What causes swelling in both ankles. came on suddenly. elevation does not seem to help. i'm 57 good health and very active. 35 lbs overweight

Edema: Edema (swelling) is associated with weight gain. Women are more prone to it and menopausal state makes it worse. Kidney disease, heart disease, thyroid disease, side effects of drugs, varicose veins are all associated with edema. You need a detailed history, physical, urine and blood tests to determine the cause.

See Physician: Could be an arthritis of some type or other systemic cause. May be diet or medication induced.

Swelling: Swelling in the lower legs unrelieved by elevation is consistent with chronic venous insufficiency. This is a normal progression of loss of calf function compression to the great saphenous vein. Additionally, watch your sodium intake -- where salt goes, water follows! work more lower leg exercises to strengthen the calf muscles and see if that helps. Wear compression socks in the meantime.