Ankle Instability
- Ankle that 'gives way' frequently
- Repeated ankle sprains
- Persistent swelling around the ankle
- Difficulty on uneven surfaces
Chronic Ankle Instability
Chronic ankle instability develops when the lateral ligaments fail to heal adequately after one or more sprains, leaving the ankle lax and prone to repeated giving way. Left untreated, instability can cause progressive cartilage damage and early ankle arthritis.
Foot Type Evaluation
Foot type plays a significant role in ankle instability. Patients with high arches (cavus foot) have increased risk for recurrent ankle sprains due to the supinated position of the foot at baseline. A comprehensive evaluation includes foot type assessment and biomechanical analysis to address the structural factors contributing to instability, not just the ankle itself.
Treatment
Conservative management with bracing and physical therapy resolves many cases. Regenerative therapies and biologics support ligament healing. When instability is structural and persistent, lateral ankle stabilization provides durable correction.
- Foot type evaluation and biomechanical assessment
- Bracing and physical therapy
- Regenerative injections and biologics to accelerate ligament healing
- Custom orthotics to address underlying foot type contribution
- Lateral ankle stabilization when structural failure is confirmed