ANATOMY OVERVIEW OF THE ANKLE
The ankle is made up of three (3) bones: the tibia (shinbone), fibula (the smaller of the two bones in the lower leg) and talus (a bone that sits above the heel bone). Ligaments surrounding the ankle joint and all of the ankle bones bind the ankle to the foot. Walking, running and jumping are supported by the Achilles tendon, the largest tendon in the human body that connects the calf muscles to the heel bone and can withstand great stress.
INJURIES TO THE ANKLE
While arthritis can take many forms, osteoarthritis (“wear-and-tear”) can cause inflammation of one or more of the joints in the ankle. Left untreated the joints can lose their normal shape and lead to more pain and further limitations. Rheumatoid arthritis and post-traumatic arthritis also are types of arthritis that can affect the ankle.
An ankle joint fracture can occur in any of the three ankle bones (more typically the bones in the lower leg) when the ankle is twisted, rolled or impacted by a trip or fall.
Ankle sprains are common in people of all ages and occur when one of the ligaments in the ankle is damaged. The ligaments on the outside of the ankle are more often sprained from an accidental twist or turn of the foot. Ankle sprains are usually minor and can be treated with the R.I.C.E. (rest, ice, compression, elevation) protocol. A high ankle sprain involves an injured ligament that joins the two lower leg bones and may take longer to heal than a true ankle sprain.
COMMON ANKLE CONDITIONS
Achilles tendinitis – an inflammation of the tendon usually caused by overuse
Shin splints – When the muscles, tendons and bone tissue around the shin bone become inflamed and painful
WHEN TO SEE AN ANKLE SPECIALIST
Seek medical treatment from a foot and ankle specialist if you are experiencing any of the following symptoms:
- Pain, swelling or bruising in the ankle
- The ankle is tender to the touch
- An inability to put any weight on the injured foot
- Feeling instability of the ankle
- Hearing or feeling a “pop” when an injury occurs
Your doctor will discuss all treatment options with you. The best treatment for your injury or condition will be determined in combination with your overall health.
There are several nonoperative treatment options for ankle pain. These might include physical therapy, pain management in the form of over-the-counter or prescribed medications and/or anti-inflammatories and braces. If surgery is necessary, PSO foot and ankle specialists can perform a wide variety of procedures ranging from minimally invasive to major reconstruction such as ankle replacement.