What is

Osteoarthritis of the ankle involves degeneration of the articular surfaces that form it: the articular aspect of the tibia, the talus and the fibula. This wear and tear, in addition to pain, causes limitations of movement, especially when walking. Its development is slow and the pain appears little by little and worsens with the passage of time. As there is no cure, we must stop its deterioration and provide the ideal conditions for it to last for many years.

Although it is not as frequent as the hip or knee joint, it is very limiting due to its role as a great shock absorber of the lower extremity. This function is performed thanks to the talus, which is the main focus of wear in the joint.

Causes

  • Age: the cartilage’s low capacity for repair decreases every year, to which we have to add the wear and tear that occurs.
  • Obesity: the joint is directly overloaded in situations involving excessive weight.
  • Hereditary factors: the shape of our legs, of our pelvis conditions a direct overload of this joint.
  • Injuries: muscle or ligament injuries directly lead to increased wear and tear of the joint.

Symptoms

The symptoms accompanying osteoarthritis generally do not appear suddenly, but develop over the years. The most frequent are:

  • Pain in the area that is no longer protected due to cartilage wear.
  • The crunching sounds that occur when the joint wears out.
  • The effusion that produces inflammation that is triggered in an unprotected joint.
  • The daily and continuous shock of bones devoid of cartilage.
  • Decreased mobility.

Approach protocol

Diagnosis and assessment

A correct medical evaluation by means of a good anamnesis and physical examination will be necessary. The multidisciplinary vision is essential for a comprehensive, personalized approach, focused on achieving a prolonged relief of pain depending on the phase in which it is found.

Complementary tests

X-ray and/or MRI may be performed.

Treatment

The treatment of this pathology will depend to a large extent on the patient’s condition, age and symptoms, the condition of the cartilage, the degree of osteoarthritis in the joint and how much of the total joint is affected by osteoarthritis will determine the approach to be followed. Below, we outline some of the possible treatments:

  • Hyaluronic Acid Blocks
  • Corticosteroid blockades
  • Regenerative medicine
    • Platelet-rich plasma: the compound extracted from the patient’s own blood has a concentrate of anti-inflammatory factors and cytokines that make it very useful for this pathology.
    • Cytokine-rich serum: this is a different process to platelet-rich plasma in which a compound rich in anti-inflammatory cytokines is also obtained from the blood.
    • Stem cells: originating from the patient’s bone or fat, they have a regenerative and anti-inflammatory power that makes them a unique treatment for pain relief.
  • Radiofrequency
  • Physiotherapy: methodology based on knowledge and clinical reasoning in which we combine a series of techniques and treatments both manual therapy and invasive techniques, always associated or complementing them with cutting-edge technology that allows us to accelerate the recovery process. Among other high-tech devices include Magnetolith, SIS, focal shock waves, Indiba, among others. This therapeutic combination allows us to activate the patient early to begin with a routine and a process of specific therapeutic exercises that allow us to enhance and strengthen the lost functional patterns.

 

Here begins your life without pain

Nuestros clientes opinan

Equipo increíble, desde mostrador, Ana, Pau, y Dr.Ducca.... lo hacen todo muy fàcil. Muchas gracias personas profesionales dedicades a personas.
Response from the owner:Gracias Clemen por las 5 estrellas y por confiar en nuestros servicios y en el Dr. Duca. En MIVI Salud estamos para ayudar a nuestros pacientes de la mejor forma posible. Un saludo
El Dr. Manuel David Garcia, tiene unas manos de oro! Llevo años de dolor en las cervicales y un día una clienta me habló de él y me comentó que había infiltrado a su marido y que estaba estupendamente, así que me visitó y me infiltró, desde entonces mi dolor se ha reducido un 90%!! Alucinante! Así que lo recomiendo al 100%.
Response from the owner:Muchas gracias Patricia que manifiestes públicamente tu opición sobre el Dr. García. Nos alegra que hayas tenido una experiencia satisfactoria en MIVI Salud
La primera vez que acudo a la unidad del dolor en Quirón salud Huelva y trato estupendo por los profesionales y Ana que me atendió de forma inmejorable
Response from the owner:Muchas gracias Sebastián ! Nos alegra saber que tu experiencia en MIVI Salud fue excelente. Esperamos poder servirle nuevamente en el futuro, siempre que lo necesite. Saludos
Response from the owner:Gracias por tu valoración positiva Beatriz! Saludos
Los mejores! Siempre me ayudan en la recuperación de lesiones. Cuentan con grandes profesionales y la mejor tecnología y maquinaria.
Response from the owner:Nos alegra mucho saber que te hemos brindado una experiencia tan positiva Silvia! En MIVI Salud nos esforzamos por ofrecer un trato cercano y profesional desde el primer momento
Response from the owner:Muchas gracias Marcela por tu valoración! Saludos
Muy buena 💯 x100 recomendado
Response from the owner:Muchas gracias Jessy ! Nos alegra saber que tu experiencia en MIVI Salud fue excelente. Esperamos poder servirle nuevamente en el futuro. Saludos
Muy buena atención
Response from the owner:Muchas gracias Arnau por tu opinión, En MIVI Salud siempre estaremos aquí para brindarte la mejor atención. Gracias por elegirnos!
Response from the owner:Gracias por tu valoración Mari! Un saludo
Un centro con muy buenos profesionales muy simpáticos, desde las chicas de recepción y todos los fisioterapeutas. En especial quiero dar las gracias VICTOR.
Me han tratado de Bulsitis en la cadera
Response from the owner:Muchas gracias Rocío ! Nos alegra saber que tu experiencia en MIVI Salud fue excelente. Esperamos poder servirle nuevamente en el futuro. Saludos

Insurance companies

Ask your MIVI centre for information on the agreements with insurance companies.