Ankle Arthrosis

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

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Itziar Calderón

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No voy a decir la tontería de que merece la pena estar enfermo, pero si que quiero dejar claro que cuando tienes una dolencia, el encontrar personas tan atentas, con tanta alegría y ganas por mejorarte y/o curarte, desde el doctor, hasta el último celador, pasando por enfermeras, auxiliares y demás personal, por el cuidado, tratamiento personal y dedicación, hacen que tu enfermedad sea mucho mas llevadera. No puedo mas que felicitarles por lo bien que lo hacen.

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