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What is Chronic Ankle Instability?

When you sprain your ankle, the connective tissues (or ligaments) are stretched or torn, so the ability to balance is compromised. Proper rehabilitation is necessary to strengthen the muscles around the ankle while retraining the tissues that affect balance. Failure to do so could cause repeated ankle sprains or chronic ankle instability.

Chronic ankle instability is a condition that can develop after repeated ankle sprains or after a sprain that was not adequately healed or rehabilitated. The outer or lateral side of the ankle recurrently gives way, such as while walking, but it can also occur when standing still.

People with chronic ankle instability often experience the following symptoms:

  • A repeated turning of the ankle, especially on uneven surfaces or during sports
  • Persistent discomfort and swelling
  • Pain or tenderness
  • The ankle feels unstable
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How is Chronic Ankle Instability Treated?

Nonsurgical treatment for chronic ankle instability may include physical therapy, which involves various treatments and exercises to:

  • Strengthen the ankle
  • Improve balance and range of motion
  • Retrain your muscles

Dr. Steven Bernstein can also treat chronic ankle instability with an ankle brace to improve support while preventing the ankle from turning. Additionally, bracing can reduce additional ankle sprains.

In some cases, Dr. Bernstein will recommend surgery based on the degree of ankle instability or minimal results with nonsurgical treatment. Surgery for chronic ankle instability usually involves repairing or reconstructing the damaged ligament(s).

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Why Choose Dr. Bernstein for Chronic Ankle Instability Treatment?

When suffering from chronic ankle instability, it’s vital to choose an experienced surgeon you can trust to get you back on your feet and relieve your pain for good.

The American Board of Foot and Ankle Surgery has board-certified Dr. Steven Bernstein. He specializes in reconstructive foot and ankle surgeries. His background includes extensive training and experience in foot and ankle trauma and deformities, including reconstruction of the forefoot, rearfoot, and ankle deformities. Dr. Bernstein’s multiple certifications, expertise, and commitment to his patients make him the best choice for chronic ankle instability treatment.

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Chronic Ankle Instability FAQ

How many ankle sprains does it take to develop chronic ankle instability?

Chronic ankle instability can develop after just one severe sprain that doesn't heal properly or after multiple milder sprains over time. The key factor is whether the ligaments fully heal and regain their strength after each injury.

Can I continue playing sports if I have chronic ankle instability?

Many patients can return to sports with proper treatment, bracing, and physical therapy to strengthen the ankle. Dr. Bernstein will help determine when it's safe to resume athletic activities based on your specific condition and progress.

How long does recovery take after ankle ligament reconstruction surgery?

Full recovery from ankle ligament reconstruction typically takes four to six months, though initial healing occurs within the first six weeks. Physical therapy plays a crucial role in restoring strength, balance, and range of motion throughout the recovery process.

Will I need to wear an ankle brace permanently?

Most patients only need ankle bracing during sports or high-risk activities after completing rehabilitation. Some patients may phase out bracing entirely once their ankle strength and stability are fully restored.

Can chronic ankle instability cause arthritis?

Yes, repeated ankle sprains and chronic instability can lead to cartilage damage and early-onset ankle arthritis if left untreated. Proper treatment helps prevent long-term joint damage and preserves ankle function.

What exercises can help strengthen an unstable ankle?

Balance exercises, calf raises, and resistance band exercises are commonly prescribed to improve ankle stability. Dr. Bernstein and his physical therapy team will create a customized exercise program tailored to your needs.

Is surgery always necessary for chronic ankle instability?

Surgery is not always required, as many patients respond well to physical therapy, bracing, and activity modification. Dr. Bernstein recommends surgery only when conservative treatments fail to provide adequate stability and relief.

How do I know if my ankle instability requires medical attention?

You should seek evaluation if your ankle gives way frequently, you experience persistent pain or swelling, or conservative measures haven't helped. Early intervention prevents further ligament damage and reduces the risk of additional complications.

If you are suffering from back or neck pain, it is crucial for you to receive a professional diagnosis as soon as possible. Dr. Rovner is one of the best spine surgeons in NJ who has the experience and expertise necessary to help patients actualize successful outcomes with orthopedic spine surgery.

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