Footnotes / Blog
Chronic ankle instability is a condition characterized by a recurring giving way of the outer (lateral) side of the ankle. This usually develops after repeated ankle sprains. Most often, the giving way occurs while walking or doing other activities, but it can also happen when you are simply standing still.
Patients have the following common complaints when they present to the office:
- A repeated rolling of the ankle, especially on uneven surfaces or when participating in sports
- Persistent discomfort and swelling
- Pain/tenderness
- The ankle feels wobbly or unstable
Causes
Chronic ankle instability usually develops following an ankle sprain that has not adequately healed or was not rehabilitated completely.
When the ankle is sprained, ligaments are stretched or torn. The ability to balance is often affected. Proper rehabilitation is necessary to strengthen the muscles around the ankle and retrain the tissues within the ankle that affect balance.
Repeatedly spraining the ankle can cause and perpetuate chronic ankle instability. Each subsequent sprain leads to further weakening of the ligaments, resulting in greater instability and the likelihood of developing additional problems in the ankle.
Diagnosis
The licensed podiatrists at Innovative Foot and Ankle, the foot and ankle surgeon will ask you about any previous ankle injuries and instability. Then the doctors will examine your ankle to check for tender areas, signs of swelling and instability of your ankle as shown in the illustration.
Conservative Treatment
Treatment for chronic ankle instability is based on the results of the examination and tests, as well as on the patient’s level of activity.
- Physical therapy: Various treatments and exercises to strengthen the ankle, improve balance and range of motion and retrain your muscles.
- Bracing: Some patients wear an ankle brace to gain support for the ankle and keep the ankle from rolling/re-spraining.
- Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, can help reduce pain and inflammation.
Surgical Treatment
In some cases, the foot and ankle surgeon will recommend surgery when conservative treatment is not providing the desired results. Surgery usually involves repair or reconstruction of the damaged tissue surrounding the ankle. The surgeon will select the surgical procedure best suited for your case based on the severity of the instability and your activity level.
If you are suffering from ankle pain after a sprained ankle, visit one of our offices. Our doctors can properly diagnose and treat your condition to get you back to your active lifestyle. We have four offices throughout northern New Jersey Located in Essex County, Bergen County, Union County, and Hudson County.