Ankle instability is a condition characterized by a recurring “giving way” of the outer (lateral) side of the ankle.
This condition often develops after repeated ankle sprains. Usually the “giving way” occurs while walking or doing other activities, but it can also happen when you’re just standing.
Many athletes, as well as others, suffer from chronic ankle instability.
When you have an ankle sprain, rehabilitation is crucial—and it starts the moment your treatment begins. Your foot and ankle surgeon may recommend one or more of the following treatment options:
Rest. Stay off the injured ankle. Walking may cause further injury.
Ice. Apply an ice pack to the injured area, placing a thin towel between the ice and the skin. Use ice for 20 minutes and then wait at least 40 minutes before icing again.
Compression. An elastic wrap may be recommended to control swelling.
Elevation. The ankle should be raised slightly above the level of your heart to reduce swelling.
Physiotherapy. Your Podiatrist will refer you to physio to start you on a rehabilitation program as soon as possible to promote healing and increase your range of motion. This includes doing prescribed exercises.
Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be recommended to reduce pain and inflammation. In some cases, prescription pain medications are needed to provide adequate relief.
When Is Surgery Needed?
In more severe cases, surgery may be required to adequately treat an ankle sprain. Surgery often involves repairing the damaged ligament or ligaments. The Orthopaedic surgeon will select the surgical procedure best suited for your case based on the type and severity of your injury as well as your activity level.
After surgery, rehabilitation is extremely important. Completing your rehabilitation program is crucial to a successful outcome. Be sure to continue to see your foot and ankle surgeon during this period to ensure that your ankle heals properly and function is restored.
Treatment and prevention
To properly treat heel pain, you must absorb shock, provide cushioning and elevate the heel to transfer pressure.
This can be accomplished with a heel cup, visco heel cradle, or an orthotic designed with materials that will absorb shock and shear forces.
When the condition is pronation related (usually plantar fasciitis), an orthotic with medial posting and good arch support will control the pronation and prevent the inflammation of the plantar fascia. Footwear selection is also an important criteria when treating heel pain. Shoes with a firm heel counter, good arch support, and appropriate heel height are the ideal choice.
Heel pain is a common condition in which weight bearing on the heel causes extreme discomfort
Following an ankle injury it is important to have the ankle evaluated by a Podiatrist or Orthopedic surgeon for proper diagnosis and treatment.
If you are unable to do so right away, go to the emergency room and then follow up with a Podiatrist or Orthopedic surgeon as soon as possible for a more thorough assessment.
The affected limb will be examined by the Podiatrist or Orthopedic surgeon by touching specific areas to evaluate the injury. In addition, the surgeon may order x-rays and other imaging studies, as necessary.