### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My left knee was replaced nov 11, 2014- had intensive rehab -however i stop going to rehab 2 months later, my knee stayed hot -like i had an infection ? But now not hot after over 7 months? About 7 / 8 weeks ago we drove 7 hrs to a social event - & drove back next day- my back -began hurting so severe plus my right foot was swollen - with operated left leg foot swollen now but not as swollen -took 3 dsys to go down with ice & raised over my heart , & 3 weeks ago both ankles r swollen & non operated leg - that ankle is larger or more swollen - i am esting alot of sugar - the medication i am taking is for blood pressure, thyroid contion, vitamin d deficiency. & severe R. Artherisis -non back from another trip flying. 2 hrs Non stop-put ice on ankld in hotel & at home 4 th day -ankles both swollen- sleeping with ice bag& feet elevated -went to rehab & if u push in on side of swollen right foot - it hurts & the dent stays -doesnt bounce bk? I was born with born with heart murmur-plus every 8 yrs im to take a test to see if ? Has moved around my heart -had heart test in 2013 all was ok & i stay tired all the time -WHAT HAS CAUSED MY ANKLES TO SWELL ON BOTH LEGS? Do have bunyon on right big toe - this ankle is largest. & sore Help please-phone is 302-218-0334-dorothy snow-w- i am 69 years old & own my own business 20 years & im depressed Meds -duloxetine 60 mg- armour thyroid 60 mg-losartan 50 mg for blood presure-oxicodond 20 mg twice a day Vitamin d 50 k -volteran gel for pain Restisin for dry eyes - had eye caterate surgery may 10-2014

### output:

Hi, Thank you for providing the brief history of you. A thorough clinical examination is advised. As your age is 69 years and also the TKR was done, now facing with back pain and also swelling of the leg, it is totally related to the overall body non-conditioning. As body is a single unit the conditioning of the body is of importance to balance the systemic requirements. Now coming to TKR - you should have continued your TKR rehabilitation program as by which you must have been helped more than even thought. The exercises post TKR are helpful to make the muscle stronger not only of the knee but also of the over body when we talk about rehab. If you were only performing TKR operated leg than the rest of the body needs an attention. Since you have a backache, again, physical therapy is of the choice to help you out. Core stability is what needed. Also, for swollen ankle, you need to have a check for your heart and your vascular system. As due to weakness of both the swelling can occur frequently. In my clinical practice, patients post TKR undergo 16 weeks to 24 weeks of rehabilitation program for not only the TKR procedure but also for the overall body conditioning. And the majority of them recover to the maximum. RegardsJay In Chat Doctor. 