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Ankle Pain

This may be part of a generalised inflammation of joints or may be the ankle joint in

isolation. Frequently acute ankle pains result from injuries.

The ankle is the joint most frequently injured in sport, with ankle injuries accounting

for 20% of all sports injuries.

If the ankle is acutely painful following a twisting injury then first aid measures are

needed initially. These include: Rest Ice Compression and Elevation Although a

couple of days rest is useful, it is best to start taking some weight on the injured ankle

reasonably soon after injury, usually within 2-3 days. Also the patient should start to

exercise and stretch the injured ankle as soon as possible after the injury.

 

 

 

 

 

 

 

 

 

 

Normally a sprained ankle will recover within 6-8 weeks, although it may tend to

swell for a few weeks longer. If the following is present we suggest the patient goes to

Accident and Emergency:

 

Deformity

Worsening pain

Extensive bruising

Skin damage

 

If the ankle pain fails to resolve after several weeks then it is possible that a more

serious injury has occurred in the ankle joint. If the patient has rested and avoided

further injury but the ankle is still painful on minimal activity after 6 weeks then

physio may be required.

 

When do you need to see me?

 

You may need the help of an orthopaedic surgeon if there is a fracture, or locking, the

ankle pain becomes chronic, or fails to settle or if the ankle becomes unstable. OASIS

can help with any of these symptoms

 

 

Plantar Fascitis GP Guidelines.pdf 

 

  

Ankle Instability 

 

Ankle instability almost always results from an injury, unless it is part of generalised

ligamentous laxity. It is characterised by recurrent giving way of the ankle. It is most

noticeable in sport or when walking on uneven ground. Instability may be as a result

of one major injury to the ankle or as a result of several lesser injuries. It does not

necessarily mean the ankle is always painful, but does feel unreliable.

 

Diagnosis

 

 

Ankle Instability is diagnosed by a careful history and examination by a doctor or physiotherapist. They will try to see if there is anything, which makes the patient more liable to ankle instability than average. They will look for any sign that there is some other problem around the ankle, such as damage to the joint surface. Specific tests can be performed.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tests such as X-rays, ultrasound or MRI scans are sometimes needed to aid the diagnosis.

 

Treatment

 

As most people with ankle instability have deficient proprioception and tendons, which are not working properly, the first treatment is a physiotherapy programme to re-train the peroneal muscles and tendons. Despite instability sometimes some parts of the ankle or Achilles tendon is stiff, and there is the need for exercises to stretch these, and increase the strength of the muscles around the ankle by exercises. If their foot shape is high arched it makes the patient prone to extra stress on the ankle ligaments, a moulded insole may be advised for the shoe to reduce these stresses.

 

 

When do you need me?

 

Most people with ankle instability will not need an operation. Even if the ankle still feels unstable after physiotherapy, you could try a brace rather than having an operation to tighten up or replace the ligaments. However, if no other treatment makes the ankle comfortable and tests show that the ligaments are weak, you may need my help.

 

Some of the procedures I carry out for ankle instability are:

 

Ankle Arthroscopy

 

Repair of damaged ligaments

 

M Shah Ankle Arthroscopy Patients Guide.pdf

 

 

 

If you are interested in making an appointment to discuss a treatment, 
please click here to contact us, or telephone 01215807406