Ankle pain - many people face this problem while walking or running on a treadmill or on an inclined surface.
Causes of pain can range from a small ankle injury to different types of arthritis.
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Pain in the ankle
Ankle joint has a complex structure. The foot of the foot is connected with the bones of the lower leg. The compound is held by three groups of strong ligaments. The articular surfaces are covered with cartilaginous tissue. The joint cavity is filled with synovial fluid.
Ankle joint provides only flexion of the foot. Lateral slopes and rotation of the joint does not produce. If these movements are carried out by force, then ankle damage occurs, which is accompanied by pain and swelling.
All diseases that cause pain in the ankle can be divided into:
Diseases associated with ankle and foot damage( dislocations, subluxations, ligament rupture, fractures).
Dystrophic diseases( deforming arthrosis of the ankle joint).
Inflammatory diseases of the joint.
Achilles tendon diseases.
Diseases related to ankle joint damage to the foot
Most often, ankle joint damage is associated with injuries that occur when the foot is turned inward or outward, when a person falls from a height to the heel, if the foot is damaged by heavy objects falling on the foot. Of these, damage to ligaments and fractures of the ankles is most often recorded. Immediately after the injury, there is swelling, which is associated with vascular rupture.
Injuries always accompany severe pain. If there is a fracture of both ankles, then because of the subluxation, the foot is shifted either to the inside or back. Often when palpation can identify fragments of bones. When the foot is squeezed, blood vessels burst and there are extensive hematomas of the rear of the foot.
When the ligamentous apparatus is damaged along with the fracture of the ankles, the talus bone is displaced, forming a dislocation of the joint.
The subluxations of the ankle joint occur in fat people or in the case of weakness( inconsistency) of the ligamentous apparatus, which can be repeated many times. With frequent subluxations, articular cartilage begins to damage, which eventually leads to the development of arthrosis.
Sprain of ligaments is common in trauma practice. Occurs with awkward movement during walking or running, when the entire mass of the body moves to one joint. It is correct to say not tension, but a rupture of either the entire ligament or a part of its fibers.
With a slight stretch, the ligaments are undermined at the microscopic level. A significant amount of fibers can also be eroded. In case of severe injury, the ligament can completely rupture. Sometimes this is an independent disease. But often a complete rupture of ligaments is accompanied by dislocations, subluxations and fractures. Objectively there is swelling of the joint, there are severe pains, sometimes there is a hematoma of soft tissues.
Diagnosis of rupture of ligaments is carried out using radiography. On the roentgenogram, you can identify the displacement of the joint and fractures. With MRI, you can see a picture of a layered image of the ligamentous apparatus, tendons, fractures and cracks.
Treatment of ligament damage is based on several postulates:
Protect joints from stresses( overlapping of fixing means - eight-bandage bandages, plaster bandages, tires, use of orthosis).
Removing pain and swelling with medications( non-steroidal anti-inflammatory drugs and novocaine blockades), applying pressure bandages and cold compresses.
Evacuation of blood spilled into the joint cavity during trauma.
Rehabilitation measures( LFK, massage and application of physiotherapy techniques in the form of diadynamic currents, paraffin applications, UHF therapy, etc.).
Bunches grow well even after a complete break. If the rupture of the ligaments is slight( at the micro level), then enough cooling bandages and rest. As a rule, recovery takes up to 10 days.
If a significant part of the fibers of the ligament is ruptured, it is necessary to wear the fixation device - orthosis - within 10 days. Orthosis limits mobility of the limb, thereby reducing the load on the joint and accelerating the recovery time. You can impose an eight-part bandage or splint for 2 to 3 weeks. It is necessary to conduct a course of exercise therapy. Treatment lasts about 1 month.
When the ligament is completely ruptured, a plaster bandage or gypsum lingeta is applied. If a complete rupture is accompanied by a fracture and / or dislocation of the foot, then immobilization is carried out immediately by 2 joints - the ankle and knee.
With extensive hemorrhages in the joint and periarticular tissues, surgery is performed( ligation of ligaments and removal of damaged tissues).
Deforming arthrosis of the ankle( osteoarthritis)
Deforming arthrosis is a fairly serious disease that leads to disability and disability. Most often the disease develops after injuries to the ankles of the tibia, fracture of the head of the fibula and traumas of the talus. Unevenness caused by trauma, during movement, injures articular surfaces, which causes joint and muscle pain.
The joint swells, there is a restriction of its mobility and a violation of the gait. Inflammation and destruction of the joint begins with articular cartilage and ends with a rough deformation of the joint. The disability of the patient is reduced, often disability occurs.
The main symptoms of osteoarthritis are the appearance of pain and swelling, which increases during walking. There is a crunch in the joint. The mobility of the joint is limited gradually and eventually reaches significant values.
Treatment of osteoarthritis is aimed at preventing inflammation in the joint( pain relief, edema reduction), which should improve its motor function.
Non-steroidal anti-inflammatory drugs. Reduce the level of inflammation in the joint and reduce pain. They are represented by a very wide range of medicines: Indomethacin, Diclofenac, Ibuprofen, Aertal, Voltaren, Navalis, etc.
Normalization of metabolic processes in the cartilaginous tissue( chondroprotectors glucosamine and chondroitin sulfate).These substances help to repair damaged cartilaginous tissue and improve the production of joint fluid. Their effect in the initial stages of osteoarthrosis is particularly pronounced, and their application is completely useless with almost complete destruction of the cartilage( 3rd stage).
Chondroprotectors are available in the form of injections, ointments, creams and gels. Their representatives: Arthra, Rumalon, Structum, Alflutop, etc.
Gout, systemic lupus erythematosus and Bechterew's disease cause inflammation of the ankle joint. Inflammation of the joint occurs when microbes penetrate into the injured joint from the blood and lymph.
Inflammatory arthritis occurs with pronounced symptoms: severe pain, stiffness in the morning, swelling and redness in the joint area, fever, significant reduction in motor activity.
There are many causes of arthritis of the ankle. So, with Bechterew's Disease, as a result of the increased level of aggression of one's own immune system against their tissues, an inflammatory process in the joint tissues is formed. Elastic connective tissue structures begin to be replaced by bone tissue, which leads to complete immobility of the joint.
With gout , urinary crystals are deposited in the joint tissues. Around the joint, gouty granulomas are formed.
Post-traumatic arthritis is the most common form of arthritis. It occurs when the ligaments, bones, cartilage and joint capsule are damaged.
reactive arthritis occurs when infection from other organs enters the joint. Most often from the intestine and urogenital system. Today until the end of the disease has not been studied. It is believed that a great role is played by genetic predisposition.
The disease always begins acutely and is accompanied by a worsening of the general condition. There is swelling, swelling of the joint, a change in the color of the skin. Often reactive arthritis includes a symptom complex: inflammation of the mucous membrane of the eye, urethra, intestines and skin. Treatment of reactive arthritis includes immobilization of the joint, the appointment of non-steroidal anti-inflammatory drugs and antibiotics, vitamin therapy. If necessary, the introduction of drugs into the joint. The therapeutic effect is fixed LFK, massage and fizioprotsedurami.
Achilles of the ankle can be caused by inflammation of the Achilles tendon, which occurs during overloads in athletes, congenital defects( shortening of the tendon at birth), and in women, when the long tendon of high-heeled shoes begins to shorten the tendon, with the deposition of calcium salts intendons, arthritis, including gouty.
The disease is accompanied by severe pain due to inflammation of the place where the heel bone and Achilles tendon connect.
The aim of the treatment is to relieve inflammation and pain, loosen fibroids, destroy calcium salts, restore blood flow:
Author of the article: Muravitsky Igor Valerievich, rheumatologist
Anatomical structure and position of the ankle makes it vulnerable, since it is the main body load that is responsible for it. Also, its mobility can serve as an excuse for various sprains, dislocations of injuries and more serious diseases. That's why with the problems of the ankle joint, patients are often treated with different diagnoses.
In some cases, the cause for treatment may be pain, a feeling of bone crunching, numbness, decreased mobility of the foot. In others, they can notice redness of the tissues, an increase in the local temperature of the skin in the ankle region, as well as swelling of the ankle joint.
Ankle joint swelling
Why does the ankle swell up and what can cause this phenomenon? As a rule, the diagnosis of a swollen ankle is not difficult, because with an external examination, the puffiness of the adjacent soft tissues, their reddening, thickening of the foot and pulsation immediately upon palpation at the time of examination is immediately evident. However, various factors can provoke swelling of ankle joints. Their search is the main difficulty in diagnosis.
Inflammation of all soft tissues of the joint and epithelium
However, modern diagnostic tools, such as X-ray, magnetic resonance imaging, CT are reliable sources for finding out the true cause of swelling and swelling of the ankle. It is important to understand that an ankle tumor, as such, is only an external symptomatic expression, not the cause itself.
To date, physicians have identified a range of causes that can cause inflammation, swelling and swelling of the foot joint. Causes of swelling of the ankle:
- Experiencing traumatic consequences. These include strokes, bruises, injuries, fractures and cracks, sprains, dislocations, which can lead to improper development of synovial fluid and, as a result, tumors of the foot.
- The presence of a different disease that triggered the appearance of the tumor: diabetes, endocrine disorders, synovitis, gout, arthritis and arthrosis. In this case, the tumor is only one of the many symptoms, the treatment of which requires the elimination of the cause itself.
An ankle tumor is accompanied by inflammation of all soft tissues of the joint and epithelium.
Inflammation of the ankle joint, the symptoms of which are as follows:
- The marked swelling of the soft tissues, which in particularly difficult cases extends to the ankle. May cause a decrease in motor activity;
- Pain sensations, which are amplified at the time of flexion and extensor movements;
- Increased local temperature in the joint region;
- Sensation of pulsations;
Inflammation of the ankle
Inflammation of the joint caused by arthritis or arthrosis
The most common cause of swelling and swelling in the ankle is inflammation. However, inflammation in the joint can be provoked by a number of diseases of the musculoskeletal system. So, for example, with gout of the ankle, inflammation is caused by an excess of uric acid, the deposition of salts. In this case, inflammation of the ankle joint is accompanied by strong, sharp, pricking pains, which completely paralyze the affected person, cause heat, fever.
In the event that the inflammation of the joint is caused by arthritis or arthrosis, the tumor may not appear immediately. Puffiness can take place after some rest, raising the temperature can affect only a specific area of the ankle, but as arthritis or arthrosis progresses, swelling and inflammation can increase. In these cases, it is important to fully diagnose the cause of the inflammation, with the appointment of an MRI, CT or X-ray. Inflammation of the ankle photo from the x-ray can determine the etymology of the problem.
Inflammation of the ankle joint and its swelling may be triggered by a synovitis. In this case, puffiness is maximally pronounced, since a disruption of the release of lubricant synovial fluid in the joint bag occurs. Incorrect release of it provokes a strong swelling, accompanied by a sharp increase in temperature, pulsations and pains, increasing by evening.
When a tumor needs to be applied a cooling compress
Swelling of the ankle what to do is an urgent issue, for all those patients, the cat encountered such a disease. However, it is impossible to answer it without collecting a complete history, since it is impossible to find an adequate treatment without establishing the true cause. There are a number of recommendations that can lead to an improvement in the situation at home, but they are not therapy. The patient should:
- Refuse to wear tight, uncomfortable shoes, high-rise shoes, and high heels;
- Observe the regime of maximum relaxation, reduce the level of stress on the foot;
- Apply cooling compress;
- Take medications with analgesic effect.
These are only those measures that temporarily help reduce pain and swelling, but swelling of the ankle requires treatment only after the diagnosis is made.
If the swelling is caused by a trauma, the most actual methods of treatment are: immobilization of the foot, the imposition of tires, tight bandages, gypsum.
The patient is recommended to comply with bed rest, and then, within the rehabilitation period, it is necessary to perform a set of special exercise therapy.
How to treat ankle inflammation if its genesis is caused by a number of other diseases of the musculoskeletal system( arthrosis, arthritis, gout, synovitis, etc.)?In this case, the therapeutic effect will be sustained, systemic and complex, while the patient will need to adjust his personal lifestyle, change diet, adherence to protein-vitamin diets. An ankle swelling in this case is treated:
- Operatively-surgically, if the cause of inflammation, swelling and swelling are irreversible deformations in the anatomical structure of the joint due to arthritis or arthrosis. At the same time, they can prescribe pumping out synovial fluid from the joint bag.
- Medicated. Drug treatment includes the administration of non-steroidal anti-inflammatory drugs. They have a powerful analgesic effect, reduce the inflammation of bone and soft tissues in the joint. These are: nemid, nimesil, ketanov, ketalorak or analgin.
- If swelling of the ankle joint treatment may include therapy with ointments. These drugs help to reduce local temperature, reduce edema, normalize blood flow, remove redness of tissues.
- Physiotherapy is one of the most effective methods of influencing serious diseases like arthrosis, arthritis, gout, which leads to prolonged states of remission. The patients are prescribed hirudotherapy( treatment with leeches), magnetic therapy, electrophoresis.
Inflammation of the ankle joint as treated at home? This question is also relevant, as the patient needs his own contribution to recovery. In view of this, the victims are prescribed the performance of gymnastic exercises, the action of which is aimed at relieving muscle tension in the joint, strengthening the tendons, muscles and ligaments, increasing the mobility of the foot. Such exercises allow not only to remove the symptom: swelling, inflammation and puffiness, but also to eliminate the cause that gave birth to them.This entry was posted in the Ankle.
Ankle joint swelling |All about joints
The ankle hurts: what to do, the causes of pain while walking
Pain in the ankle when walking or at rest can be a symptom of destructive diseases of the cartilaginous, tendon and bone tissue. It is not uncommon for the pain syndrome to occur with lamperic pain in the background of lumbosacral osteochondrosis, accompanied by a pinch of the sciatic nerve. Causes of pathologies can be different and vary from sprains in the presence of increased physical activity to deforming osteoarthritis. To establish precisely these factors can only the doctor in the presence of the results of radiographic or tomographic examination. Therefore, if you have this symptom, you need to see a doctor immediately. Beforehand, a tight bandage should be applied to exclude the concomitant injury on the background of sprain. It is desirable to ensure complete rest of the patient's limb until the diagnosis is established.
The main causes of pain in the ankle
As mentioned above, the causes of pain in the ankle may include stretching of the ligaments. It is not rare that they are combined with microscopic ruptures of the tendons and injuries of the muscle tissue. Usually the pain in this case arises suddenly after you have twisted your leg, stumbled, or failed to land after the jump. Cases of sprains of the ankle joints become more frequent in winter with ice on the sidewalks. In the risk group are people who are actively engaged in mobile sports and weightlifting.
Another reason for the constant aching pain in the ankle joint is the destruction of the cartilaginous tissue in the lumbar and sacral spine. At the same time, the pain syndrome is not isolated. It captures the entire outer or inner surface of the thigh and lower leg. The pain may be shooting or pricking. Treatment in this case affects the underlying disease, such as a herniated disc, osteochondrosis or protrusion. To treat separately the ankle joint makes no sense.
The ankle hurts when walking
If you have an ankle joint while walking and there are no unpleasant feelings at rest, the reason for this symptom should be sought in several directions. First of all, it is necessary to exclude the heel spur. This is a proliferation of bone tissue with an inflammatory process in the lower part of the calcaneus. The osteophyte is formed with malnutrition, wearing poor-quality footwear or against the background of long-lasting degenerative processes in the ankle. An enormous role in the pathogenesis of this disease is played by the incorrect setting of the foot. And clubfoot and flat feet have the same destructive effect. Pain in the ankle when walking in this case is acute. Soft tissues are traumatized. There may be purulent aseptic arthritis.
Another common cause of this symptom is the sprain of the ligamentous apparatus. It is differentiated by the causal relationship between the fall, the impact of the dislocation and the development of a clinical picture of this type. To exclude bone cracks, tearing of muscle fibers, urgent consultation of a traumatologist is necessary.
The leg in an ankle
constantly hurts If at you a trauma was not, but the leg in an ankle always hurts, it is necessary to exclude an arthrosis and an arthritis. Usually, these diseases develop in people who, during their professional duties, are forced to spend a long time on their feet. Increasing the physical load on the musculoskeletal system increases the chances of destruction of the cartilaginous tissue.
Arthritis is characterized by reddening of the skin, the appearance of swelling around the ankle joint, the difficulty of movement when flexing and unbending the foot. With the support of the heel, the pain does not increase. A person can move independently. Lame appears only in neglected cases. With arthritis of traumatic etiology, the pain in the ankle joint is localized on one limb. In both rheumatoid and reactive inflammatory processes, both limbs are involved. In this case, there may be co-morbid pain in other large joints.
Arthrosis of the ankle is a rare disease that affects mainly elderly people. The risk group includes people who for a long time worked as porters, sellers, painters, plasterers, turners, welders. Sometimes it occurs as a professional disease in athletes. Against the background of constant increased physical exertion, there is a proliferation of bone tissue with concomitant destruction of the cartilage. X-ray photographs show pathological foci. When walking, they irritate soft tissues, and reactive inflammation occurs.
Severe pain in the ankle
Severe pain in the ankle is an occasion for urgent medical attention. It is important to exclude injuries in time, which can be aggravated without proper first aid. First you need to put a tight bandage. After this, try to keep your foot in a horizontal position. This will reduce swelling and reduce the manifestations of pain.
Be careful. Cracks in the calcaneus can also appear in a similar way. For their occurrence, a jump from a small height with a landing on the heel can be sufficient. Also, cracks occur in the case of tangential lateral impacts.
Another dangerous situation is the rupture of tendons during a fall or dislocation. In this case, further movements in the ankle can only aggravate the situation by increasing the area of the wound surface and increasing internal bleeding. Typical signs of this condition: massive bruising, severe pain, restriction or lack of mobility in the ankle.
The ankle hurts: what to do?
What should I do if my ankle hurts? First of all, you need to understand the cause of this symptom. This requires special surveys. If possible, it is better to do a CT scan. If you suspect rheumatoid and reactive conditions, you need to give a general blood test and rheumatoid analysis. When a purulent inflammatory process is detected, which is accompanied by poor overall health and an increase in body temperature, antibiotic therapy is indicated.
In destructive processes, it is important to restore normal blood supply to affected tissues. For this, the optimal method is manual therapy. This is a safe and effective treatment of ankle joints, including in the rehabilitation period after trauma.
In our clinic you will be offered a free consultation of a specialist, the development of an individual program for restoring the health of joints and the spine. For treatment, osteopathy, reflexology, therapeutic massage and physical education are used. We offer a quick relief from pain without the use of dangerous non-steroidal anti-inflammatory drugs and surgical intervention.
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