The tibia and fibula (shin bones) meet the talus at the ankle, forming the ankle joint (heel bone). Damage to the talus bone and the cartilage covering it is what constitutes an osteochondral injury, also known as osteochondritis dissecans. The bottom of the tibia (shin bone) can be impacted occasionally as well. The Foot Pain Doctor is available at Doral Health and Wellness. The Podiatrists in Brownsville are experts in their field to diagnose and treat injuries of the ankle.

 

Symptoms

Pain is the most common symptom of an osteochondral injury, and it can be confined to the ankle joint. Other symptoms may include pain and swelling in the ankle joint, as well as trouble bearing weight, a locked ankle, or instability in the ankle.

 

 

Causes

A severe ankle sprain can cause bone and cartilage to become lax, which can result in continuous pain in the ankle. This type of damage can be caused by a severe ankle sprain. Accidents can also sometimes result in damage being done (without an injury).

 

Diagnosis

Injuries to the osteochondral tissue can be identified using a combination of a physical examination and various screening procedures such as X-rays, MRIs, and CT scans. X-rays in their most basic form might indicate further fractures, as well as bone spurs and a constriction of the joint. If there are any bony fragments or cysts, they can be located with the use of a CT scan. However, bone edema or cartilage flaws are difficult to observe with this test. The ideal imaging modality, which enables us to see cartilage and bone defects as well as bone edema, is the magnetic resonance imaging (MRI) technique.

 

Treatment

Ankle osteochondral lesions can be treated without surgery with platelet-rich blood and alpha hydroxy acids infusions. Over the course of a year, patients who undergo this treatment report less discomfort and improved function. When it comes to healing wounds, hyaluronic acid is not even close to as potent as platelet-rich plasma. Lesions diagnosed at stages 1, 2, and 3 have a lower risk of developing into arthritis and respond favorably to non-operative therapy. The patient is required to wear a cast that does not allow weight bearing for a period of six weeks, after which they begin a phased resumption to activities that require weight bearing and athletic engagement.

 

It is recommended to do a localized osteochondral talar autograft whenever surgery is an option. An arthrotomy is conducted on the patient’s joint as part of this surgery. An incision of 7 centimeters is made anteriorly, medially, or anteriorly and laterally on the patient’s joint.

 

All individuals with talar dome osteochondral damage must participate in physical therapy. The effectiveness of the treatment, the speed of recovery, and the likelihood of a full recovery, as well as the likelihood of a re-injury, will all be enhanced by this method.

 

● Massage of the soft tissues

● Ultrasound

● Joint mobilization

● Prescription crutches

● Instructions for modifying educational and recreational pursuits

● In order to correct biomechanical issues, protective boots are worn.

● Methods for getting back to health in stages

● Tips for Reducing Inflammation

● Ankle tape, ankle stabilization, ice or heat treatment, and physical activity can help improve mobility, strength, and equilibrium.

 

Patients who are diagnosed with this condition have a greater risk of experiencing a prognosis that is less than favorable due to a variety of factors that may both make the process of recovery more difficult and increase the likelihood of a negative result. The

treating physiotherapist is the one who should evaluate and fix these factors, which may include the following:

 

● A lack of adaptability

● Joint stiffness

● Bad balance

● Insufficient muscular power

● Faulty mechanics of the foot

 

 

If there is no indication that things are getting better, then an additional inquiry is required. Possible treatments include obtaining an X-ray, CT scan, or MRI, or consulting an expert who can advise on the best course of action to take. It’s possible that you’ll need to schedule an appointment with a Podiatrist in order to get a recommendation for orthotics and get some opinions on the shoes that are best suited for your feet.

 

You may get assistance from our Podiatrist Brownsville at Doral Health and Wellness if you are feeling the symptom in your ankle or if you want to learn more about these problems that can concern your ankle. To reach out to Doral Health and Wellness, you can take a bus, train, or skyway to locate the area. The address is 1797 Pitkin Avenue, Brooklyn, NY 11212. Please book an appointment with us at 347-868-1016 or you might visit our website at http://www.podiatristsbrooklyn.com/.