Lateral Ankle Instability

What is lateral ankle instability?

Lateral ankle instability is a condition characterized by a recurrent feeling of the ankle giving way or being unstable, particularly on the outside (lateral) aspect of the ankle. This instability often results from damage to the lateral ligaments, which are crucial for stabilizing the ankle joint. The most common cause of lateral ankle instability is an injury or sprain, typically from sports or activities involving sudden changes in direction or uneven surfaces. Over time, repeated sprains or inadequate healing can lead to chronic instability.

 

Lateral ankle instability symptoms

The symptoms of lateral ankle instability can vary in severity but generally include:

  • Repeated ankle sprains: Frequent occurrences of the ankle “giving way,” especially during activities that involve turning or twisting.
  • Pain: Persistent or intermittent pain on the outer side of the ankle, which may worsen with activity.
  • Swelling: Swelling around the ankle joint, particularly following physical activity.
  • Bruising: Discoloration or bruising on the outer side of the ankle.
  • Weakness: A sensation of weakness or loss of strength in the ankle, making it difficult to bear weight.
  • Difficulty with balance: Problems with balance and coordination, particularly when walking on uneven surfaces or engaging in sports.

 

How does Dr Abramson treat lateral ankle instability?

Dr Michael Abramson employs a comprehensive approach to treating lateral ankle instability, tailored to each patient’s needs. Initially, he may recommend non-surgical treatments such as physical therapy to strengthen the ankle, improve balance, and enhance proprioception. Bracing and activity modification are also used to stabilize the joint and prevent further injury. For persistent or severe cases, Dr Abramson may suggest surgical interventions.

These can include lateral ligament reconstruction, which repairs or replaces damaged ligaments using grafts, or ankle arthroscopy, a minimally invasive procedure to address internal joint issues. In some cases, ankle stabilization procedures may be performed to enhance joint stability. Dr Abramson’s treatment strategy focuses on alleviating symptoms, restoring function, and ensuring long-term stability, allowing patients to return to their daily activities with confidence.

FAQs

How long is the recovery after surgery for lateral ankle instability?
Recovery time can vary depending on the procedure, but it typically takes several weeks to a few months to regain full function. Physical therapy is an essential part of the recovery process, helping to strengthen the ankle and restore mobility. Most patients can return to their regular activities within 3 to 6 months, depending on the extent of the surgery.
Can lateral ankle instability recur after treatment?
While treatment significantly reduces the risk of recurrence, it’s possible for lateral ankle instability to return if the ankle is re-injured or if proper rehabilitation is not followed. Wearing appropriate footwear, continuing strength and balance exercises, and avoiding high-risk activities during recovery can help prevent recurrence.
How does Dr Abramson diagnose lateral ankle instability?
Dr Abramson diagnoses lateral ankle instability through a combination of physical examination, patient history, and imaging studies like X-rays or MRIs. He will assess the stability and range of motion in your ankle and check for any signs of ligament damage. Imaging may be necessary to rule out other conditions or to confirm ligament injuries.