Swollen feet and ankles

Posted by Ray Kemble @ray666, Jul 23, 2022

Hello, all!

I've been here many times before, but always with questions about my increasingly wobbly balance. While that problem remains pretty much unchanged (I'm now seeing a physiatrist), this morning I have a new question: swollen feet and ankles. Briefly, I first noticed that my left foot was puffy about two months ago, but with no pain. Since then, the swelling spread to my left ankle. Now my right foot and ankle are both swollen. But again: no pain (just the puffiness). I have talked to my PCP about this; she has advised me to cut way, way back on salt, coffee (including decaf), and sugar (that's easy for me: I don't like sugary anything); also, to drink plenty of water and get exercise. A little about me: I'm 77. I take three Rx medications: Amlodipine & Losartan for blood pressure (long since under control), and Diclofenac for arthritic knees. I and my partner eat what I would consider a healthy diet: a combo Mediterranean and DASH diet (to keep my BP in check). Does any of this sound like a situation you're facing, or have remedied? I would welcome hearing from anyone with experience with swollen feet and ankles.

Ray (@ray666)

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@jimmy370

I tried them for 6 months didn't do anything!

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Sorry it did not help you. I know others where the result was good and some not good. My brother is trying it now.

Hope you find something .

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@anjalima

Sorry it did not help you. I know others where the result was good and some not good. My brother is trying it now.

Hope you find something .

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👍

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@casey1329

Sadly it's the norm I think in all nursing homes. My mom was in a rehab/nursing home for a few months and not only to they request that you stay in a wheelchair but if you are older they put you in diapers. My mom was getting in constant trouble because she tried to get up and go to the bathroom. She was never the same.
Now my brother in law is lucky in many ways. The place he is in is very clean, does not smell and has an excellent caring staff. He can get physical therapy a few times a week if he wants to go. It can't compensate for being wheelchair bound but it's better than nothing.
I am very sorry to read about your health problems but I admire your spirit and determination to continue with regular exercise. You sound like a strong person...good luck !

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I'm very glad to hear about the many positive aspects of your BIL'ss nursing home. You're right that those factors can (to often are) be quite different.

My mother (almost 100) is quite disabled (blind deaf, pretty advanced Alzheimer's) and she is in a memory care center where she too can only get around in a wheelchair. (As you probably know, by law so as not to "restrict" the patients, she isn't strapped in either there or in bed (I find this incredible).

She is constantly falling also mostly when she is trying to get to the bathroom (despite her diapers). Since my SIL is trying to avoid getting her moved to a nursing home because of the hugely increased cost (not counting medical care and special attention, her present facility costs close to $100K/year - can't imagine what a nursing home would be in her area.

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Forgot to add that they also would put bed rails on her bed (I have them!) - also legal issue, but at least they finally thought to lower the bed with mattresses and pillows around it.

Don't know why I didn't think of that right away in connection to your BIL maybe because of the age difference and because she's in a facility with a different name ("memory care").
Her quality of life is pretty much nonexistent not even counting the constant falls, including fractures.

Private (often franchised) care facilities are big business these days, however poor their care is. Often they escape fines, and when they are found out, they just change the name and re-open it as a different place.

Apart from all the other negative features of this system (her place is quite nice too as far as these things go), her care has almost completely bankrupted what remained of her estate which was to have been bequeathed to her children and grandchildren. (Earlier housing was quite luxurious for decades - assisted living in a large apartment with TWO bathrooms!).

I'm sure she would never have wanted any of this to happen.

Many thanks for your kind words. They are very appreciated.

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@realitytest

Shocking and frightening to hear of such a nursing home restriction - clearly not in the patients' best interests, but rather to economize on staff and protect their liability.

I have many health problems increasing with age, but nevertheless maintain relative function in all areas because of regular exercise however hard it is to keep it up (It's an eye disease bound to lead to blindness eventually, that makes me fear becoming unable to continue manage living alone at home.) It's my primary medicine warding off deterioration in all areas.

Is there no way to place your BIL in a different facility, that includes
exercise, at the very least, walking? His doctor him/herself prescribes it among other reasons, to combat the swelling. An imposed completely sedentary existence is a slow death sentence. How could this be legal?

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You walk, you fall, you sue. The facility I am living in doesn't ban walking and provides daily exercise, They evaluate everyone and will provide an escort if necessary- yes, it costs.
I can walk a limited distance with a walker but don't do it without someone following me. Fortunately, I have a devoted daughter who makes time for me.
By the way, family involvement maks a LOT of difference.

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@eldorado95619

You walk, you fall, you sue. The facility I am living in doesn't ban walking and provides daily exercise, They evaluate everyone and will provide an escort if necessary- yes, it costs.
I can walk a limited distance with a walker but don't do it without someone following me. Fortunately, I have a devoted daughter who makes time for me.
By the way, family involvement maks a LOT of difference.

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Family involvement DOES indeed make a big difference (probably why Mom hasn't been moved to a nursing facility even though she qualifies - kind of a favor, and one that saves us much $ though certainly not forever.)

I don't think my mother is able to walk safely (consider blindness, Alzheimer's, balance) and until recently she had also become so heavy she couldn't be supported with escorts - who couldn't protect her from falling. (She accidentally knocked down my SIL until walking was forbidden).

She too has access to PT - unsure whether or not she takes advantage. (I hope your BIL is encouraged to have PT!).

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@jimmy370

@ jimmy 370 - Keep reading, posting and asking for answers. Your life counts.

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I have the same problem and started using compression (knee-high) socks as of two weeks ago. I have tried different brands and the one I like best is Sockwell.

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@silverwoman

One of the known side effects of amlodipine is swollen feet and ankles. I'm on it, too, for high blood pressure and by the end of the day my feet and ankles are puffy to the point of discomfort. In the morning after 8-9 hours in the prone position, I'm back to normal. Lowering the dose from 10 mg. to 7.5 mg. helped a little bit.

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I’m in the same boat in that Amlodipine has been identified as the culprit for my swollen ankles, particularly on the left side. I’m going to try reducing the dose to 7.5 as you suggested and see what happens. Great tip.

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@jaglover10

I’m in the same boat in that Amlodipine has been identified as the culprit for my swollen ankles, particularly on the left side. I’m going to try reducing the dose to 7.5 as you suggested and see what happens. Great tip.

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Is that the total daily dose you are referring to? Husband also has swollen ankles with 5 mg twice a day so total daily 10 mg.

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@barbarat

Is that the total daily dose you are referring to? Husband also has swollen ankles with 5 mg twice a day so total daily 10 mg.

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Yes. I take one 10mg tablet daily. My ankles and feet didn’t swell up before that drug was prescribed. I wish I didn’t have to take it and cannot wait to get off it.

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