Having your ankle give way beneath you is unpleasant, but if it happens rarely, it probably has more to do with the walking surface or your footwear than an underlying problem. But when ankle instability is persistent or chronic, it can lead to serious injury. At Colorado Foot + Ankle Sports Medicine in Parker, Colorado, podiatrists Kevin Blue, DPM, FACFAS, Derek Ley, DPM, AACFAS, and the expert team evaluate ankle instability in athletes and other patients to determine the specific cause of weakness and joint dysfunction. Then they recommend the most appropriate treatments to help you improve your strength, balance, and mobility and prevent future ankle-related issues.
Ankle instability is a chronic condition that causes the ankle to “give way” when walking or even when standing. It most commonly develops in people who have had a serious sprain that hasn’t healed properly or in people who have had multiple ankle sprains.
When you sprain your ankle, the ligaments that support the joint are stretched or sometimes torn. When the ligaments don’t heal properly, they can weaken over time, leading to chronic instability. Chronic ankle instability is common, especially among athletes whose ankles are subjected to considerable strain. It can also become more common with age.
Chronic ankle instability causes symptoms like:
During your evaluation, Dr. Blue will ask you about your symptoms and how they occur. Then he’ll carefully examine your ankle and your foot to look for areas of tenderness or swelling, and he may order X-rays or other imaging studies to help guide treatment. He’ll also ask about any past sprains or other ankle-related problems you may have had and the physical activities you enjoy to ensure that your treatment is tailored to your needs.
Treatment of ankle instability is focused on helping you regain control and strength in the joint so you can participate in all sorts of activities without fear of future injury. First, Dr. Blue will consider conservative nonsurgical treatment options, including:
In some cases, Dr. Blue may recommend surgery to repair damaged ligaments and restore other tissues. Surgery typically is only considered when conservative approaches aren’t effective or when damage is so severe, conservative options aren’t feasible. The type of surgery will be based on your specific needs and your options will be discussed in detail to help you feel confident in your care every step of the way.