Which department should I visit for swollen and painful feet?

Generally, when experiencing foot swelling and pain, individuals can choose the appropriate medical department based on the cause of the discomfort and accompanying symptoms. Common departments for consultation include orthopedics, vascular surgery, rheumatology and immunology, endocrinology, and rehabilitation medicine. Specific details are as follows:

1. Orthopedics: If foot swelling and pain are caused by injuries to bones, joints, or soft tissues in the foot—such as ligament sprains from ankle twisting, fractures, plantar fasciitis, or Achilles tendonitis—and are accompanied by localized tenderness, limited mobility, or joint deformity, it is advisable to first consult the orthopedics department.

2. Vascular Surgery: If foot swelling and pain are associated with prominent leg veins, changes in skin temperature, worsening pain after prolonged standing or walking, and relief upon resting with legs elevated, a vascular issue may be suspected—such as varicose veins, venous thrombosis, or arterial occlusion. In such cases, patients should visit the vascular surgery department.

3. Rheumatology and Immunology: If foot swelling and pain are accompanied by joint redness and swelling, stiffness—especially noticeable upon waking—or if the pain recurs frequently and affects multiple joints, rheumatic or autoimmune conditions such as gouty arthritis or rheumatoid arthritis may be suspected. In these cases, patients should see a rheumatologist.

4. Endocrinology: If foot swelling and pain are accompanied by symptoms such as thirst, increased drinking, and frequent urination, or if there is poor long-term blood glucose control, the condition may be related to diabetic complications such as peripheral vascular disease or neuropathy, leading to impaired circulation and abnormal sensation in the feet. In such cases, patients should consult the endocrinology department.

5. Rehabilitation Medicine: If foot swelling and pain result from chronic strain, poor posture, or the postoperative recovery phase—such as muscle strain from prolonged high-heel use or post-fracture swelling—and there is no obvious acute injury, the rehabilitation medicine department is recommended.

Prior to visiting a doctor, it is advisable to prepare information about the onset time of the foot swelling and pain, potential triggers, and accompanying symptoms to help the physician make a quick and accurate diagnosis. Additionally, seek care at a reputable medical institution to ensure professional and safe evaluation and treatment. After consultation, follow medical advice closely regarding care and therapy to support recovery of the foot.