within the fluid of your ankle. Uric acid is a substance produced as part of digestion . In order to properly digest food and rid our body of waste, our bodies produce substances such as uric acid   to transport waste material. People with gout abnormally accumulate uric acid crystals within joints, leading to inflammation and swelling.
 Ankle Arthritis 
Ankle arthritis is much less common than degenerative changes in other joints. However, ankle arthritis can occur and can be quite painful. Ankle arthritis is most common in patients with rheumatoid arthritis or in patients with a previous injury to the ankle joint.
Surgical treatments for ankle arthritis  depends on the severity of the condition. In mild cases of arthritis, such as anterior impingement  , a less-invasive ankle arthroscopy   may be helpful in removing bone spurs. As arthritis progresses, the options are usually limited to either ankle fusion or ankle replacement surgery . 
Infection is an unusual cause of ankle swelling. Infections can either occur in the soft tissues   around the ankle joint (cellulitis) or in the joint itself , septic joint. Infections can often be treated with medications alone, but may also require surgery.
Numerous problems with blood flow can impair normal circulation and lead to swelling around the ankles. The most common cause of vascular obstruction is a blood clot  , also known as a DVT. This type of vascular problem usually occurs in one leg (not both), and leads to swelling of the soft tissues throughout the foot and ankle. The swelling can also extend further up the leg.
Peripheral edema is also a circulation problem, but is seen in both legs, not just one. Lower extremity edema can be due to the aging of the veins leading to chronic swelling, as well as other conditions that can place pressure on the leg veins. These conditions include pregnancy, obesity, and varicose veins .

Homoeopathic remedies are effective for curing odema of ankle joint. Some of the important remedies are given below-

APIS MELLIFICA 30—Apis mellifica is one of the top remedies for swollen ankles due to water retention or accumulation of water in the tissues.  Apis mellifica is prescribed when there are waxy, pale, swollen ankles occurs.  The ankles are very sensitive to the touch. Stinging pain and stiffness may be present.

APOCYNUM  CANABINUM 30- Apocynum is best  for swelling over ankles and it is prescribed swelling is mainly due to cardiac disease .Apart from this dropsical swellings may also be found in other parts of the body, along with the ankles.

ARGENTUM METALLICUM 30-Argentum metallicum is best for swollen ankle with weakness and trembling . Rheumatic pain in the ankle joints. Complaints worse from touch and in the afternoon.

ARNICA  MONTANA 30-Arnica is one of the highly effective Homeopathic medicines for swollen ankles where the swelling results from injury.  The ankles  feel painful, bruised and sore to touch.

HAMAMELIS 30-Hamamelis is effective  for swollen ankles where the swelling is a result of varicose veins. Hamamelis works best in treating swelling in ankles from varicose veins and venous insufficiency. It is prescribed when the swellings result from  from engorged, congested veins. Sore, cutting pains in ankles are observed. Swelling may also be present in the legs.

LEDUM PAL 30--Ledum Pal is the most effective   medicines for swollen ankles  where the ankles swell due to arthritis.It is prescribed when   swollen, hot, tensed, painful ankles are present. It is worse from warmth and better from cold applications.

RUTA GRAVEOLENS 30—Ruta is prescribed for swollen ankles  where the swelling is caused by a sprain.  Along with swelling, pain and weakness in the ankle joint and lameness, also a result of the sprain are  present.

STRONTIUM CARB 30- Strontium carb is excellent for chronic ankle sprain with swelling.

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