What Is Chronic Ankle Instability?
Chronic ankle instability is a condition characterized by repeated instability on the outer (lateral) side of the ankle. It usually develops after repeated ankle sprains. In many cases, the ankle feels wobbly or unstable during activities such as walking or even just standing still. Many athletic and nonathletic people have chronic ankle instability.
Symptoms of chronic ankle instability include:
Frequent rolling of the ankle, especially on uneven surfaces or in the courses of physical activities.
- Regular discomfort and swelling.
- Aching or tenderness
- A feeling of instability or wobbliness regarding the ankle
Causes of Chronic Ankle Instability
Chronic ankle instability almost always follows a neglected or poorly rehabilitated ankle sprain. When ankle ligaments are stretched or torn, this might lead to one losing balance. Proper rehabilitation is required to strengthen the muscles around the ankle and to retrain the internal structures of the ankle responsible for balance. This, if left unchecked, might result in recurring ankle sprains.
Repeated ankle sprains can cause, and contribute to, chronic ankle instability. Each successive sprain causes further weakening or stretching of the ligaments, increasing instability and the likelihood of continued ankle problems.
Diagnosis of Chronic Ankle Instability
In diagnosing your condition, a foot and ankle surgeon will ask about any previous ankle injuries and experiences of instability. The surgeon will also perform a physical examination to look for tenderness, signs of swelling, and ankle instability. X-rays or other imaging studies may be ordered to assess the ankle further. Conservative Treatment The treatment for chronic ankle instability is based on the examination findings and the patient’s activity level. Non-surgical treatments may be prescribed such as:
Non-Surgical Treatment
The treatment approach for Ankle joint instability depends on examination results and the patient’s activity level. Non-surgical treatments may involve:
Physical therapy: Various therapies and exercises to help improve ankle strength, balance, range of motion, and muscle retraining. Rehabilitation may also focus on activities or sports specific to the patient.
Bracing: Some people wear ankle braces to support the ankle and prevent ankle rolling. Bracing can help prevent future ankle sprains.
Medications: NSAIDs such as ibuprofen can be prescribed to help manage pain and inflammation.
When Is Surgery Required?
In severe cases of instability, or when initial nonsurgical measures fail, your foot and ankle surgeon may recommend surgery. Surgical treatments usually involve repair or reconstruction of the damaged ligaments. Your surgeon will choose the surgical procedure that’s best for you based on the severity of your instability and your activity level. The recovery course varies depending on the procedures performed.
Why visit a foot and ankle surgeon?
Foot and ankle surgeons are the perfect medical experts for your feet and ankles. They are podiatric physicians who specialize in surgical operations of the foot and ankle. Many years of training and education have equipped them with the acumen and expertise in many conditions affecting the foot and ankle, including chronic ankle instability. Their quality education and training uniquely qualify them to perform various surgeries, including those needed for Ankle joint instability.
