Common Ankle Problems are:
A sprained ankle occurs following a sudden sideways or twisting movement of the foot. An ankle sprain can occur during athletic events or during everyday activities. An ankle sprain is an injury to the ligaments that support the ankle. The ligaments are structures that control excessive movement of the joint. When an ankle sprain happens, the ligament is stretched too far, and is either partially or completely torn. Common symptoms associated with an ankle sprain are pain with swelling and bruising. usually more significant swelling and bruising caused by bleeding under the skin. Patients usually have pain with walking, but can take a few steps. If you do have significant symptoms following a sprained ankle, you should seek medical attention.
Signs that should raise concern include:
- Inability to walk on the ankle
- Significant swelling
- Symptoms that do not improve quickly or persist beyond a few days
- Pain in the foot or above the ankle
Treatment of sprained ankles ranges from simple strapping/rest to need for surgery to fix the torn ligaments.
ACHILLES TENDONITIS & Rupture
Achilles tendonitis is a condition of irritation and inflammation of the large tendon in the back of the ankle. It is a common injury that tends to occur in recreational athletes. Overuse of the Achilles tendon can cause inflammation that can lead to pain and swelling. Patients with Achilles tendinosis have chronic Achilles swelling and pain as a result of degenerative, microscopic tears within the tendon. The main complaint is pain behind the heel usually after periods of inactivity such as first walking in the morning and when getting up after sitting for long periods of time. Sometimes, the tendon can tear completely, either due to injury or overuse.Treatment options include Rest, Shoe modifications, Anti-Inflammatories, Cortisone injections, PRP Injections. and Surgery. For the ruptured ligament, surgery is needed to fix the torn ligament.
BONE SPURS & Impingements
Bone spurs are bony projections that develop along the edges of bones. Also called osteophytes, bone spurs often form where bones meet each other — in your joints. The main cause of bone spurs is the wear-and-tear damage associated with osteoarthritis. Most bone spurs cause no symptoms and may go undetected for years. Bone spurs may not require treatment. Decisions about treatment depend on where spurs are located and how they affect your health. Bone spurs that cause pain in front of the ankle is common in sports professionals. Symptomatic Bone spurs can be removed using Arthroscopic surgery.
Osteochondritis dissecans (OCD) is a problem that causes pain and stiffness of the ankle joint. It can occur in all age groups. Most cases of OCD usually follow a twisting injury to the ankle and are actually fractures of the joint surface.
The cause of most cases of OCD are thought to be actual chip-type fractures. The chip fracture can vary in size and severity. If the bone underneath the cartilage is crushed or cracked and the articular cartilage is intact, the fragment is less likely to move. If the articular cartilage is broken as well, the bone fragment may move out of position, making healing less likely and later problems more likely. Treatment of OCD is surgery. Arthroscopy may be required to remove the loose fragment of cartilage and bone from the ankle joint and drilling small holes in the injured bone.the talar dome.
The wear and tear of the ankle joint can occur due to previous trauma or due to old age. It is called osteoarthritis (OA) or posttraumatic arthritis. Other causes include inflammatory Arthritis like Rheumatoid Arthritis, Gout, Infection etc. Once this cartilage is ripped away, it does not normally grow back. Pain is the main problem with arthritis of any joint. This pain occurs at first only related to activity. Later, when the condition worsens, pain may be present even at rest. The pain may interfere with sleep. The joint may swell, fill with fluid, and feel tight, especially following increased activity. Treatment includes medications to reduce the pain of OA, new injectable medications that lubricate the arthritic joint, physical therapy and surgery. The type of surgery depends on severity and duration of the arthritis, how active you are, how old you are. The choices for surgery are arthroscopic surgery to clean up the joint, fusion of the joint, or replacing the joint with an artificial ankle joint. At The Joint Clinic we perform ankle fusions with arthroscopic techniques