Ankle Instability

Ankle Instability Symptoms, Causes and Treatment

What Is Ankle Instability?

Ankle instability is a condition characterized by recurring injuries to the ankle due to weakness or a “giving way” sensation, often affecting the outer or side area of the ankle. This issue commonly stems from frequent ankle sprains and can occur during activities such as walking, running, or even standing still. Chronic ankle instability can affect athletes and individuals who experience repeated ankle injuries.

Ankle Instability

Causes of Weak Ankles, Ankle Sprains, and Instability

Ankle instability often develops after an ankle sprain that hasn’t fully healed or been properly rehabilitated. Sprains can damage the connective tissues in the ankle, causing them to stretch or tear, which significantly affects balance.

Proper rehabilitation is essential to strengthen the muscles that support the ankle and retrain the tissues to restore balance. Without it, repeated sprains and ongoing instability are likely to occur.

The Consequences of Repeated Ankle Sprains

Nearly everyone has twisted an ankle at some point. If your ankle becomes swollen or painful after twisting, it’s likely that you’ve sprained it, stretching or possibly tearing the ligaments in the affected area.

While ankle sprains are common, they shouldn’t be dismissed as minor injuries. Repeated sprains or twists can lead to long-term joint pain, weakness, and chronic ankle instability. Each subsequent sprain further weakens the ligaments, increasing instability and the likelihood of future ankle problems.

Proper treatment and rehabilitation after a sprain are essential to prevent recurring injuries and reduce the risk of chronic instability.

Diagnosing the Ankle Condition

A foot and ankle surgeon will ask a lot of questions while evaluating your condition:

  • The doctor will ask about prior injuries and instability.
  • Look at your ankle and find tender areas.
  • Look for swelling and how your ankle is unstable.
  • X-rays will be reviewed, as will other imaging studies that may have been conducted.
  • An MRI may be ordered to evaluate the extent of soft tissue injury.

Non-Surgical Treatment Options for Ankle Instability

There are several non-surgical treatment options available, tailored to the results of your examination, diagnostic tests, and activity level.

  • Physical Therapy: This involves exercises to strengthen your ankle, improve balance, and retrain your muscles to function properly. Physical therapy may also include guidance on safely managing sports or other physical activities.
  • Bracing: Wearing a brace provides support, prevents your ankle from turning, and helps reduce the risk of further injury.
  • Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) or other medications may be prescribed to relieve pain and reduce inflammation.

Ankle Foot Orthosis (AFO): Support for Your Ankle

An Ankle Foot Orthosis (AFO) is a brace designed to provide support to the ankle and part of the foot. Shaped like an “L,” it is worn externally and can be made from various materials, including metal, leather, plastic, synthetic materials, or a combination of these.

Uses and Benefits of Ankle Foot Orthosis (AFO):

  • Ankle Position Control: Helps maintain proper alignment and positioning of the ankle.
  • Muscle Weakness Compensation: Provides support for muscles weakened by conditions such as stroke, injury, spinal cord damage, cerebral palsy, muscular dystrophy, polio, multiple sclerosis, or peripheral neuropathy.
  • Immobilization: Offers stability for fractures, arthritis, or other conditions requiring reduced movement in the ankle or lower leg.
  • Joint Stabilization: Supports the ankle and subtalar joint, particularly in cases of flat feet or similar issues.
  • Improved Movement: Facilitates normal ankle movement, reduces abnormal gait patterns, and enhances the ability to walk effectively.

When is Ankle Surgery Necessary?

Surgery may be recommended in cases where the ankle exhibits significant instability or has not responded to non-surgical treatments. Surgical intervention typically involves repairing or reconstructing the damaged ligaments to restore stability and function.

Your surgeon will carefully evaluate your specific condition and determine the most appropriate procedure for your needs. Recovery times will vary depending on the type of surgery performed and the individual’s overall health.

If you are suffering from ankle instability, schedule an appointment with Preferred Foot & Ankle today.