ANKLE & FOOT CARE
The ankle joint is important during ambulation because it adapts to the surface on which one walks. The movements that occur at the ankle joint are plantarflexion, dorsiflexion, inversion, and eversion. The muscles of the leg divide into anterior, posterior, and lateral compartments. Most foot problems result from anatomic disorders or abnormal function of articular or extra-articular structures. Less commonly, foot problems reflect a systemic disorder.
In people with diabetes and people with peripheral vascular disease, careful examination of the feet, with an evaluation of vascular sufficiency and neurologic integrity, should be done at least twice a year. People with these diseases should examine their own feet at least once a day.
As experts in diagnosing and treating foot and ankle conditions, we know how much foot and ankle pain can impact your quality of life. And we also know how minor foot and ankle problems can turn into big ones. We take a multidisciplinary approach to treating all forms of foot and ankle pain from acute injuries such as sprains to long-term degenerative issues. And we offer a variety of innovative surgical and non-surgical treatments that will be individualized for your specific needs.
Some of the foot & ankle conditions our orthopedic doctors treat include:
Achilles tendinitis causes pain and stiffness in the area of the tendon, especially in the morning and with activity. It's usually caused by repetitive stress to the tendon. Adding too much distance to your running routine can do it. Tight calf muscles can also contribute.
It's usually caused by repetitive stress to the tendon. Adding too much distance to your running routine can do it. Tight calf muscles can also contribute.
Osteoarthritis of the ankle, unlike other parts of the body, isn't the "wear and tear" kind that goes along with aging. Instead, it's almost always due to an injury. You might hear your doctor call it "post-traumatic" arthritis. You can get ankle osteoarthritis after one injury, like a fracture, or after many injuries over time, like repeated sprains. If you're flat-footed, bow-legged, or knock-kneed or if you have high arches, you might also get ankle osteoarthritis, because these conditions put extra strain on your joints.
When you have ankle osteoarthritis, you might have inflammation or swelling of the joint that connects your foot with the lower part of your leg. Here is an overview of things you should know about how arthritis may affect your ankles.
Ankle injuries are among the most common of the bone and joint injuries. Often, the degree of pain, the inability to walk, or concern that a bone may be broken is what might cause you to seek care in an emergency situation.
For the most part, your concern is the same as the doctor's: Is there a broken bone? It is often impossible to diagnose a fracture (broken bone) rather than a sprain, a dislocation, or tendon injury without X-rays of the ankle.
The ankle joint is made up of 3 bones coming together.
The tibia, which is the main bone of the lower leg, makes up the medial, or inside, of the ankle joint.
The fibula is a smaller bone that parallels the tibia in the lower leg and makes up the lateral, or outside, of the ankle joint.
The far ends of both the tibia and fibula are known as the malleoli (singular is malleolus). Together they form an arch that sits on top of the talus, one of the bones in the foot.
A fibrous membrane called the joint capsule, lined with a smoother layer called the synovium, which encases the joint architecture. The joint capsule contains the synovial fluid produced by the synovium. The synovial fluid allows for the smooth movement of the joint surfaces.
The ankle joint is stabilized by several ligaments, which are fibers that hold these bones in place.
A condition that is characterized by recurring injury to the ankle by weak or giving away of the outer area or side of the ankle. It’s often caused by frequent sprains. Generally, giving away happens when walking or involved in other activities. It can also happen if someone is simply standing still. Athletes and others can suffer from chronic ankle injuries and instability.
Ankle instability often occurs after an ankle sprain that wasn’t completely healed or rehabilitated. An ankle sprain affects the connective tissues which stretch and tear. The balance is greatly affected. Rehabilitation is required in order to strengthen the muscles that support the ankle and it’s important to retrain the tissue within the ankle for balance purposes. If you don’t do this, you’ll have repeated sprains.
Ankle injuries are often thought of as sports injuries. But you don't have to be an athlete or even a "weekend warrior" to turn your ankle and hurt it. Something as simple as walking on an uneven surface can cause a painful, debilitating sprain.
Ankle injuries can happen to anyone at any age. However, men between 15 and 24 years old have higher rates of ankle sprain, compared to women older than age 30 who have higher rates than men. Half of all ankle sprains occur during athletic activities. Every day in the U.S., 25,000 people sprain their ankle. And more than 1 million people visit emergency rooms each year because of ankle injuries. The most common ankle injuries are sprains and fractures, which involve ligaments and bones in the ankle. But you can also tear or strain a tendon.
Your ankle joint connects your foot with your lower leg. Three ligaments keep your ankle bones from shifting out of place. A sprained ankle is when one of these ligaments is stretched too far or torn.
Anything that stretches your ankle more than it’s used to can hurt a ligament. This usually happens when your foot is turned inward or twisted, such as when you:
Plant your foot the wrong way when running, stepping up or down, or doing everyday things like getting out of bed
Step on an uneven surface, like in a hole
Step on someone else while playing sports. (For example, your foot might roll when you’re playing basketball, go up for a rebound, and come down on top of another player’s foot.)
Certain people are more likely to sprain their ankles. Women, children, and teenagers tend to have more sprains. You might also be at higher risk if you:
Play sports, especially on an indoor court
Have balance problems
Wear high heels or shoes that don’t fit well
Have weak or stiff ankles, such as because of a previous injury