Swollen Ankles

Swollen ankles and feet are a common concern, particularly in older adults, but they may also affect individuals due to injury, pregnancy, poor circulation, certain medications, or chronic conditions such as heart, kidney, or liver disease. At Newtons Compounding Pharmacy, we take a holistic approach to addressing this issue by offering customized natural treatments, supportive herbal remedies, and practical lifestyle advice designed to reduce swelling and restore comfort.

Understanding the Causes of Swollen Ankles

Swelling (edema) typically results from fluid accumulation in the tissues, often triggered by:

• Poor venous return or lymphatic drainage

• Prolonged standing or immobility

• Hormonal changes, including PMS and pregnancy

• Side effects of medications (e.g., calcium channel blockers, HRT, antidepressants)

• Inflammatory or infectious conditions

• Cardiovascular, renal, or hepatic dysfunction

Herbal Remedies and Compounded Natural Medicines

1. Newtons Circulation Drops
Combines Butcher’s Broom, Horse Chestnut, Gotu Kola, and Ginkgo Biloba to support healthy blood vessel tone and improve venous return. This formula helps relieve symptoms associated with chronic venous insufficiency, including swelling, heaviness, and fatigue in the lower limbs.

2. Horse Chestnut (Aesculus hippocastanum)
Traditionally used to strengthen capillaries and reduce edema. Compounded in convenient tablet form or liquid extract.
Standard dose: 150 mg aescin daily (not recommended during pregnancy without supervision).

3. Butcher’s Broom (Ruscus aculeatus)
Supports vascular tone and reduces inflammation and fluid retention in the lower extremities. Often used to relieve the burning and itching associated with poor circulation.
Typical dose: 100 mg ruscogenin daily.

4. Gotu Kola (Centella asiatica)
Improves connective tissue integrity and supports lymphatic circulation.

5. Grape Seed or Pine Bark extracts
Rich in antioxidants that strengthen blood vessels and capillaries.

6. Hawthorn (Crataegus spp.)
Supports cardiovascular function and improves oxygen delivery to tissues.

Topical & Aromatherapeutic Applications

Aromatherapy Massage Oils
We prepare custom massage blends containing Cypress, Geranium, Chamomile, and Rosemary essential oils in a carrier base of almond or sunflower oil. These oils promote circulation, reduce fluid buildup, and offer local soothing effects.

• Apply in upward strokes from feet to thighs.

• Avoid direct massage over varicose veins.

• Safe options during pregnancy include Chamomile, Lavender, Eucalyptus, and Cypress.

Custom Compounded Support Formulas

Newtons Pharmacy can compound individualized formulas tailored to your specific needs, including:

• Circulatory support capsules combining synergistic herbs and homeopathic ingredients.

• Diuretic and detoxifying herbal tinctures to reduce fluid buildup

• Herbal Lymphatic drainage tonics to support immune and lymphatic health

Speak with our pharmacist for personalized formulations.

Nutritional and Supplemental Support

Vitamin & Mineral Recommendations:

• Vitamin C & Citrus Bioflavonoids (3,000–6,000 mg/day)
  Strengthens capillaries, supports vascular integrity, and reduces inflammation.

• Magnesium
  Relieves muscle tension and reduces fluid retention.

• Low-Sodium Diet
  Helps reduce edema by minimizing water retention. Choose fresh, whole foods and avoid processed items high in salt.

Lifestyle & Self-Care Strategies

To further support natural therapies and manage swelling effectively:

• Elevate Legs: Rest your feet above heart level to promote fluid return.

• Compression Stockings: Encourage lymph and venous flow, particularly if standing for long periods.

• Movement & Exercise: Gentle leg exercises or walking stimulate circulation.

• Avoid Constrictive Clothing: Choose loose-fitting, breathable garments.

• Daily Foot Inspections: Especially important for individuals with diabetes or neuropathy.

• Limit Long Periods of Standing or Sitting: Change positions frequently and avoid crossing your legs.

When to Seek Medical Advice

Swollen ankles can occasionally signal a more serious underlying issue. Contact your doctor immediately if swelling is accompanied by:

• Chest pain or shortness of breath

• Rapid weight gain

• Redness, heat, or severe pain in one leg (possible deep vein thrombosis)

• Nausea, headache, or visual disturbances during pregnancy (possible pre-eclampsia)

• Sudden onset of swelling with fever or signs of infection