Ankle Pain and Its Related Disorders

 Ankle Pain and Its Related Disorders

Your ankle aids you to balance and stabilize your body. The ankle joint is made of bones that are supported by muscles and ligaments. Ankle pathology can cause damage to bone, muscle, or soft tissue. Common ankle pathologies include: 

  • Sprain injury (injury to ligaments) 
  • Fractures to the ankle bone 
  • Tendinitis (inflammation of the tendons) 
  • Arthritis-like OA, RA

Causes of Ankle Sprains and Fractures Are

The causes of the ankle problem that cause disorders may be different and can include running, jumping, and overuse of the ankle. 

The rotation force that acts on the ankle may lead to falling, this increases the force and injury level is more. Other injuries that can cause the problems such as tendinitis and Achilles tendinitis it can cause by

  • Deconditioning of muscles of leg and foot
  • Achilles tendon strain may cause this.
  • Prolong unresolved flat foot. 

Variety of Arthritis of Ankle Joint

Osteoarthritis is a degenerative disease that is slow and starts at middle age it affects the joints gradually it can cause pain and stiffness in the ankle joint. While rheumatoid arthritis is autoimmune disease and can cause inflammation and swelling. Rheumatoid arthritis targets your joints and destroys cartilage. After any injury, the stress level becomes more on the joint, and called post-traumatic arthritis it makes the joint inflame and stiffen.

Symptoms of Ankle Issues

  • Pain in ankle 
  • Swelling at the ankle region
  • Stiffness in ankle
  • Issues regarding the ankle joint movement
  • The problem in weight-bearing
  • Contusions  
  • The issue in a normal walk 

Tendinitis and Achilles tendonitis may have the symptoms like pain in the heel region, swelling on exertion, the sounds at the heel back can be a sign of tendon rupture than in this case you must consult your doctor or seek medical aid.

How to Diagnose Ankle Disorders? 

To rule out the main issue of ankle joint, your consultant will evaluate your symptoms and assess your ankle joint and foot and ask about any recent past injuries. To check for bone fractures or tendon tears, imaging tests will be performed. These tests may include: 

  • X-ray 
  • Magnetic resonance imaging test (MRI) 
  • Computed tomography (CT) scan 

Treatment Approaches for Ankle Disorders

The treating protocols will depend on your condition and your symptoms. The ankle issue can be corrected with surgery or without surgery. Ibuprofen anti-inflammatory medicines may be given, RICE therapy should be followed, wearing compression stockings to reduce swelling and ankle size, ice can also reduce the swellings, casts used to immobilize the ankle joint and steroid injections can be used to reduce the swelling and pain from the ankle if a severe injury of ankle joint occurs it needs to be corrected surgically or in case of fracture surgery is required. To treat ankle disorders, include reconstruction to rebuild the fractured bones, joints, tendons, and ligaments in your ankle. 

  • Removal of effected tissue (debridement) 
  • Lengthening the calf muscles to lessen pressure on your Achilles tendon. 
  • The fusion of the bones in your ankle to make it more immovable (arthrodesis) 
  • Replacement of your ankle joint by surgery (arthroplasty) 
  • Lengthening the calf muscles to reduce pressure on your Achilles tendon. 
  • The bones of the ankle are fused surgically to give stabilization in walking and standing(arthrodesis) 

Replacement of Your Ankle Joint (Arthroplasty) 

This procedure is done surgically, and your damaged or destructed ankle joint is now replaced by an artificial joint that gives you the same feeling as your real joint gives you and it makes the stabilization of ankle joint, aids in walking and standing.

What Is the Long-Term Outlook for An Ankle Pathology? 

If you have an ankle problem, your long-term outlook will rely on the grade of your pathology and the amount of damage to the ankle. It will also depend on either you need surgery or not. Ankle sprains injury is quite common and usually heals in six weeks. Similar results can be expected if you have an ankle fracture and you do not require surgery. If your ankle problem requires surgery, the recovery period may be of several weeks or months. You may also need physical therapy to help strengthen and mobilize your ankle. Physical therapy of the ankle may have a lasting effect long as 12 months. And surgery for most ankle pathology can help improve mobility, all surgical procedures have many risks like infection and nerve damage. According to the American Academy of Orthopedic Surgeons (AAOS), the most common and frequent problem that occurs is moderate to severe pain after surgery. 

How Can You Prevent Ankle Problems? 

You can prevent your ankle problems by balancing between good physical fitness, strength, and flexibility. Daily workout and exertion are important and good for building strong bones and maintaining good balance. Other behaviors that can prevent ankle pathology and pain may include stretching and warming up before and after physical activity, wearing cozy and soft sole shoes that gives ankle support, paying attention to your body’s warning signs, and not pushing yourself to work hard. Most ankle injuries or ankle pain may be avoided by taking the proper precautions or care before strenuous/heavy exercise. If you do feel a bad ache at your ankle during physical activity or suspect an injury. Contact your doctor immediately.

Physical Therapy in Ankle Pain

Physical therapy is a very effective and good source to get relief from ankle soft tissue pain, strain, or sprain. Physical therapy uses different modalities such as infrared therapy or heating pads, immobilizing splints, ultrasonic modality, and tens that are giving to you according to the need and the injury level. The licensed PT decides about all this which treatment protocol should be applied to you.

Patient Management

  • Pain reduction
  • Swelling controlling mechanism
  • Flexibility
  • Strengthening your ankle
  • Immobilize in severe case.
  • Sprain and strain treatment

RICE therapy in treating an acute case of ankle joint:

  • R REST (give rest to the part that is affected)
  • I ICE (apply ice to the ankle to reduce swelling and pain)
  • C COMPRESSION (apply compression stockings)
  • E ELEVATION (elevate the part)

Gentle Massage

Slowly and rhythmically massage the ankle joint to reduce pain and increase mobility, it will also help in reducing the swelling from the ankle joint.

Ankle Cover

Use ankle wraps and covers to make it stable in movement and to lessen the chances of ankle sprains.

Your ankle aids you to balance and stabilize your body. The ankle joint is made of bones that are supported by muscles and ligaments. Ankle pathology can cause damage to bone, muscle, or soft tissue. Common ankle pathologies include: 

  • Sprain injury (injury to ligaments) 
  • Fractures to the ankle bone 
  • Tendinitis (inflammation of the tendons) 
  • Arthritis-like OA, RA

Causes of Ankle Sprains and Fractures Are

The causes of the ankle problem that cause disorders may be different and can include running, jumping, and overuse of the ankle. 

The rotation force that acts on the ankle may lead to falling, this increases the force and injury level is more. Other injuries that can cause the problems such as tendinitis and Achilles tendinitis it can cause by

  • Deconditioning of muscles of leg and foot
  • Achilles tendon strain may cause this.
  • Prolong unresolved flat foot. 

Variety of Arthritis of Ankle Joint

Osteoarthritis is a degenerative disease that is slow and starts at middle age it affects the joints gradually it can cause pain and stiffness in the ankle joint. While rheumatoid arthritis is autoimmune disease and can cause inflammation and swelling. Rheumatoid arthritis targets your joints and destroys cartilage. After any injury, the stress level becomes more on the joint, and called post-traumatic arthritis it makes the joint inflame and stiffen.

Symptoms of Ankle Issues

  • Pain in ankle 
  • Swelling at the ankle region
  • Stiffness in ankle
  • Issues regarding the ankle joint movement
  • The problem in weight-bearing
  • Contusions  
  • The issue in a normal walk 

Tendinitis and Achilles tendonitis may have the symptoms like pain in the heel region, swelling on exertion, the sounds at the heel back can be a sign of tendon rupture than in this case you must consult your doctor or seek medical aid.

How to Diagnose Ankle Disorders? 

To rule out the main issue of ankle joint, your consultant will evaluate your symptoms and assess your ankle joint and foot and ask about any recent past injuries. To check for bone fractures or tendon tears, imaging tests will be performed. These tests may include: 

  • X-ray 
  • Magnetic resonance imaging test (MRI) 
  • Computed tomography (CT) scan 

Treatment Approaches for Ankle Disorders

The treating protocols will depend on your condition and your symptoms. The ankle issue can be corrected with surgery or without surgery. Ibuprofen anti-inflammatory medicines may be given, RICE therapy should be followed, wearing compression stockings to reduce swelling and ankle size, ice can also reduce the swellings, casts used to immobilize the ankle joint and steroid injections can be used to reduce the swelling and pain from the ankle if a severe injury of ankle joint occurs it needs to be corrected surgically or in case of fracture surgery is required. To treat ankle disorders, include reconstruction to rebuild the fractured bones, joints, tendons, and ligaments in your ankle. 

  • Removal of effected tissue (debridement) 
  • Lengthening the calf muscles to lessen pressure on your Achilles tendon. 
  • The fusion of the bones in your ankle to make it more immovable (arthrodesis) 
  • Replacement of your ankle joint by surgery (arthroplasty) 
  • Lengthening the calf muscles to reduce pressure on your Achilles tendon. 
  • The bones of the ankle are fused surgically to give stabilization in walking and standing(arthrodesis) 

Replacement of Your Ankle Joint (Arthroplasty) 

This procedure is done surgically, and your damaged or destructed ankle joint is now replaced by an artificial joint that gives you the same feeling as your real joint gives you and it makes the stabilization of ankle joint, aids in walking and standing.

What Is the Long-Term Outlook for An Ankle Pathology? 

If you have an ankle problem, your long-term outlook will rely on the grade of your pathology and the amount of damage to the ankle. It will also depend on either you need surgery or not. Ankle sprains injury is quite common and usually heals in six weeks. Similar results can be expected if you have an ankle fracture and you do not require surgery. If your ankle problem requires surgery, the recovery period may be of several weeks or months. You may also need physical therapy to help strengthen and mobilize your ankle. Physical therapy of the ankle may have a lasting effect long as 12 months. And surgery for most ankle pathology can help improve mobility, all surgical procedures have many risks like infection and nerve damage. According to the American Academy of Orthopedic Surgeons (AAOS), the most common and frequent problem that occurs is moderate to severe pain after surgery. 

How Can You Prevent Ankle Problems? 

You can prevent your ankle problems by balancing between good physical fitness, strength, and flexibility. Daily workout and exertion are important and good for building strong bones and maintaining good balance. Other behaviors that can prevent ankle pathology and pain may include stretching and warming up before and after physical activity, wearing cozy and soft sole shoes that gives ankle support, paying attention to your body’s warning signs, and not pushing yourself to work hard. Most ankle injuries or ankle pain may be avoided by taking the proper precautions or care before strenuous/heavy exercise. If you do feel a bad ache at your ankle during physical activity or suspect an injury. Contact your doctor immediately.

Physical Therapy in Ankle Pain

Physical therapy is a very effective and good source to get relief from ankle soft tissue pain, strain, or sprain. Physical therapy uses different modalities such as infrared therapy or heating pads, immobilizing splints, ultrasonic modality, and tens that are giving to you according to the need and the injury level. The licensed PT decides about all this which treatment protocol should be applied to you.

Patient Management

  • Pain reduction
  • Swelling controlling mechanism
  • Flexibility
  • Strengthening your ankle
  • Immobilize in severe case.
  • Sprain and strain treatment

RICE therapy in treating an acute case of ankle joint:

  • R REST (give rest to the part that is affected)
  • I ICE (apply ice to the ankle to reduce swelling and pain)
  • C COMPRESSION (apply compression stockings)
  • E ELEVATION (elevate the part)

Gentle Massage

Slowly and rhythmically massage the ankle joint to reduce pain and increase mobility, it will also help in reducing the swelling from the ankle joint.

Ankle Cover

Use ankle wraps and covers to make it stable in movement and to lessen the chances of ankle sprains.

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