Understanding Ankle Pain

Understanding Ankle Pain By Dr. Warren Windram D.P.M. Foot & Ankle Surgeon

Ankle arthritis occurs when the protective cartilage between bones gradually wears down, causing bones to rub together. This bone-on-bone contact causes pain and makes it more difficult to move. Ankle arthritis can range from less severe to more severe with various degrees of lifestyle restriction. MoveWright™ Total Ankle Replacement is a treatment for severe ankle arthritis.

Symptoms of Ankle Arthritis

• Tenderness Or Pain • Reduced Ability To Move, Walk, Or Bear

Weight • Stiffness • Swelling

Main Causes of Ankle Arthritis

• Previous injuries: Either a single trauma or a series of small, repeated injuries, such as sprains and strains endured over years of exercising and activity • Osteoarthritis (OA): Results from aging and gradual wear on the ankle over time Rheumatoid arthritis (RA): An autoimmune disease causing joint inflammation

Total ankle replacement is for severe ankle arthritis. In ankle replacement, the physician replaces damaged cartilage with an implant that bends and flexes easily, similar to a healthy ankle. Ankle replacement relieves ankle pain and increases mobility, allowing you to get back to activities you love. And it can take half the recovery time of the traditional procedure, ankle fusion.

MoveWright™ Total Ankle Replacement procedures are the only to feature a personalized preoperative navigation system option. Using a CT scan of your ankle in advance of your surgery, MoveWright™ can create a plan for sizing and aligning the implant to your unique anatomy, for the most natural fit possible.

Comparing Traditional Treatments For Severe Ankle Arthritis Non-Surgical Options Used for Less Severe Arthritis

• Pain medications such as aspirin and ibuprofen • Shoe inserts such as pads and arch supports • Ankle-foot orthosis (AFO), a plastic brace worn on the lower leg and foot • Steroid injections into the ankle

Surgical Options For Less Severe to Moderately Severe Arthritis

• Debridement: Procedure removes bone spurs and loose pieces of cartilage if these are causing ankle pain

For severe arthritis

• Ankle fusion: Ankle bones are fused together.

Because the joint cannot move or bend, there is less pain, but there is often an irregular gait (walking stride) • Total ankle replacement: An artificial implant allows the ankle to move and bend without pain. The person regains a more normal gait (walking stride). In fact, four out of five doctors surveyed agree that patients who undergo total ankle replacement have a better quality of life after the procedure!*

Before Total Ankle Replacement, most patients would get an ankle fusion to help relieve end-stage ankle arthritis pain. While ankle fusion is still an effective option for relieving ankle arthritis pain, it prevents motion and many studies have shown benefits of Total Ankle Replacement over ankle fusion.

Dr. Windram specializes in foot & ankle reconstructive/trauma surgery, with a particular interest in total ankle joint replacement surgery. He has always been involved with podiatric surgical training, working as the podiatric surgical residency director at Memorial Health Care System. Dr. Windram is the current director of the Foot and Ankle Fellowship program at Westside Regional Medical Center and a clinical instructor at Westside and Memorial Health Care System’s podiatric surgical residency programs. South Florida Institute of Sports Medicine 220 S.W. 84th Avenue, Suite 102, Plantation, FL 33324

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