DANIEL SOUTHERN, M.D.
REGENERATIVE ORTHOPEDICS & SPORTS MEDICINE

About Ankle Pain

Ankle pain refers to any type of pain or discomfort in your ankles. Your ankle is an intricate network of bones, ligaments, tendons and muscles. Although it is strong enough to bear your body weight and enable you to move, your ankle can be prone to injury and pain. This pain could be caused by any trauma, like a sprain, or by a medical condition, such as arthritis. An ankle sprain is one of the most common causes of ankle pain, making up 85 percent of all ankle injuries. A sprain occurs when your ligaments, the tissues that connect bones, tear or get overstretched. Most ankle sprains are lateral sprains, which occur when your foot rolls, causing your outside ankle to twist toward the ground. This action stretches or rips the ligaments of the ankle that hold the bones together. Rolling the ankle can also cause damage to the cartilage or tendons of your ankle. A sprained ankle often swells and bruises for about seven to fourteen days. However, it may take a few months for a severe injury to heal fully. Once healed, the sprained ankle is sometimes permanently weaker and less stable than the other ankle. The greatest risk factor for ankle sprain is having a previous ankle sprain.

Symptoms of Ankle Pain

You might feel the pain on the inside or outside of your ankle or along the Achilles tendon, which connects the muscles in your lower leg to your heel bone. Sometimes the pain is a sharp sticking pain and other times, the pain can be a constant, dull ache. The pain may be so intense that that you have difficulty walking, especially on uneven surfaces, or participating in sports. Ankle pain is often accompanied by swelling, stiffness, tenderness and a feeling of instability-as if the ankle is giving way.

Causes of Ankle Pain

Common causes of ankle pain include an ankle injury or sprain, or arthritis, typically osteoarthritis. Less common causes include injection or referred pain usually from a pinched nerve in the back. 

The most common cause for a persistently painful ankle is incomplete healing after an ankle sprain. When you sprain your ankle, the connecting tissue between the bones is stretched or torn. With time and proper rehabilitation, most tissues will heal normally. Sometimes, the connecting ligaments and tendons in the ankle heal improperly and do not support the ankle as they were designed to do. Without thorough and complete rehabilitation, the ligament or surrounding muscles may remain weak, resulting in recurrent instability. As a result, you may experience additional ankle injuries and increased arthritic degeneration in the joint.

Non Surgical Treatment for Ankle Pain

Acute injuries are treated with ice, relative rest, and oral anti-inflammatory medications followed by therapy to strengthen the muscles with tendons that cross the ankle joint and provide stability. Chronic pain and instability following acute injury can be treated with bracing, orthotics, and activity changes to avoid walking on uneven surfaces, climbing on ladders, or running and cutting activities involved in most sports. Oral pain medications for chronic ankle pain may help to allow participation in painful activities but when used on a daily basis carry significant health risks.

To learn more and get help for ankle pain please Schedule an Appointment with Regenerative Orthopedic & Sports Medicine Specialist Daniel Southern, M.D. in Danbury or Wilton in Fairfield County Connecticut by calling 203-456-5717.

 203-456-5717

Surgical Treatment for Ankle Pain

Ankle Arthroscopy-Ankle arthroscopy is a minimally invasive surgery performed by inserting a lighted scope and narrow instruments through small incisions in the skin over the ankles. A surgeon may use ankle arthroscopy to remove pieces of cartilage or bone debris from the joint space or to evaluate or repair a damaged ligament.

Ankle Fusion-Ankle Fusion for ankle arthritis involves surgically removing the surfaces of the joints affected by arthritis and joining the bones with plates and screws until they grow together, or fuse. While the procedure leaves the ankle without up-and-down or side-to-side movement, it can be an effective and permanent pain relief option for ankles affected by arthritis. This procedure may not offer the kind of mobility needed to resume sports, fitness or lifestyle activities in a comfortable or functional manner.

Ankle Replacement-While ankle replacement is far less common than hip or knee replacement, replacing a damaged ankle may be an option when arthritis interferes with joint function and causes pain that is not relieved by medication.

In general, recovery time and rehabilitation from surgical treatment of ankle arthritis can be somewhat lengthy and uncomfortable requiring careful pain management.

To learn more and get help for ankle pain please Schedule an Appointment with Regenerative Orthopedic & Sports Medicine Specialist Daniel Southern, M.D. in Danbury or Wilton in Fairfield County Connecticut by calling 203-456-5717.

 203-456-5717

Regenerative Orthopedic Medicine Treatment for Ankle Pain

Regenerative Orthopedic treatment for ankle pain uses you body’s repair mechanisms to heal degenerated or damaged tissues. Sometimes, conservative non surgical or even surgical treatment does not help reduce or eliminate ankle pain, stiffness and loss of mobility to an acceptable level to allow a return to normal daily activities or perhaps the athletic and sports activities you wish to enjoy. Some people may not be good candidates for or are concerned about the length of the recovery and rehabilitation period of ankle surgery. If you wish to restore comfortable movement and functioning so that you can participate in the athletic or other daily activities you enjoy, it is worth considering non surgical Regenerative Orthopedic Medicine treatments. These are same-day procedures that can be done in as little as one hour resulting in minor post-procedure discomfort and virtually no down time. Using painless harvesting techniques, bone marrow stem cells and/or platelet rich plasma growth factors are injected into highly targeted areas of ankle damage under ultrasound and fluoroscopic guidance. Patients can begin to feel improvement in as little as one week but maximal effects take 2-3 months and longer. Regenerative Orthopedic treatments offer the possibility of healing damaged and degenerated tissues to help you to a comfortable, active and productive lifestyle by improving pain and joint function.

To learn more about stem cell treatment, platelet rich plasma (PRP) or alpha-2 macroglobulin and get help for Ankle Pain please Schedule an Appointment with Regenerative Orthopedic & Sports Medicine Specialist Daniel Southern, M.D. in Danbury or Wilton in Fairfield County Connecticut by calling 203-456-5717.

 203-456-5717