Pain In Ankles In Morning
Why Do I Have Stiff Ankles in the Morning When I Get Out of Bed? – Joint stiffness is a common ailment and can affect 1 in 4 Americans, Stiff ankles are among the most common joints that experience recurring pain in the morning. The root cause of stiffness is usually arthritis, tendonitis, an ankle sprain, or an injury.
Overuse is another common factor that can lead to issues, especially after long periods of exercise or strenuous activity. Broken, twisted, or sprained ankles are also common injuries that induce ankle problems. People who have suffered an ankle sprain should avoid putting weight on the injury until the ankle has completely healed.
Once the ankle is healed, a physical therapy regime should be strictly adhered to to ensure scar tissue does not develop and limit the ankle’s range of motion.
- 1 What does arthritis in ankle feel like?
- 2 Why do I ache all over when I wake up?
- 3 What is the average age of ankle arthritis?
- 4 Does ankle arthritis go away?
- 5 What are the 4 stages of osteoarthritis in the ankle?
- 6 How should I sleep if my ankle hurts?
Why are my ankles sore in the morning and after sitting?
Common Signs and Symptoms of Ankle Osteoarthritis – Pain is the most common symptom of ankle arthritis, but there are many others. Recognizing these symptoms can help lead to early treatment. Ankle pain People may experience pain in the lower shin (tibia), back of the foot, or middle of the foot.
- The pain may be aching and dull or sharp and intense.
- The pain may come and go or there may be a chronic low level of pain with intermittent flare-ups of more intense pain.
- In the early stages, many patients report experiencing pain only after certain activities that place strain on the ankle joint, such as jogging or extended walking.
Typically, this ankle pain can be lessened with rest, elevating the foot, and an ice compress. Ankle stiffness Joint swelling and bone friction make the ankle stiff and less flexible. The ankle’s range of motion can become more limited, making it difficult to point and flex the foot or move the foot side-to-side.
Ankle swelling When ankle cartilage wears away, the fibula, tibia and talus bones can rub together, resulting in irritation. The ankle may produce excess joint fluid in an attempt to reduce the friction. This excess fluid results in swelling. Ankle popping or crunching Sensing a crunching or hearing a popping or squeaking sound when pointing or flexing the toes is a sign that that cartilage has worn away and is not protecting the bones from friction.
The medical term for this symptom is ” crepitus,” (Crepitus without other symptoms is not a cause for concern.) Ankle instability Walking may occasionally cause the ankle to lock or buckle, potentially causing the ankle to turn out or in. (These episodes can be reduced or eliminated by wearing supportive footwear with low heels.) Gait is affected Advanced osteoarthritis can cause the ankle cartilage to deteriorate unevenly.
The bones and joint material can shift in an effort to compensate for the uneven deterioration. This can affect the way a person walks and eventually even cause arthritis in the knee and hip joints. Inactivity makes symptoms worse Ankles can become stiff after prolonged inactivity. People with ankle osteoarthritis may find that stiffness and pain are most noticeable when they try to get out of bed in the morning or out of a chair after a long period of sitting.
In most but not all cases, the symptoms of ankle osteoarthritis come and go, becoming worse and more frequent over months or years. Left untreated, ankle arthritis has the potential to severely impede mobility. On the other hand, getting treatment in the early stages of arthritis can significantly slow the progression of symptoms. Dr. Dean Sorrento is a podiatrist specializing in foot and ankle surgery at OAA Orthopedic Specialists in Allentown, PA. Dr. Sorrento has several years of experience treating osteoarthritis, trauma, and deformities.
Why do my legs and ankles hurt when I wake up?
Waking up with aching legs – Waking up with aching legs can be causes by lifestyle factors – for example, long periods of walking or standing the previous day can leave legs sore. Poor sleep can also contribute to leg ache, as our bodies need a good night’s sleep to recover from any muscle soreness.
- Another possible cause of painful legs is poor circulation.
- While some medical conditions such as diabetes can lead to poor circulation, lifestyle factors such as sitting or lying in the same position all day can also contribute.
- If you have varicose veins, you might find you get experience leg pain and itching.
Varicose veins are caused by veins and valves that are too weak to efficiently and effectively pump blood through them, which can lead to these symptoms.
When should I be concerned about ankle pain?
Non-urgent advice: See a GP if: –
ankle pain is stopping you doing normal activitiesthe pain is getting worse or keeps coming backthe pain has not improved after treating it at home for 2 weeksyou have any tingling or loss of sensation in your footyou have diabetes and foot pain – foot problems can be more serious if you have diabetes
What does arthritis in ankle feel like?
As you get older, you have a higher risk of arthritis, The joint damage from this condition can cause swelling, pain, and physical changes in your feet and ankles, Arthritis is a general term for a group of more than 100 diseases. It can involve inflammation and swelling in and around your joints and the nearby soft tissue.
- With many kinds of arthritis, your joints wear down over time.
- You slowly lose the smooth “cushioning” cartilage inside them.
- As a result, your bones rub and wear against each other.
- Soft tissues in your joints also may begin to wear down.
- After some time, the joint might not work or move the way it should.
Several types of arthritis can cause pain in your feet and ankles, including:
Osteoarthritis, or “wear-and-tear” arthritis, is the most common type. Doctors also call it degenerative joint disease or age-related arthritis. Osteoarthritis usually causes changes over many years. The foot and ankle joints where it’s most common are:
The three joints involving your heel bone, your inner mid-foot bone, and your outer mid-foot boneThe joint of your big toe and foot boneThe joint where your ankle and shinbone meet
Rheumatoid arthritis is one of the most serious forms. It’s an autoimmune disease in which your immune system attacks the joint. It usually happens in the same joint on both sides of your body. Gout happens when you have a buildup of uric acid from your diet, It’s most common in your big toe because it’s the farthest body part from your heart, Psoriatic arthritis can happen in one or more joints, including your ankles and the ends of your toes. It may also cause toe swelling called dactylitis. Post-traumatic arthritis happens after an injury, especially a dislocation or bone fracture. You might not notice problems for years.
Symptoms of foot and ankle arthritis often include:
Tenderness when you touch the jointPain when you move itTrouble moving, walking, or putting weight on it Joint stiffness, warmth, or swellingMore pain and swelling after you rest, such as sitting or sleeping
Your doctor will ask about your medical history and do tests that might include:
A physical exam X-rays MRI or CT scans
Depending on your symptoms and what’s causing your arthritis, you might have one or more of these treatments:
Steroid medications injected into your jointsAnti-inflammatory drugs to help with swellingPain relieversPads or arch supports in your shoesCanes or braces for supportShoe inserts that support your ankle and foot (orthotics) Physical therapy Custom-fitted shoes
Surgery for foot and ankle arthritis Some people need at least one kind of surgery to treat foot and ankle arthritis. Your doctor will suggest the treatment that’s best for you. Surgeries for arthritis include:
Fusion surgery. This is also called arthrodesis. It involves fusing bones together with rods, pins, screws, or plates. After they heal, the bones remain joined. Joint replacement surgery. This is mostly used in severe cases. Your doctor may call it arthroplasty. They’ll take out damaged bone and cartilage and replace it with metal or plastic.
When you have arthritis in your foot or ankle, one of the most important things is to wear comfortable shoes. Look for these details:
Shoes shaped like your footShoes with good support (for example, no slip-ons)Rubber soles for more cushioningFlexibilityProper fit; ask a salesperson for help
Exercise can help keep your feet strong, flexible, and pain-free. Moves that can be good for your feet include:
Achilles stretch. Face a wall with your palms flat against it. Step one foot forward and one foot back. Lean forward, keeping your heels on the floor. Feel the pull in the Achilles tendon and calf of your rear leg. Hold for 10 seconds. Repeat this exercise three times on each side. Big-toe stretch. Put a thick rubber band around your big toes. Use your muscles to pull them away from each other and toward your other toes. Hold this position for 5 seconds. Repeat 10 times. Toe pull. Put a rubber band around the toes of each foot, and spread your toes. Hold this position for 5 seconds, and repeat the exercise 10 times. Toe curl. Pick up marbles with your toes.
Other home remedies for arthritis are:
Over-the-counter nonsteroidal anti-inflammatory drugs ( NSAIDs ) such as ibuprofen and naproxen, These can have side effects like stomach irritation, so check with your doctor before taking them.Creams with menthol or capsaicin, which may stop your nerves from sending pain signalsPutting heat or cold on the area Acupuncture Glucosamine and chondroitin supplements Gentle exercises such as yoga and tai chi Massage
A few changes to your daily life can help you feel better and may keep your arthritis from getting worse.
If a certain activity triggers a flare-up of symptoms, try to keep it to a minimum.Instead of high-impact exercises like jogging, do low-impact ones like swimming or cycling.Keep a healthy weight so your joints aren’t under as much stress,
What are sore ankles a symptom of?
What can I do to relieve ankle pain? – Most ankle pain gets better with rest, ice and over-the-counter pain medication. Follow your provider’s instructions for at-home treatments for ankle pain. Your provider may recommend the RICE method (rest, ice, compression and elevation).
Rest: If you’ve had an injury such as a sprain, you should stay off your feet for a while. Talk to your provider about how long you should rest. Crutches or a walking boot can help you get around without putting weight on your ankle. Ice: To reduce swelling, apply ice or a cold compress to the area for 15 to 20 minutes every few hours. Compression: Ask your provider about wrapping an elastic bandage around your ankle to reduce inflammation. Be careful not to wrap it too tight. Elevation: Resting with your ankle elevated above your heart reduces swelling. You can also try to sleep with your foot elevated at night. Over-the-counter pain medication: Nonsteroidal anti-inflammatory drugs (NSAIDs) can relieve pain and reduce swelling. Talk to your provider before taking any medication. Supportive footwear: Make sure your shoes provide adequate support for your feet and ankles. Avoid flip-flops, sandals and shoes that are too loose. It’s especially important to wear proper footwear when playing sports. Activities such as basketball and volleyball can lead to ankle injuries, especially without the right footwear.
When I get out of bed I can hardly walk?
Trouble Walking in the Morning? – Idaho Physical Therapy – Nampa By Alan Williams, PT, OTR/L, ATC, CSCS I wake up at the whir, Rather than be rudely jolted from my slumber by a blaring alarm, I’ve set my CD alarm clock to wake me with music. When 5:47am hits, the CD makes a whirring noise for just a moment before the music starts, and my subconscious has come to recognize this as the “wake up” sound.
But even though my subconscious knows it’s time to wake up, the rest of me takes a while to get with the program. At least for me, this groggy, half-conscious state is pretty much limited to my brain. But for some people, morning time doesn’t just present difficulty in waking up, but also in even getting up.
There are a couple of reasons why walking in the morning may be difficult. First I’ll discuss two possible culprits, and then I’ll explain how some of the symptoms of each can be alleviated. Plantar fasciitis (named for inflammation of the plantar fascia ligament) develops when the plantar fascia (which runs along the bottom of the foot, alternately stretching and relaxing with every step) must absorb excessive or abnormal amounts of stress.
This causes minute tears along the ligament and most often presents as sharp pain in the center of the heel. Fortunately, plantar fasciitis is rarely serious enough to warrant surgery, but it can easily become a chronic condition if not treated properly. Plantar fasciitis is often at its worst first thing in the morning.
As you sleep, the plantar fascia remains still rather than stretching and relaxing as it would if you were awake and moving. Because it doesn’t get to stretch, it slowly constricts and becomes tighter. This can make walking in the morning quite painful until the ligament has a chance to loosen up from being active.
- But therein lays the key to managing plantar fasciitis pain – keep the ligament stretched and loose.
- Before getting out of bed, try to warm up your feet a little.
- Do slow, gentle toe points and foot circles.
- It may hurt at first, but that should pass as the ligament relaxes.
- Also consider visiting your physical therapist or doctor; they will be able to show you specific stretches for your particular needs and additionally may recommend wearing foot splints while sleeping to keep the plantar fascia from tightening during the night.
A second culprit may be arthritis. The term “arthritis” comes from the Greek word artho, meaning “joint,” and itis, meaning “inflammation.” Arthritis is defined as “inflammation of the joints due to infectious, metabolic, or constitutional causes (Merriam-Webster).” According to the CDC, arthritis accounts for 18% or nearly 9 million reports of disability, making it the number one cause of adult disability.
But not all arthritis cases are the same. Arthritis may be the primary cause of a person’s symptoms or may appear secondary to another condition, such as gout, lupus, sarcoidosis, Lyme disease, or many others. Although moving painful joints may seem like less than a stellar idea, it’s really the best thing for them.
Movement can help to slow the progression of arthritis by encouraging the joints to remain active rather than succumbing to immobility. This is essentially what happens to a lesser degree while you sleep – your joints stiffen from inactivity. Arthritis in your ankles, knees, hips, and the joints in your feet can make for awkward, painful movement when you wake.
- As with plantar fasciitis, the key is to start slowly and warm up before getting up.
- And don’t forget general pain control techniques like heat/ice to reduce inflammation and over-the-counter pain relievers if approved by your doctor.
- Don’t hesitate to see your physical therapist or doctor for more specific ways you can reduce your morning walking problems.
Waking up in the morning shouldn’t have to be more difficult than it already is. And who knows? You may become a morning person yet. Don’t let foot pain hold you back. Call 463-0022 today for your FREE Foot Pain Assessment! : Trouble Walking in the Morning? – Idaho Physical Therapy – Nampa
Why do I ache all over when I wake up?
4 Reasons You’re Waking Up with Aches and Pains If you find yourself waking up with body aches and pains, you’re not alone. That stiffness where it feels like you can hardly move in the morning, we’ve all felt it – but how can we make it go away? Aches and pains often seem to increase in the winter with colder temperatures, too, so we hope this finds you at just the right time to improve your body’s aches and pains.
Due to our pain receptors becoming more sensitive in the cold, less activity, and increased pressure in our joints, winter causes us to search for relief from achiness after sleeping. Aches and pains after a night’s rest can be due to a variety of reasons, including an old mattress, a heavy workout the previous day, or even a recent injury.
If that’s the case, there may not be much you can do to change the morning aches. However, there could be other underlying health reasons you’re unaware of, too! Here are some suggestions on what could potentially be causing your aches. If you don’t know the underlying cause or suspect a more serious health condition, it’s important to visit,
Why do my feet hurt when I get out of bed?
1.) Plantar Fasciitis – This painful condition is by far the most likely source of your foot pain if it strikes immediately upon getting out of bed. Plantar fasciitis occurs when the plantar fascia ligament that connects your toes to your heels becomes painfully inflamed or irritated.
If you have this condition, you will notice stabbing pain around your heel when you wake and take that first step of the day. Of course, plantar fasciitis can also cause pain other times of the day, but many sufferers note it most prominently in the morning. Symptoms of plantar fasciitis can be more notable right after waking because the blood supply to the heel area is reduced when you sleep.
To treat this condition, you can take anti-inflammatory medication to reduce the swelling. You can also massage the area with a tennis ball, by rolling it along your arch, or bottom of foot, or by stretching the area. If you believe you’re experiencing this condition, check out these shoes that properly support your arch,
Does ankle pain mean heart problems?
Heart disease often develops over time. You may have early signs or symptoms long before you have serious heart problems. Or, you may not realize you are developing heart disease. The warning signs of heart disease may not be obvious. Also, not every person has the same symptoms.
Certain symptoms, such as chest pain, ankle swelling, and shortness of breath may be signals that something is wrong. Learning the warning signs can help you get treatment and help prevent a heart attack or stroke, Chest pain is discomfort or pain that you feel along the front of your body, between (and including) your neck and upper abdomen.
There are many causes of chest pain that have nothing to do with your heart. But chest pain is still the most common symptom of poor blood flow to the heart or a heart attack. This type of chest pain is called angina, Chest pain can occur when the heart is not getting enough blood or oxygen.
Some people may feel a crushing pain, while others feel only mild discomfort.Your chest may feel heavy or like someone is squeezing your chest or heart. You may also feel a sharp, burning pain in your chest.You may feel the pain under your breastbone (sternum, so the pain is called substernal) or in your neck, arms, stomach, jaw, or upper back.Chest pain from angina often occurs with activity or emotion, and goes away with rest or a medicine called nitroglycerin.Bad indigestion can also cause chest pain.
Women, older adults, and people with diabetes may have little or no chest pain. Some people have symptoms other than chest pain, such as:
FatigueShortness of breathGeneral weaknessChange in skin color or greyish pallor (episodes of change in skin color associated with weakness)
Other symptoms of a heart attack can include:
Extreme anxietyFainting or loss of consciousnessLightheadedness or dizzinessNausea or vomitingPalpitations (feeling like your heart is beating too fast, too strongly, or irregularly)Shortness of breathSweating, which may be very heavy
When the heart can’t pump blood as well as it should, blood backs up in the veins that go from the lungs to the heart. Fluid leaks into the lungs and causes shortness of breath. This is a symptom of heart failure, You may notice shortness of breath:
During activityWhile you’re restingWhen you’re lying flat on your back – it may even wake you from sleep
Coughing or wheezing that doesn’t go away can be another sign that fluid is building up in your lungs. You may also cough up mucus that is pink or bloody. Swelling (edema) in your lower legs is another sign of a heart problem. When your heart doesn’t work as well, blood flow slows and backs up in the veins in your legs.
This causes fluid to build up in your tissues. You may also have swelling in your stomach or notice some weight gain. Narrowing of the blood vessels that bring blood to other parts of the body is not the same as heart disease but it may mean you have a much higher risk for heart attack than you otherwise would.
It can occur when cholesterol and other fatty material (plaque) build up on the walls of your arteries. Poor blood supply to the legs may lead to:
Pain, achiness, fatigue, burning, or discomfort in the muscles of your feet, calves, or thighs.Symptoms that often appear during walking or exercise, and go away after several minutes of rest.Numbness in your legs or feet when you are at rest. Your legs may also feel cool to the touch, and the skin may look pale.
A stroke occurs when blood flow to a part of the brain stops. A stroke is sometimes called a “brain attack.” Symptoms of stroke can include difficulty moving the limbs on one side of your body, one side of the face drooping, loss of sensation on one side of your body, difficulty with speaking or understanding language.
You feel much more tired than normal. It’s common for women to feel severely tired before or during a heart attack.You feel so tired that you can’t do your normal daily activities.You have sudden, severe weakness.
If your heart can’t pump blood as well, it may beat faster to try to keep up. You may feel your heart racing or throbbing. A fast or uneven heartbeat can also be the sign of an arrhythmia, This is a problem with your heart rate or rhythm. If you have any signs of heart disease, call your health care provider right away.
You have chest pain or other symptoms of a heart attackYou know you have angina and have chest pain that doesn’t go away after 5 minutes of rest or after taking nitroglycerinYou think you may be having a heart attackYou become extremely short of breathYou think you may have lost consciousness
Angina – heart disease warning signs; Chest pain – heart disease warning signs; Dyspnea – heart disease warning signs; Edema – heart disease warning signs; Palpitations – heart disease warning signs Goff DC Jr, Lloyd-Jones DM, Bennett G, et al.2013 ACC/AHA guideline on the assessment of cardiovascular risk: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines.
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Morrow DA, de Lemos J. Stable ischemic heart disease. In: Libby P, Bonow RO, Mann DL, Tomaselli GF, Bhatt DL, Solomon SD, eds. Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine.12th ed. Philadelphia, PA: Elsevier; 2022:chap 40. Writing Committee Members; Lawton JS, Tamis-Holland JE, Bangalore S, et al.2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization.
J Am Coll Cardiol,2022,79 (2):e21–e129. PMID: 34895950 pubmed.ncbi.nlm.nih.gov/34895950/, Updated by: Michael A. Chen, MD, PhD, Associate Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M.
Why does my ankle hurt but I did nothing?
Sudden pain in the ankle without injury can have many possible causes, including autoimmune conditions, different types of arthritis, and foot alignment issues. Conditions such as lupus and arthritis can be serious if not treated. There are a number of potential causes for sudden ankle pain without injury.
In this article, we will discuss those possible causes, treatments that are available, and when a person should seek medical attention. Osteoarthritis (OA) is the most common form of arthritis, and it can occur in the ankle joint. OA in the ankles occurs through wear and tear of the joint that causes the cartilage and bone to break down and change.
Causes of OA in the ankles can include :
Age: OA in the ankles is more common in older adults. Previous injury: Any former ankle injury can lead to OA in the ankles, although symptoms may not show for years after the injury. Weight: If a person is overweight it may put more stress on the ankles.
Learn more about OA of the ankle.
Is walking good for ankle arthritis?
Walking is recommended for people with arthritis as it’s low impact, helps to keep the joints flexible, helps bone health and reduces the risk of osteoporosis, If you do experience pain or you’re very stiff afterwards try doing a bit less, factor in more rest and check in with your GP, if you need to.
You can choose the distance and pace which suits you. Making movement part of your everyday, especially if you are working at home, is recommended to help ease stiffness and help posture. It’s a free activity which can be done pretty much anywhere. Whether that’s around the house, in your garden, a stroll to the local shops or a lap around the local park. Being out in nature and getting fresh air has been proven to help boost mindset.
We’ve pulled together tips on how to get started and ways to make walking part of your daily routine.
What is the average age of ankle arthritis?
You Don’t Have to be Old to Have Arthritis in Your Feet and Ankles Arthritis is characterized by inflammation of the lining and cartilage of a joint. When a joint becomes inflamed, it can cause swelling, pain, redness, and warmth. It is estimated there are presently around 40 million people suffering from arthritis in the US.
Typically, arthritis targets those over 50 years of age, but arthritis does not discriminate and younger people can suffer as well. Around half of the adults over 60 experience arthritis foot pain. However, the wearing down of the joints in the feet start around 40 years of age. Typically this wearing down of the cartilage in the joints of the feet is due to overuse.
Most people notice swelling and pain in the feet as the cartilage can no longer protect bones from rubbing together.
Does ankle arthritis go away?
Medication for Arthritis in the Ankle – Medications are an important part of treatment for arthritis in the ankle. They can help slow bone loss, relieve inflammation, and ease pain. Here are the types of medications used commonly in arthritis treatment.
Nonsteroidal anti-inflammatory drugs: Over-the-counter medications like ibuprofen (Advil) and naproxen (Alleve), as well as prescription NSAIDs, can help relieve pain and swelling in the joints. Even though many NSAIDs are available over the counter, they can have side effects (such as stomach ulcers and kidney dysfunction) especially when taken for the long term and/or in high doses.
Oral corticosteroids: These quick-acting drugs help stop inflammation and are often used to manage flares in rheumatoid arthritis and gout, says Rajat Bhatt, MD, a community rheumatologist with offices in Richmond, Pearland and Greater Heights, Texas.
It’s best to use corticosteroids in the lowest possible dose for short periods of time, as they can cause a range of serious side effects, including bone thinning and high blood sugar. Steroid injections: In certain cases, steroid injections into the ankle joint can help relieve inflammation. These shots shouldn’t be done repeatedly, though.
“Frequent injections damage cartilage,” says Dr. Bhatt. “Also, we try avoiding tendon injections and tendon ligaments close to the joint.” An occasional shot, though, can offer temporary pain relief and reduce inflammation. “No more than three injections per year is the standard of care,” says Dr.
- Archer. Analgesics: Analgesics such as acetaminophen (Tylenol) help with pain relief.
- That makes them good for people who can’t take NSAIDs if they’re allergic to them or have stomach issues.
- You can also combine analgesics and NSAIDs, Dr.
- Bhatt says.
- Topical creams: Over-the-counter topical pain relievers (salves, rubs, or balms) are an alternative, says Dr.
Bilal. They’re good if you can’t take oral medications or if medications aren’t helping with the pain. Examples include capsaicin cream (over the counter) and the prescription NSAID diclofenac (Pennsaid, Solaraze, Voltaren Gel), Dr. Bilal says. Gout medications: Some gout medications help prevent future attacks of joint pain and inflammation.
Others relieve an acute attack’s pain and inflammation. Some people take both types of gout medication. DMARDs: Disease-modifying anti-rheumatic drugs include conventional immune-modifying drugs, such as methotrexate, as well as biologics, which are more targeted to certain immune system chemicals and pathways (these include such drugs as Humira and Enbrel) work slowly to change the course of inflammatory disease.
They’re only used to treat inflammatory arthritis such as psoriatic arthritis and rheumatoid arthritis.
What are the 4 stages of osteoarthritis in the ankle?
Cartilage variances in arthritis of the ankle –
Grade 0: Healthy, lubricated cartilage. Grade 1: Chondromalacia, disorders of the cartilage structure. Grade 2: Moderate disorder of the connective tissue in the cartilage. Grade 3: Lacerations in the cartilage surface, roughening. Grade 4: Bones are no longer covered in cartilage.
Arthritis of the talocalcaneal joint is the result of the disease progressing over years. In the beginning, there is always damage to the joint cartilage. After this initial damage to the joint cartilage, resilience to stress is reduced. The surface is considerably rougher than healthy cartilage, thus resulting in increased cartilage abrasion in the joint.
- The colour of the joint cartilage changes from white to a shade of yellow.
- Initially this reduced resilience is only noticeable with high stress (contact sports, football, tennis).
- But later, even typical everyday use can result in increased cartilage abrasion.
- The friction between smooth cartilage surfaces in a healthy joint is only a fraction of the friction of two ice cubes rubbing together.
The roughening or the complete breakdown of the cartilage surface greatly increases friction. Over time, in addition to the sliding function, the cushioning function of cartilage in the ankle is also lost. The abraded particles of cartilage support the wear since the damaged cartilage is further damaged by an inflammatory reaction in the joint.
Does ankle arthritis come on suddenly?
If you suddenly experience ankle pain without any apparent reason or injury, it may have been brought on by some form of arthritis. For instance, osteoarthritis occurs when cartilage between bones wears down, causing them to rub together. This condition can sometimes cause sudden pain, often in the morning.
- Another type of arthritis—rheumatoid arthritis—causes your immune system to malfunction and attack healthy tissue.
- The lining in joints of the toes and ankles are a common location for rheumatoid arthritis to develop.
- A third type of arthritis that can affect your ankles is reactive arthritis.
- This occurs when a bacterial infection in another part of the body is responsible for generating arthritic symptoms like swelling and pain in your ankles.
Gout is an arthritic condition caused by a build-up of uric acid in your body, which can crystallize on joints. Although gout typically affects the big toe, it can also develop in other joints, such as the ankle. Painful gout flare-ups are known to be intense and sudden, often occurring in the middle of the night.
Pain of any kind in your ankles should prompt a visit to the podiatrist as soon as possible for an accurate diagnosis and treatment. Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Milos Tomich, DPM from Dr. Tomich Foot & Ankle Health Center,
Our doctor will assess your condition and provide you with quality foot and ankle treatment. Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.
Types of arthritis (rheumatoid, osteoarthritis, and gout) Ankle sprains Broken ankles Achilles tendinitis Achilles tendon rupture Stress fractures Tarsal tunnel syndrome Plantar fasciitis
Symptoms Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation. Diagnosis Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain.
- This can include asking for personal and family medical histories and of any recent injuries.
- Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.
- Treatment Just as the range of causes varies widely, so do treatments.
- Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.
If you have any questions, please feel free to contact one of our offices located in Milwaukee and Wauwatosa, WI, We offer the newest diagnostic and treatment technologies for all your foot care needs.
How should I sleep if my ankle hurts?
Say Goodbye to Ankle Pain! Do you suffer from ankle pain? Ankle pain can have many origins and can easily be put into two main categories. Traumatic vs functional. Traumatic injuries often warrant more immediate imaging and surgery, while functional usually requires a different approach for the problem to truly be corrected.
- Functional ankle pain is very commonly caused by core and lower leg musculoskeletal imbalances.
- These are developed over time with poor biomechanics, posture, and habits.
- In order to understand ankle pain, we must first look to the anatomy for a generalized understanding.
- A large number of ankle pain cases are actually induced by a lumbopelvic imbalance, but let’s first take a look at the ankle itself.
The ankle is a hinge joint that is comprised of three main bones called the tibia, fibula, and talus. These three bones are supported by a multitude of surrounding ligaments. The main ones being the: the deltoid ligament (comprised of 4 separate ligaments), the anterior talofibular ligament, and the posterior tibiofibular ligament.
- The ligaments primary goals are to hold the bone together while conforming to the joints normal motion.
- Ligaments can be easily described as being like a stiffened rubber band.
- Like with all joints, the surrounding muscles play an integral role as well.
- These will be more generalized classified for ease of understanding.
We have the calf (soleus and gastrocnemius), tibialis anterior, peroneus longus, and tibialis posterior muscles. The foot is comprised of 26 bones and 33 separate joint segments that allow it to absorb shock through the three-point sling system called the arch of the foot. Now that we’ve established a generalized anatomy of the ankle, we can now discuss the specifics of why ankle pain occurs due to the problems in the ankle itself.
- Subluxation- Subluxation is defined in chiropractic as any joint that becomes slightly misaligned or stops moving properly. When the ankle becomes subluxated, nerves become irritated leading to pain.
- Ligamentous weakness or sprain- In addition to the muscles supporting the ankle, there is a multitude of ligaments that help keep the ankle joint in place as well. When these ligaments become weak or injured, it can lead to ankle instability that often leads to a sprained ankle and/or just ankle pain.
- Muscle weakness or injury- The final major cause for ankle pain originating from the ankle itself, is due to problems associated with surrounding musculature. These muscles provide the vast majority of support to the joint in all instances and are responsible for much of the ankle’s movement and range of motion. These muscles can weaken and/or tear over time due to repetitive stress or imbalances that develop over time, leading to pain.
As mentioned before, a large portion of ankle pain actually originates in the lumbopelvic area. The anatomy of the pelvis is also very complex. There are a lot of moving parts and thus many things can go wrong resulting in lumbar or ankle pain. The main reason for ankle specific pain resulting from a lumbopelvic problem is muscular imbalances and nerve irritation from the lumbar nerves.
- To understand this relationship, we must also look into the anatomy of the lumbar vertebrae, pelvis, and femoral acetabular joints.
- The lumbar vertebrae all have a cartilaginous disc between them that allow the spine to bend and twist.
- Also in between each vertebra is a place where nerve roots exit on either side of each vertebra.
It is the irritation of these nerve roots which can cause ankle pain. These nerve roots become pinched by misaligned vertebrae or when discs bulge out or even herniate (the disc material leaks out under pressure) putting pressure on the nerve roots that lead to the ankle area, thus causing ankle pain, weakness, or numbness to the area. Lumbopelvic muscles are divided into 4 main groups and their function is largely determined by their structural location around the core of the body.
- Flexors – Any muscle located at the front half of the pelvis or lumbar spine is considered a flexor. To envision the action of a flexor, it is the motion of bringing your chest to your knees.
- Extensors- Any muscle located at the back half of the pelvis or lumbar spine is considered an extensor. An extension is performed when arching the lower back.
- Lateral Flexors- Regardless of if they are in front or back of the spine, muscles that are either to the right or left of the spine in the core are the lateral flexors. To envision the motion of the right lateral flexion, for example, imagine sliding your right hand down the side of your thigh.
- Rotators- Muscles that rotate the core can be located in any structural location of the lower back. To envision the action of core rotation, it is simply the act of swinging a bat.
Any muscle of the lower back can belong to more than one functional group listed above. For example, the quadratus lumborum muscle has the ability to extend, laterally flex, and rotate the core. Now that we have established the anatomy of the lumbar spine and pelvis, we can now discuss the specifics of why ankle pain occurs due to problems throughout the core.
- Subluxation- As mentioned above in the discussion of the ankle, subluxation is defined in chiropractic as any joint that becomes slightly misaligned or stops moving correctly. The most common type of subluxation in the lower back involves the facet joints. The facet joints are the most posterior joints connecting each of the five lumbar vertebrae. When the facet joints become subluxated it can lead to the irritation of the nerves that extend into the ankle joint causing ankle pain.
- Disc problems – The discs located between each of the vertebrae can bulge and herniate. Located in the center of each disc is a gelatinous material. Over time the walls of the disc can weaken and break down, allowing the gelatinous material to push out or bulge toward the outside of the disc. If the wall breaks and the material actually leaks out, this is called a herniated disc. The problem with a disc bulge or a herniated disc comes when the displaced disc places pressure posteriorly toward the nerve roots that are exiting on either side of the spine at any of the various levels of the vertebrae. This can cause not only lower back pain but also the pain in the ankle as well.
Below are some suggestions for things that you can do for yourself at home to help relieve your ankle pain.
- Apply ice- Many find considerable relief from applying ice to the ankle, Ice works to reduce inflammation and swelling thus providing relief. Apply ice for 15 minutes every 2-3 hours as needed. Simply submerging the ankle in an ice bath for 3-5 minutes is very effective as well. There is a recipe for treating ankle swelling called “RICE.” This stands for rest, ice, compress, and elevate. Compression is often done with ace bandages or a compression sleeve. Elevation means to put the ankle above chest height in order to return blood and lymphatic flow towards the heart at an accelerated rate.
- Watch your sleep – Sleeping on your back is best providing the least amount of stress on the ankles. When sleeping on your back, make sure to keep your feet under a heavy comforter/blanket. This will push the foot down all night and could lead to ankle/foot problems in the future. Sleeping on your side can be done as efficiently if a pillow is placed between the knees and the knees are flexed at an angle of 90 degrees or less. Meaning, you don’t want to be balled up in the “fetal position.”
- Take NSAIDS- Non-steroidal anti-inflammatory drugs like ibuprofen can be taken to reduce swelling in the ankle. By reducing swelling, more space and less irritation is created in the ankle joint, thus allowing for easier mobility and blood flow to the area.
- Stretching- Some simple stretches to help maintain mobility and decrease pain in the ankle are the seated toe touch, the standing Achilles stretch – with your foot propped against a sturdy surface (this can also be done using a towel while seated, see picture below), – and doing the “ABC” ankle rolls. For the ABC ankle roll stretch, you pretend that your big toe is a pen and your “drawing out the alphabet in order” with big swooping ankle movements. You want to reach to the point of “pull or stretch” and don’t want to push it past the point of actual pain.
- Strength exercises-While standing, lift your heels up from the floor and hold your body up, holding for 5 seconds. Do this exercise 10-20 times, for three sessions. This exercise helps to strengthen the posterior chain of the legs. A one-legged stance exercise is also effective for enhancing ankle stability. While standing, take one leg up to 90 degrees and hold for 15-30 seconds while supporting yourself on one leg. Keep a chair, desk, or counter close to avoid the chance of falling. This exercise is also great for enhancing balance and coordination.
- Watch your posture- Many people tend to drag their feet when they walk or sway their weight to one side while standing. Another common mistake is sitting with one foot under your butt cheek. These habits with not only passively strain the tissues around the ankle but also frequently contribute to ankle/foot pain syndromes. If having ankle pain, use the stronger leg to lift yourself upstairs and always use a handrail for stability.
Stretch: Ankle stretch for the Achilles/plantar tendon, soleus, and gastrocnemius muscles.
- Foot elevation for reducing swelling: Standing calf raise exercise:
- Being a multi-specialty clinic, there are many ways that we can treat ankle pain within our walls.
1. Chiropractic adjustments- Adjustments are able to normalize imbalances in many of the joints of the body including the ankle. By properly aligning the lower back, nerve pressure can be relieved that can elude to ankle pain. Often times, more than one adjustment is necessary to stabilize ankle pain, but many find considerable relief after the first adjustment alone.2.
- Physical therapy- Physical therapy is another way we can treat the lower back, pelvis, and ankle in order to decrease ankle pain while improving mobility.
- The focus of physical therapy is on treating the soft tissue – the muscles, ligaments, tendons, fascia, etc.
- There is a multitude of services offered by physical therapy in order to treat ankle pain.
Some of them include:
- Cryotherapy – cold pack treatment helps reduce inflammation and reduces pain.
- Stretching- stretching helps to loosen tight muscles that are in spasm, thus reducing pain.
- Strengthening- specific exercises can be given to strengthen weak muscles, thus restoring muscular balance to the ankle or lumbopelvic areas.
- Axial decompression- This is a specialized form of treatment typically for the treatment of disc bulges or herniations in the lower back. The patient is placed on a special computerized table that gently and slowly distracts the spine over a 30-minute session. The action of the distraction creates a negative pressure or “vacuum” effect that draws the disc material back inside, thus getting pressure off the nerves that are being compressed in the lower back causing ankle pain.
3. Acupuncture – Acupuncture is an ancient healing art that originated in China over 4000 years ago. The premise of acupuncture is based on meridians (or pathways of energy) that run throughout the body. When a practitioner of acupuncture places needles into the body, they are placing those needles on key points along those meridians in order to manipulate that energy to promote healing in that area of the body.
Treatment typically takes about 20 minutes to complete and is painless. Acupuncture is very effective for treating ankle pain and restoring the overall function of the body.4. Family Medicine- At Health Quest we emphasize conservative care with drugs and surgery as the last resort when possible. But sometimes, if you are in extreme pain, it is necessary to have a little help to get you through.
In extreme cases, medicine could be prescribed to help get you through the pain in the short term.5. Massage- Often ankle pain is the result of tight muscles. Or sometimes the tight muscles might result from having the ankle pain. Either way, ankle pain can be relieved with a massage by relaxing muscles, increasing blood flow to help speed up healing and flush out toxins in the local soft tissue.
If you or someone you know is suffering from ankle pain, we may be able to help you at Health Quest through chiropractic, physical therapy, massage, acupuncture, or family medicine. At Health Quest, we are committed to helping you meet your health goals and leading you to a healthy and pain-free lifestyle.
Call us today to schedule an evaluation at 573-635-9655. Yours in health, Dr. Brandon Lehr D.C. : Say Goodbye to Ankle Pain!