Ankle Instability

Do you often feel wobbly or weak in the ankle when playing sports, walking, or even just standing? Ankle instability may be at fault. This chronic condition is often felt when maneuvering uneven ground or when walking in high heeled shoes. In some instances, it may result in your ankle completely giving out. Ankle instability is often a result of multiple ankle sprains or a sprain that has not completely healed. Tenderness and chronic swelling may also occur.

Physical therapy is often a first, and successful, approach to most cases of ankle instability. Some conditions may require surgery if instability is severe or if improvement is not achieved after physical therapy.

Symptoms

  • Turning of ankle especially on uneven surfaces or when playing sports
  • Unstable feeling in ankle
  • Ankle giving way
  • Pain, stiffness, or swelling of the ankle

Causes

  • Repetitive ankle sprains
  • Insufficient treatment or healing of an ankle sprain
  • General soft tissue laxity

Risk Factors

  • Those who have suffered multiple ankle sprains
  • Anyone who has not received proper care or recovery during an ankle sprain

Diagnosis

  • Description of your symptoms and medical history including history of ankle sprains
  • Physical examination to evaluate movement and health of the ankle
  • An x-ray or MRI may be used for visualization of the ankle

Treatment Options

  • Immobilization through bracing or casting
  • Personalized physical therapy incorporating range of motion, strength, and balance training
  • Surgical repair or reconstruction of the ligaments if pain and balance is not improved through physical therapy may be recommended. Surgery is typically an outpatient procedure and physical therapy will be introduced afterward as a part of your healing process.