Ankle arthrosis treatment

Ankle arthrosis treatment

The ankle joint consists of three bones, one joint and copes with, on average, 3000-4000 steps per day. If you are experiencing pain, cartilage wear, known as ankle joint arthrosis, may be responsible.

Our specialists at Schoen Clinic have completed intensive research into ankle joint arthrosis and are able to offer you the best possible treatment to increase movement, reduce pain and improved your quality of life.

How is the ankle joint constructed?

Your ankle joint sits between your lower leg and your foot. It is divided into the upper and lower ankle joint. The upper ankle joint is made up of three bones: the shin bone, the fibula and the ankle bone. To prevent the bones involved from rubbing painfully against each other with every movement and injuring each other, their contact surface within the joint is covered with a smooth, elastic cartilage layer. If this protective “shock absorber” is lost, your bones get closer to each other, the joint cavity becomes narrower i.e. joint wear or arthrosis in the ankle joint.

Accurate diagnosis for the perfect treatment

Your specialist will carry out a comprehensive medical history with you during your consultation, detailing any previous accidents with bone fractures, unstable ligaments or inflammatory joint disorders. A physical examination will be undertaken to assess any tenderness or swelling in your ankle and observeation of your gait, will most likely be required. This will determine how pain or joint stiffness is affected while you walk. Should you require any imaging following your physical examination, Schoen Clinic London has a dedicated imaging and diagnostics suite, with state-of-the-art equipment to assist in further investigations.

Following examination and precise diagnosis, we will suggest the ideal treatment plan for you.

Signs & symptoms of arthrosis

  • Stiffness in the ankle
  • Pain with motion
  • Pain which increases with rigorous activity
  • Swelling or inflammation
  • Increased pain after periods of rest
  • Feeling of instability in the joint

Proven methods: X-ray and MRI

X-ray images make it possible for us to see the joint cavity. Carrying out an X-ray while the patient is standing allows us to produce images in two planes under a load. This helps to determine the precise stage of the ankle arthrosis as we can measure the distance between the individual bones of the joint. The narrower the joint space, the more likely a large amount of the cartilage has been damaged or worn away. X-rays also make it possible to see bone spurs, which have a negative impact on your condition and in turn can affect your quality of life.

In some instances, Magnetic Resonance Imaging (MRI) may be required to better evaluate your joint cartilage. MRI scans also make it possible to identify potential damage to your tendons and ligaments. In order to better show any deformities there might be in the joint, we are able to perform a CT scan. Your bone is shown more precisely here than with an X-ray or MRI.

Should there be any suspicion of rheumatism or pronounced signs of inflammation, a blood test can be undertaken to further clarify the cause of your arthrosis.