Hi, I am Neuro Doctor, an American Board Certified Neurologist with vast clinical experience.
Does it look like bite mark?
possibly...but they are far ish apart, and are white
Okay I see
How far apart, approximately?
it is just few centimeters, agree?
there is also a smal wiggly red line just to the side going down towards the ankle. Could be a close vein though...
it just happened two hours ago in bed. the discomfort kept me up
Okay I see, and you never had problem in that area of ankle before, agree?
i did not try ice
I am small, slender and healthy except for back pain
Do you see any skin rashes?
Okay I got you.
the first thought I had was shingles...but I have nothing anywhere on my body
it is very localised
but regular zings that make me jump as I try to fall to sleep
Yes I agree, I too was suspecting shingles as one of the possibilities
does it everstart in the ankle? LOL
But shingles cannot start so abruptly
oh thank God
No, no I am not telling it is shingles
I was suspecting
Yes you are right
Shingles is unlikely
I had taken some pain medication yesterday for my back..vicadin, and earlier, 1/2 a flexerall
any possibility of snakes in your area, sorry to ask this?
i took the vicadin in half doses too.
small garter or garden snakes
Okay I got you
could they be in a bed and me not feel it??
I will explain now the possibilities
But this is so sudden onset
such severe pain
and a suspected bite mark
so this possibility needs to be considered too
I am EXTREMELY sensitive to ANY pain..bear in mind..lol
you need to visit ER at the earliest
the pain comes in rhythms
That is an important point
That you are sensitive to pain
But still we need an explanation for the pain
its like a sensitive stingy senstion to the touch, but feels as if under the skin close to the surface somehow
I thught it was a nerve at first
Possible, but such localized, sudden & severe pain is difficult to explain as a nerve pain
Nerve pain involves larger areas
by the way, the two white dots are NOT raised at all
not this confined area
so they are not rashes
I recommend showing this in the ER at the earliest
just to be on the safer side
why to take any risk?
They can have a close examination
They can keep you under observation till morning too\
I feel completely fine otherwise, I can walk on it no pain. no swelling. maybe I go to my Dr in the morning?
the only weird thing is I am awake! lol.
Let me ask this question
This is very important question from my side
I got up to distract myself and to calm down. it is still there.
Ever in the past have you had this severe abrupt onset pain?
Then please do not wait till am
try to visit the ER now ASAP
but I id have pretty sever low back L4-5 spasm pain yesterday after the gym
but this is such a tiny area of pain
so I hoped it wasnt from meds
this cannot come from back or from any nerve injury
its just weird, and never felt before..thought it was an itch at first, but kept returning and made my leg jump
then heart race
the vicadin I took, and flexerall
Meds can generalized side effects
hydrocodone I think it was
not so focal like this
vicodin contains hydrocodone
the other one flexeril also cannot do this
I will watch it, if it gets really worse, I will go in. I will try to wait till tomorrow for my GP
Yes, this is okay too, most likely this is not anything serious
Please watch for following signs;
the white marks are so subtle and tiny
Increased local temperature
I was asking you to observe later
please watch for these signs
just a little red wiggly line on ankle near area.
ok. Got it.
At this moment this doesn't look anything serious
So wait & watch policy is fine
so even if it was a spider bite, it could be just a noting one
most spider bites are not serious
ok. That's what I thought. or another bug maybe
do you have black widow spiders at your area?
ok. Thanks for saving me a trip to the midnight ER
yes, I think so. MA.
You are welcome!
Hope ER visit is not needed
But you have no much symptoms
So unlikely anything serious
well, just the zingy pain really, its the worst part
Wait & watching should be fine
You may use ice/cold compressor
You are very welcome!
yes, I will get now.
and try to sleep!
Wishing and reassuring this is nothing serious.
Do you have any further questions?
I guess I just wanted to be sure it wasnt signs of a coming stroke or shingles or something!
No, those conditions are totally unlikely
there are nerves very close to the skin right?
I am not suspecting any of those conditions.
ok good. THANKYOU!
This should resolve soon.
Im all set.
I think so.
You are very welcome! All the best!
same to you.
Good bye, all the best!
Please let me know if you have any further questions. And if you feel you have received the answer to your question please rate my answer to compensate me for the time and effort put by me in answering your question.