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Dealing With Chronic Instability in the Ankles

Chronic ankle instability causes the ankle to repeatedly feel weak, wobbly, or ready to give way. The problem usually affects the outer side of the ankle and can occur while walking, exercising, or simply standing. It frequently begins after one or more ankle sprains. A sprain stretches or tears the ligaments, which are strong bands of tissue that support the joint. When an injury does not heal fully, the ankle can remain loose and poorly controlled. Symptoms include ongoing discomfort, swelling, and tenderness. The ankle may keep turning on uneven ground or while playing sports.

Each new sprain can further weaken or stretch the injured ligaments. This creates a cycle of repeated injury and increasing instability. Damage can also affect balance and the ankle muscles that help control movement. This can limit exercise, work duties, and other daily activities. Without proper care, chronic instability can contribute to cartilage damage and ankle arthritis. A podiatrist will ask about earlier injuries and when the ankle gives way. The examination includes checking swelling, tender areas, and joint movement. The podiatrist may also assess strength and balance. X-rays can reveal bone injuries or arthritis, while other imaging tests can show ligament or cartilage damage.

Treatment depends on the degree of instability, test results, and the patient’s activity level. A podiatrist can provide an ankle brace to support the joint and help prevent another sprain. A guided exercise plan can improve strength, balance, and control. Custom orthotics may improve foot alignment and help the ankle move more steadily. Early evaluation can protect the joint from repeated injuries and support a safer return to activity. If you frequently experience the feeling that your ankle is giving way, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Dawn Miles, DPM from Florida. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendinitis
  • Achilles tendon rupture
  • Stress fractures
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions please feel free to contact one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Various Causes of Ankle Pain

Why Active Children Develop Sever’s Disease

Sever’s disease is a painful heel condition that affects growing children and teenagers. It develops when repeated stress irritates the growth plate at the back of the heel. A growth plate is an area of developing tissue near the end of a bone. During a growth spurt, the heel bone can grow faster than nearby muscles and tendons. This can create tension where the Achilles tendon attaches to the heel. Children who participate in running or jumping activities can place repeated pressure on this area, making irritation and pain more likely.

Heel pain is the main symptom of Sever’s disease. The pain can affect one heel or both heels and can become worse with physical activity. The heel can also feel tender when squeezed. Some children develop swelling or redness around the painful area. They can begin limping or walking on their toes to avoid pressure on the heel. Sports that involve frequent running and jumping can increase the risk. Tight calf muscles and a tight Achilles tendon can also place more stress on the heel. Sever’s disease does not cause permanent damage to the growth plate.

A podiatrist can evaluate heel pain and determine whether Sever’s disease is responsible for the symptoms. The examination can include checking the heel for tenderness and assessing how the foot and ankle move. A podiatrist can also evaluate walking patterns and foot structure to identify factors that place extra stress on the heel. Treatment focuses on reducing irritation and protecting the growth plate while it heals. A podiatrist can recommend activity changes, supportive devices, or appropriate stretches based on the child’s condition. Care can help relieve pain and support a safe return to normal activities. If your active child has heel pain, it is suggested that you consult a podiatrist who can accurately diagnose and offer effective relief tips for Sever's disease. 

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dawn Miles, DPM from Florida. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Sever's Disease
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