<s>[INST] Sir My wife having   left ankle swelling and esr is 43 mm per hour .Five months back as per doctor advise serum uric acid test has done it is 7.Doctor has give medicine for contol uric acid and it is using one per day .Now serum uric acid is 5.8.but swelling at ankle and unable to walk properly  how to cure it sir [/INST] Hi i am Dr Ahmed Aly    thanks for using healthcaremagic site ,I had gone through your question and understand your concerns ..  For my patients i suggest NSAIDS like advil twice daily , hot massaging wit topical gels , antiedematous drugs from OTC over the counter , slabbing it and elevation of her ankle on two pillows and avoiding standing or dropping her leg for too long will be effective for her if not i suggest further investigation of other underlying causes and proper evaluation like Xrays and CT . Please click THANK YOU and consider a 5 star rating with some positive feedback if the information was helpful. Hope the above information helps you,Any further clarifications feel free to ask. </s>