Painful ankles at ur age are most commonly because of gout- increased Uric acid levels Pls check ur Uric acid, vitamin B-12 and vitamin D Have at least 3 L of water before 5 o’clock in the evening Avoid sitting on ground and keep your legs elevated at all times if you have Swelling in the hands too you should see a rheumatologist

Pain in the ankle most probably is due to trauma or infections as it is a long standing pain this might be any sequelae to trauma we need to see x-ray and if required we need to do MRI and plan treatment it is better to visit once for examination

We may need few more inputs How did the swelling start sudden or slow Is there any other joints having swelling and pain..? Is there stifness in the joints in the morning.. Are you having Diabetes high BP asthma kidneyliver problem When would be the swelling more..? Would swelling increases in ambulation Is there history of  injury /fever/weight loss/appetite loss Is the area near the swelling red warm Is there an ulcer around that area Are there any visible swollen veins you see on the legs

Send me yr ankle and foot x rays and serum uric acid levels. Will follow up.

If you taking for Ibuprofen 600 mg 3 times daily for last 4 months Your kidney get compromise.

Hi, need more information. Please book a consult. Regards

Consult me online thru practo need some X-ray blood tests

You may be suffering from ankle arthritis