Dr. Adam J Teichman is a podiatric physician and surgeon specializing in the treatment of all aspects of foot and ankle disorders. As owner and founder of East Penn Foot & Ankle Associates in Allentown, Easton, and Reading, Pennsylvania, he is at the forefront of adopting the latest techniques and technology available for correction of deformities and improvement of function. Here, he talks about dealing with chronic lateral ankle pain.
Chronic lateral ankle pain is usually called chronic lateral ankle instability, which is a condition characterized by a recurring giving away of the outside of the ankle. This condition often develops after repeated ankle sprains, so it is not always a surprise when the diagnosis comes.
What causes the chronic instability is when the ligaments due to the ankle sprain have not healed adequately or not rehabilitated completely. Also, repeated ankle sprain often can perpetuate repeated ankle instability, making it a bit of a vicious circle.
Symptoms and Diagnosis
Symptoms of chronic repeated ankle instability or pain are clear to a foot and ankle surgeon. There will be a repeated turn on the ankle, especially on uneven surfaces, as well as a continued discomfort and swelling in the ankle. Pain or tenderness will also be felt along the affected site, as well as chronic swelling.
If your ankle feels unstable and gives away repeatedly, or you have experienced repeated ankle sprains, your condition should be evaluated and treated. Chronic ankle pain, if left untreated, leads to instability, activity limitations, arthritis, and tendon problems.
In evaluating the condition to make the correct diagnosis, your doctor should conduct an examination of the ankle to check for tender areas, signs of swelling and instability of your ankle. X-rays and an MRI scan may be needed for further evaluation.
Getting the Right Treatment
As far as treatment is concerned, physical therapy is the gold standard, as well as bracing. Sometimes, oral medications such as non-steroidal anti-inflammatory drugs are also used. Depending on the degree of instability, or lack of response to the non-surgical approach, surgical measures may be needed.
The length of the recovery period will vary depending on the procedure or procedures performed. That’s why it is so vital to see your physician at the first sign that something may be wrong.
The information in the article is not intended to substitute for the medical expertise and advice of your healthcare provider. We encourage you to discuss any decisions about treatment or care with an appropriate healthcare provider.
