Inversion sprains occur when the foot turns in and one of the ligaments on the outside of the ankle strains or ruptures. The severity of the strain dictates the treatment. A mild strain or sprain is treated by immobilization, keeping weight off, and anti-inflammatory medications, followed by re-training and strengthening. A moderate or severe sprain may include all of the above, with possible surgical intervention to strengthening the ligamentous structures surrounding the ankle. Proper treatment is essential to prevent re-occurrence and chronic sprains. Ankle sprains, especially if they are recurrent, can leave permanently overstretched ligaments that leave the patient prone to recurrence. Custom fabricated orthotics stabilize the patient during the gait cycle, and greatly reduce the likelihood and severity of another ankle sprain.
Ankle arthritis is often secondary to trauma. Even a completely healed ankle fracture can cause post traumatic ankle arthritis. Other patients who are prone to arthritis can develop ankle arthritis without apparent cause. Treatments include physical therapy, oral anti-inflammatory medications and Cortisone injections. In severe cases, immobilization or surgical intervention may be needed.