<s>[INST] My boyfriend is suffering from swollen ankles and the appear bruised also. He is about 6 months post op from total left hip replacement. His PCP did not seem overly concerned, however every step he takes is extremely painful and he having a hard time even going to work. We are becoming more and more concerned about this. Can you help? I m sorry, I was not aware this cost $$. We are struggling after his hip replacement now and I just can t afford to pay more $$. My apologies Dr. Rynne for taking up ur time. Just very concerned and looking for another opinion. Thank you so much anyway. Tracey Butner [/INST] Symptoms like swollen and bruised ankle can be due to ankle sprain (he might have twisted), hairline crack at ankle bone again with twist, soft tissue sprain, combination of all. For treatment, he has to consult an or tho or physio and with physical evaluation (here they may ask for x-ray) and other tests. Based on report for minor to moderate issue the conservative management can be done with physiotherapy treatment and use of crew bandage to stabilize the ankle as well also use hot and cold water by keeping your leg in it in such a way that water can touch all around. Use proper footwear and for time being if possible take rest and follow the guideline given by physio or or tho doctor. Now if there is major damage at ankle level then here doctor may ask to keep a pop plaster or any surgical correction (for complete ligamenta injury) or steroid injection followed by again physiotherapy treatment. Here I have given general guideline on possible causes and treatment for ankle pain I suggest following step by step, and I am sure this will be helpful for you. Take care. </s>