Swelling in the ankle, combined with a history of low hemoglobin and other issues, might relate to imbalances in your body that need addressing. From an Ayurvedic perspective, swelling and pain could be due to vitiated Pitta dosha and obstruction in your body’s channels. Also, considering your low Vitamin D3 levels, it’s essential to support your bones and muscles.
Firstly, address the swelling by using a warm oil massage (abhyanga) on the affected area, which helps improve circulation and reduce inflammation. Sesame oil is typically recommended, gently heating it before applying. Doing this daily, especially in the evening, could be beneficial. Also, you may apply turmeric paste blended with water on the swollen area to help with the inflammation — turmeric’s anti-inflammatory properties are well known in Ayurveda.
Additionally, dietary adjustments should be made: include Pitta-pacifying foods into your diet. Favor more cooling and soothing foods, such as cucumbers, melons, and leafy greens, while avoiding spicy, acidic, and overly salty foods that could aggravate Pitta. Since your hemoglobin is low, eat iron-rich foods like spinach, lentils and beets. Cooked apples and pomegranate juice in the morning can be quite helpful.
Given your Vitamin D3 deficiency, spend some time under early morning sunlight, around 10-15 minutes daily if possible. Also, as you’re experiencing persistent symptoms and had a surgery, consulting an Ayurvedic practitioner personally or a healthcare practitioner is essential to monitor any conditions more intricately and ensure you don’t miss an underlying issue that needs direct professional attention. Focus on rest and ensure you’re not exerting the affected ankle; wearing appropriate footwear is important during healing.
Ankle swelling and the recent lower leg and back pain you’re experiencing could signal an imbalance in your body’s systems. With your medical history, including the gallbladder removal, low hemoglobin, and elevated SGOT levels, there’s a clear need to address both your immediate symptoms and some underlying factors. For Ayurvedic management, we might consider your condition related to vata or pitta imbalance affecting the circulation and tissue integrity.
First, prioritize reducing the swelling. Try topical applications. A paste made using equal parts of turmeric and sandalwood can be applied on the swollen area. Turmeric has anti-inflammatory properties, and sandalwood is cooling, which soothes the inflamed tissues. Apply this paste gently, leave it on for about 30 minutes, then rinse off with lukewarm water. You can do this twice daily for relief.
Internally, sip on warm water infused with ginger and tulsi, which helps in digestion and reducing inflammation internally. To prepare, boil one-inch ginger and a few tulsi leaves in two cups of water for about 10 minutes and drink it throughout the day.
Pay close attention to your diet. Increase iron-rich foods like leafy greens, lentils, and jaggery to address anemia. Likewise, ensure enough vitamin D through sun exposure, aiming for about 20 minutes daily when possible. Diet can profoundly affect healing and energy levels, especially considering your low iron levels.
Gentle yoga and stretching exercises can help mitigate back pain and improve circulation reducing swelling. Back stretches like Cat-Cow Pose and Leg Raise can be beneficial in strengthening and aligning your spine properly.
However, given the seriousness of ongoing leg pain, swelling, and changes in liver function, consult a physician soon. It’s key to rule out any deep-vein thrombosis or liver concerns require immediate attention without delay.



