Which Specialist Should You See for Ankle and Back Discomfort? - Family Medicine

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When dealing with discomfort in the ankle and back, especially after a period of altered walking due to a condition like a viral wart on the big toe, it’s essential to approach the situation methodically. Given your symptoms, which include a pulling sensation in the outer part of the ankle, discomfort in the lower back, and concerns about the proximity of your back pain to your kidneys and liver, it would be prudent to consult with a few specialists to get a comprehensive evaluation.

1. Primary Care Physician (PCP): Your first step should be to visit your primary care physician. They can conduct a thorough physical examination, review your medical history, and assess your symptoms. They may also perform basic tests, such as blood tests or imaging studies, to rule out any underlying conditions that could be contributing to your discomfort.

2. Orthopedic Specialist: If your PCP suspects that your ankle discomfort is related to musculoskeletal issues, they may refer you to an orthopedic specialist. Orthopedic doctors specialize in the diagnosis and treatment of musculoskeletal disorders, including injuries to the ankle and spine. They can provide insights into whether your discomfort is due to a strain, sprain, or other orthopedic issues resulting from your altered walking pattern.

3. Physical Therapist: A physical therapist can be invaluable in your recovery process. They can assess your gait and posture, identify any imbalances or weaknesses, and develop a tailored rehabilitation program. This program may include exercises to strengthen the muscles around your ankle and lower back, improve flexibility, and correct any postural issues that may have developed due to your previous condition.

4. Rheumatologist: If your discomfort persists or if there are signs of inflammation, a rheumatologist may be necessary to rule out any underlying inflammatory conditions, such as arthritis or other rheumatological disorders.

5. Urologist: Given your mention of increased urination, it may also be wise to consult a urologist. They can evaluate whether there are any urinary tract issues or other concerns related to your kidneys or bladder that may be contributing to your symptoms.

6. Neurologist: If you experience any neurological symptoms, such as numbness, tingling, or weakness, a neurologist may be needed to assess for nerve-related issues that could be causing your back discomfort.

In terms of your concerns about posture and its impact on your current symptoms, it is indeed possible that prolonged periods of walking with an altered gait could lead to compensatory changes in your body mechanics. This can result in strain on various muscle groups and joints, leading to discomfort. Addressing these issues early on with the help of a physical therapist can help prevent further complications.

In summary, start with your primary care physician, who can guide you through the process and refer you to the appropriate specialists based on their findings. It’s essential to address both your ankle and back discomfort comprehensively, considering the interconnected nature of the musculoskeletal system. Early intervention can lead to better outcomes and help you return to your normal activities without pain.