Ankle Instability – Symptoms, Care & Treatments | MedStar Health (2024)

Ankle Instability – Symptoms, Care & Treatments | MedStar Health (1)

Ankle instability occurs when the outside of your ankle feels weak and tends to turn in unexpectedly. When you sprain your ankle, you stretch or tear the muscles that connect your bones, which are called ligaments. The more you damage your ligaments, the more likely you are to experience ankle instability.

Ankle instability symptoms

If you have sprained your ankle repeatedly, you are likely to develop ankle instability. Symptoms include:

  • Ankles feel weak
  • Ankles turn in or “give way” unexpectedly
  • Pain
  • Swelling

How to care for ankle instability

Our MedStar Orthopedic Institute offers you the most comprehensive and experienced care for ankle instability in the Washington, D.C., and Baltimore, MD regions. Our orthopedic ankle instability specialistsare all fellowship trained in foot and ankle surgery and specialize in caring only for conditions affecting the lower extremities.

We perform 1,500 surgeries each year, and specialize in minimally invasive techniques that offer faster and less painful recoveries than traditional surgery. We often recommend surgery for:

  • Athletes who experience repeated strains and need to avoid developing arthritis
  • People who have weak ankles because of a congenital disorder
  • People who had unsuccessful surgery at a different institution

Whether you need surgical or non-surgical treatment, the MedStar Orthopedic Institute offers every service you need for a successful recovery. Services we provide include:

  • Radiology
  • Diagnostics
  • Pedorthic and shoe consultants, if you need special orthotics, inserts, or shoes
  • Durable medical goods, including braces, crutches, and other equipment to support your recovery
  • Physical therapy

The capable staff at the MedStar Orthopedic Institute coordinates all of your additional care needs for you, so you do not have to spend the time or the hassle managing them on your own.

If you need it, we also provide multidisciplinary care, which allows us to involve specialists from a variety of other areas, including vascular specialists and plastic surgeons, to care for your ankle instability.

Ankle weakness or instability diagnosis

Our orthopedic surgeons are experts at diagnosing ankle instability. Our initial exam generally includes:

  • Taking your medical history : This includes asking questions about previous ankle sprains or injuries, and how often you have experienced ankle weakness or instability.
  • Physical exam :The orthopedist will examine your ankle to see where your ankle is most swollen and painful.
  • Imaging tests : Your orthopedist may want to examine the bones and joints themselves using an X-ray, CT scans, or MRI.

Treatment

Treatment for ankle instability usually depends on how severe your weakness is. Our experienced foot and ankle orthopedists will examine you carefully and work with you to develop the most effective treatment plan. Our team will recommend any combination of non-surgical and surgical treatment options designed to ease your pain and improve the strength in your ankle.

Treatment options aside from surgery may include:

  • Medication to ease pain and swelling symptoms.
  • Ankle brace to prevent the ankle from giving way and to protect the ankle from further sprains.
  • Physical therapy and exercises that help support increased ankle strength and ease of movement.

Surgery

In some cases, non-surgical treatment does not provide enough relief from ankle instability. If you do need surgery, our orthopedic surgeons will work with you to determine the most effective procedure for your condition.

Our surgical team is experienced in the most advanced and innovative surgical procedures for ankle instability treatment. We specialize in the correction of failed surgery performed at other institutions.

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Ankle Instability – Symptoms, Care & Treatments | MedStar Health (2024)

FAQs

How do you fix an instability ankle? ›

There are various treatment options for chronic ankle instability: Conservative treatment is tried first. This involves doing physical therapy (physiotherapy) to strengthen the joint, and possibly wearing an ankle brace or splint to stabilize it. One common physical therapy approach is called neuromuscular training.

Can ankle instability heal? ›

Most ankle sprains will heal with standard RICE therapy (rest, ice, compression and elevation) within two to 12 weeks. But for the patients with sprains that do not heal over time with standard therapy, both the cause and next steps for treatment can be unclear.

Can ankle instability be fixed without surgery? ›

With appropriate rehabilitation, including strengthening and proprioception training as well as splinting or bracing as required, most patients with ankle instability can be treated non-operatively.

How can I regain my ankle stability? ›

Place a looped resistance band around your foot and a heavy chair or table leg. Moving only your ankle, pull your toes back towards your shin (while keeping your knees straight). Continue until you feel discomfort or can't move it back any further. Hold this position for two seconds and slowly release.

Can you reverse chronic ankle instability? ›

Non-surgical treatments are very effective for many patients with chronic ankle instability and typically include anti-inflammatory medication, wearing a brace and seeing a physical therapist.

How to tighten loose ankle ligaments? ›

One simple ankle-strengthening exercise is to loop a resistance band around the foot and attach it to something heavy, like a table leg. Then flex the foot forward, backward and sideways, aiming for three sets of 15 repetitions each.

Does ankle instability require surgery? ›

A healthcare provider may advise surgery if other treatments for your ankle haven't worked. It's not common to need this surgery right after a first ankle sprain.

How do doctors tell if you have a torn ligament in your ankle? ›

Conduct a physical exam by looking at the injured ankle, assessing how it moves and comparing it to the other ankle. Take X-rays to rule out a broken bone or other problems. If your pain isn't improving, your provider may order other imaging tests, such as MRI, to take pictures of the ankle ligaments.

What is the best ankle support for chronic instability? ›

Braces for Ankle Sprains and Instability
  • Aircast® Ankle Sprain Care Kit. ...
  • Aircast® Leg Brace. ...
  • DonJoy Advantage Stabilizing Ankle Brace. ...
  • DonJoy Advantage Figure-8 Ankle Support. ...
  • DonJoy Advantage Deluxe Elastic Ankle. ...
  • DonJoy Advantage Elastic Ankle. ...
  • DonJoy Performance Bionic Speed-Wrap Ankle. ...
  • DonJoy Performance Knit Ankle Sleeve.

What does chronic ankle instability look like? ›

Chronic 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.

How can I treat ankle instability at home? ›

Simple exercises for ankle instability relief
  1. Towel scrunches.
  2. Isometric ankle eversion.
  3. Isometric ankle inversion.
  4. Resisted plantar flexion against a band.
  5. Dorsiflexion with a resistance band.
  6. Standing calf raises.
  7. Single-leg calf raise.
  8. Single-leg balance.
May 16, 2024

How do I know if I have ankle instability? ›

Patients with ankle instability have a variety of symptoms. Commonly, they complain of their ankle twisting easily, especially on uneven ground or during activities that involve turning or changing direction quickly, such as basketball.

How do you rehab chronic ankle instability? ›

Pump your ankle up and down through its full range of motion. You can also use a weight attached to your foot. Work up to 3 sets of 25 and progress the resistance over time. For heel raises, progress from double leg on flat ground to single leg on flat ground to single leg on a step to single leg on a step with weight.

What are the two types of ankle instability? ›

Chronic ankle instability can be functional instability or mechanical instability.

What is the best support for chronic ankle instability? ›

Ultra CTS. If you have extreme chronic ankle instability along with associated weight bearing pain then the Ultra CTS is the best brace for you. The Ultra CTS provides maximum stabilization to your lower leg and ankle by helping to restrict excessive ankle turning or rolling and twisting that causes ankle instability.

Can you fix joint instability? ›

Joint instability treatment

Non-trauma related instability is treated by strengthening the rotator cuff and stabilization muscles. Exercises to improve shoulder movements may also be recommended. Trauma-related instability is treated first by reducing pain and swelling with ice and anti-inflammatory medications.

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