The reasons why the ankle joint hurts are many. It can be injuries, diseases – arthrosis, arthritis, gout, inflammatory processes caused by bacteria and viruses. Pathology is manifested by a different type of pain – acute, aching, paroxysmal. To know the exact cause of arthralgia, you should consult a doctor. The specialist will recommend the necessary diagnostic procedures and prescribe effective treatment.
- The reasons why ankle joints hurt
- Injuries: dislocation and fracture of the calcaneus
- Cartilage destruction (arthrosis)
- Inflammation of the joints (arthritis)
- Gouty arthritis
- Achilles tendon tendonitis (achillitis)
- Infectious diseases
- Ankle pain during pregnancy
- Pain when walking
- Treatment: what to do?
- Medication Therapy
- Physiotherapy and healing exercises
- General recommendations
- Ankle pain – causes and treatment methods
- Causes of ankle pain
- Other reasons
- First a >
- Which doctor treats ankle pain?
- Treatment of ankle pain
- Useful video about ankle pain
- Pain in the ankle joint
- Pain in the ankle joint
- Why does the ankle hurt and how to get r >
- Treatment of ankle pain
- Medication Therapy
- Why does the ankle joint hurt – what to do, what and how to treat?
- Features of the structure and function of the joint
- The main causes of pain
- Mechanical damage
- Infectious and inflammatory pathologies
- Degenerative-dystrophic joint changes
- Deposition of salts in the joint
- Other pathologies
- Ankle Treatment
The reasons why ankle joints hurt
Injuries: dislocation and fracture of the calcaneus
Multiple bone fissures during stress fractures can only be determined on an x-ray, so a doctor’s consultation is required.
The heel and the talus are held in place by a group of ligaments. Due to adverse factors, the ligamentous apparatus stretches, the fibers weaken and break, cease to fulfill their function, and dislocation occurs. With a fracture in the heel, a crack forms. The condition is accompanied by edema, aching pain, which intensifies when walking, the appearance of an extensive hematoma. With fragmentation fractures it is impossible to move. Pain in the ankle joint in children and adults can appear due to jumping, landing unsuccessfully on the feet. You can also be injured in the following circumstances:
- falling from height;
- infringement of the foot in the door leaves;
- direct hit on the foot with a heavy object;
- micronutrient deficiency, provoking weak bones and ligaments;
- regular load on the legs, causing stress fracture of the heel.
Damage occurs when exposed to a force exceeding the strength of the connective tissue and muscles. At the time of injury, sharp sharp pain occurs. In the area of damage, swelling and limitation of mobility are observed, the bone is strongly swollen and sore, the ligaments in the left and right joints ache. Burning pain in the ankle in children and adults with stretching occurs for the following reasons:
- wearing tight, uncomfortable high-heeled shoes;
- turn of the leg from the inside or toe forward;
- extreme sports;
- jerking movements for a limb.
Cartilage destruction (arthrosis)
Healthy cartilage provides cushioning in the joints of the knees and ankle. With arthrosis, the cartilage becomes thinner, loses elasticity, articular heads become rough due to constant friction. There is severe pain in the joints, a crunch or creak is heard during the movement of the foot, the movable joint is deformed. It takes a long time to treat arthrosis, and it may take a year to recover. The problem arises due to the following adverse factors:
- trauma, especially untreated;
- regular weight lifting;
- sports, where the load on the legs dominates;
- wrong shoes;
Inflammation of the joints (arthritis)
The disease manifests itself as an independent or occurs against the background of other pathologies. More often occurs in the knee. Arthritis in acute form has pronounced signs: the temperature rises – local and general, the affected joints swell, redden, hurt during movement and rest. In chronic arthritis, the symptoms are smoothed. Pain appears at night, stiffness in the joints in the morning, visualization of limb deformation, muscles atrophy. Often, the disease affects the ankles of both legs. Arthritis and pain in the ankle joint occurs for the following reasons:
- infectious diseases;
- autoimmune and systemic disorders;
- hormonal failures;
- incorrect vaccination;
- metabolic decline.
Due to impaired renal function, sodium urate is not excreted from the body – uric acid, which with the blood stream enters the joints and accumulates there. The attack often occurs at night and is accompanied by swelling, redness and hyperthermia of the skin in the ankle joint, in advanced cases, urate nodes are formed under the skin. The pain is severe and sudden. The condition is provoked by the following factors:
- eating foods high in purines;
- bad habits;
- renal insufficiency.
Achilles tendon tendonitis (achillitis)
The disease is characterized by the presence of an inflammatory process in the calcaneal tendons. The ankle hurts after football or other physical exertion, as well as when you press the heel from the back and side. In the chronic course of the disease, the tendon thickens, loses elasticity, the calf muscle is tense, flexion and mobility in the ankle are difficult, burning sensation is felt, local temperature is elevated, swelling appears. The condition is provoked by the following circumstances:
- regular exercise;
- flat feet;
- uncomfortable shoes;
- the appearance of growths (Haglund deformation);
- infectious ailments.
Malignant or benign tumors – osteoma, fibroma, lipoma, sarcoma, cyst, can cause pain in the leg. Ailments are manifested by pain in the middle of the night in the muscles or the heel, a feeling of numbness, if the formations compress the nerves, limited mobility. If the sphenoid bone is affected, the upper foot hurts. The causes of tumors are as follows:
- long stay in ecologically polluted areas;
- regular contact with toxic substances;
- infectious ailments;
- helminthic invasions;
- proliferation of adipose or fibrous tissue.
If the body has an inflammatory process, pathogenic microorganisms enter the joints with blood flow and develop. Especially bacteria and viruses are activated with weakened immunity during the period of infection with influenza, acute respiratory viral infections, tonsillitis, sexually transmitted diseases. With an infectious lesion, the bones and joints in the knees and ankle ache, pain occurs, and motor functionality is impaired. Such microorganisms provoke pathology:
- streptococci and staphylococci;
- Koch’s wand;
- various helminths of small size.
Ankle pain during pregnancy
During the period of bearing a child, a woman increases the load on the joints of the ankles and feet. Often during pregnancy, the appearance of edema is observed due to impaired renal function. Future mothers are worried about fatigue pain that can spread to their knees. If a woman did not have injuries of the ankle or ailments of ODE, then soreness occurs due to the following factors:
- a large load on the spine or lower limbs, especially in the 3rd trimester;
- sedentary lifestyle;
- impaired blood circulation in the legs due to the habit of sleeping on the back;
- systemic disorders.
Pain when walking
The main factors that cause pain when walking for no apparent reason are injuries in a subacute or chronic condition, namely:
- subluxation of the ankles;
- tears of ligaments;
- crack in the bone;
- heel spur;
- undiagnosed flat feet.
Since pain in the ankle joint has a different etiology, several specialists need to be examined. When the right and / or left ankles are ill, you should visit a traumatologist, orthopedist, arthrologist, rheumatologist, endocrinologist if hormonal pathologies are present. Which doctor should be consulted by the therapist. If there are problems with the joint, it is recommended to undergo the following procedures:
- general and biochemical blood test;
- computed or magnetic resonance imaging;
Treatment: what to do?
Depending on the etiology, different medications that the doctor prescribes are recommended. Self-medication is prohibited. With traumatic injuries and pain with arthritis or arthrosis, anti-inflammatory and analgesic ointments should be used, such as:
Chondroprotector treats and restores cartilage tissue. Recommended medicines “Arthra”, “Don”, “Chondroxide.” Bones and joints can be strengthened with preparations with calcium and vitamin D: Calcium D3 Nycomed, Aquadetrim, Calcemin, Calcium Gluconate. Infectious diseases are recommended to be treated with antibiotics or antiviral drugs, which are prescribed individually.
Physiotherapy and healing exercises
Treatment of the ankle joint includes the following physiotherapeutic methods:
- ultrasound exposure:
- magnetic therapy;
- warming applications with ozokerite and paraffin;
- infrared radiation.
If the knee is sick, it is difficult to walk, it is painful to step on the leg, the ankle is aching, it is recommended to do the following rehabilitation exercises to relieve pain and alleviate the condition:
- circular rotation of the foot;
- turning the legs up and down and to the side;
- breeding and mixing fingers;
- roll from toe to heel and vice versa;
- ball ankle massage.
During the period of treatment and rehabilitation should follow a diet. Especially carefully you need to treat the diet with gout, remove beer, offal, legumes and chocolate from it. Foods rich in calcium and vitamins C and D are useful for bones and joints: citrus fruits, dairy products, and seafood. Soreness in the ankle passes if you use special orthopedic shoes and insoles.
Ankle pain – causes and treatment methods
Photo from dom-zdorov.online
The majority of patients do not take the problem with the ankle seriously and begins to experiment with various lotions, compresses and rubbing. Doing so is not recommended. The fact is that the nature of the pain in the ankle is directly related to the causes, so treatment should be started only after diagnosis.
Causes of ankle pain
Why do the joints connecting the foot to the leg bone hurt? There can be many reasons. The joint has an unusually complex structure and connects the surfaces of three bones at once, to which several ligaments are attached. Therefore, problems with any of these elements can cause discomfort.
Most often, pain in the ankle joint occurs when walking and indicates injury. At the same time, excruciating sensations are characterized by inconstancy. The more specific nature of the ailment is typical for pathologies of the musculoskeletal system or damage to internal organs.
The most common cause of ankle pain. Such injuries can cause excruciating sensations:
- damage to the ligaments of the inner and outer surfaces of the joint;
- calcaneus or ankle fracture;
- dislocation with displacement and without.
If the ankle hurts while walking, the cause is most likely damage to the ligaments. This is a fairly common trauma that patients receive without noticing it themselves. Depending on the degree of damage, there are 3 stages of malaise:
- Easy. It is manifested by redness of the skin over the site of damage and pain while walking.
- Medium. It is accompanied by tangible discomfort in the joint and impaired motor activity.
- Strong She is accompanied by acute bone pain with the inability to lean on her leg. The ankle joint increases in size, reddens and becomes hot to the touch.
If the limb hurts from the inside, this indicates a rupture of the medial ligament. In case of discomfort on the right or left on the outer surface of the ankle, one can assume an injury to the calcaneofibular or anterior (posterior) talus-fibular cord.
The ankle hurts when walking and after a joint or heel fracture. In this case, the patient has the following symptoms:
- severe swelling with hematoma;
- sharp pain;
- foot displacement to the side.
The appearance of excruciating sensations in the heel also indicates a crack or fracture. This is a fairly rare injury encountered after a failed jump or fall from a height.
Another culprit of pain in the ankle while walking can be a dislocation of the joint. Such trauma often occurs in overweight patients and people with weak ligaments. If subluxations follow one after another, the risk of developing arthrosis increases sharply. Joint displacement of the bones is manifested by edema, hematoma, severe soreness. The joint thickens and changes shape.
It happens that the discomfort in the joint occurs without injury. The cause of pain in the ankle joint is the pathology of the cartilage, among which the following are most important:
Arthritis affects the synovial membrane of the joint. The leg in the ankle swells, a feeling of stiffness in the morning appears, mobility is impaired. The joint area turns red and becomes hot. Soreness more often occurs at night. Cartilage deformation gradually develops, nearby muscles atrophy.
Why does the ankle joint still hurt? The culprit of the ailment may be arthrosis, in which the destruction of the entire musculoskeletal system occurs. The main symptoms of this ailment are:
- aching joint pain;
- crunching while moving;
- ankle swelling (noted after exercise and in the morning);
- deformation of bone and cartilage joints.
The ankle joint also hurts with achillitis. The disease is manifested by inflammation of the calcaneal tendons, discomfort during walking. In the chronic form of tendonitis, the patient complains of burning and tension in the calf, pain in the ankle joint, swelling and loss of flexibility. Over time, tendons thicken and shorten, lameness and rapid tiredness from walking appear.
If the ankle hurts at night, it is most likely a gout. The discomfort is so strong that it is impossible to touch the inflamed joint. In this case, the lesion site swells and reddens. The patient cannot walk and is forced to maintain bed rest throughout the acute period.
Soreness in the ankle joint can also occur when the venous circulation in one or both limbs worsens. Discomfort is provoked by swelling and squeezing of tissues. There is a feeling of heaviness in the legs, rapid fatigue when walking. Sometimes pain in the ankle joint becomes a sign of infectious inflammation of both the joint itself and the muscles adjacent to it.
Often the ankle joint swells and becomes inflamed for no apparent reason. The patient did not fall anywhere, did not hit and did not tuck his foot, and it hurt to stand on his leg. A variety of factors can provoke this condition:
- Osteochondrosis of the lumbar. In this case, the discomfort is sharp, shooting character.
- Malignant tumor. The leg, as a rule, begins to hurt already in the late stages of the lesion. Discomfort occurs at night or when the patient is in a horizontal position for a long time. If the neoplasm captures the sphenoid bone, the pain is localized not only in the ankle joint, but also spreads to the top of the foot.
- An increased load on the joint during pregnancy leads to unpleasant sensations.
The cause of pain in the ankle can be uncomfortable shoes, high-heeled shoes, standing work, too tight elastic on the toes.
First a >
Photo from the website pielegniarkadodomu.pl
First aid is usually required when injured. It consists in the following actions of the victim himself or those present nearby;
- fixing the ankle with a bandage or any suitable dressing;
- limiting the load on the leg;
- applying ice to an inflamed area.
For severe joint pain in the ankle, 1-2 tablets of an analgesic (Ibuprofen, Diclofenac) should be taken or, if the condition allows, apply an anti-inflammatory ointment (Voltaren, Troxevasin).
To eliminate serious joint damage, you should approach a specialist as soon as possible. If there is a fracture or rupture of the ligament, it is necessary to call a team of doctors.
With exacerbation of gout, first aid is to provide rest and quick pain relief. The affected leg should be kept in an elevated state, an ice compress (pieces of ice wrapped in a napkin) should be applied to the inflamed area. This method helps to reduce the intensity of pain and reduce swelling.
Which doctor treats ankle pain?
Which doctor should I go to when the ankle joint is aching? First of all, you need to go to a traumatologist. Even if the leg does not hurt due to a fracture or rupture of ligaments, the specialist will examine and prescribe treatment or refer to another doctor.
If there is no such profile in the local clinic of a doctor, it is recommended to visit a local therapist or make an appointment with a family doctor.
Several diagnostic methods are known with which to determine the cause of pain in the ankle joint. First, the doctor conducts an external examination of the patient with palpation of the joint, asks about the symptoms and specifies the time of occurrence of discomfort. To confirm the initial diagnosis, a number of laboratory and instrumental studies are performed:
If the pain in the ankle started unexpectedly and is not a symptom of trauma or pathology of the motor apparatus, a complete clinical examination is prescribed for the patient.
Treatment of ankle pain
What to do if the ankle joint hurts and achs? The articulation must be seriously treated, and the methods of therapy should depend on the cause of the discomfort.
With bruising, slight sprain or subluxation, you can do the usual home care. Fracture and rupture of cords requires hospitalization. Such damage is treated long and hard.
Basic principles of ankle joint therapy for trauma:
- immobilization of the joint with a plaster cast or orthosis;
- the use of NSAIDs and painkillers – Analgin, Ibuprofen, Aertal, Nimesil, Nemuleks, Ketorol;
- surgical intervention if necessary;
- the use of orthopedic appliances.
During the recovery period, the patient is prescribed physiotherapeutic procedures, exercises to restore the flexibility of the joint.
When the ankle joints are sore against the background of a synovia lesion or cartilage tissue dystrophy, the following drugs are used:
- Anti-inflammatory drugs of the non-steroidal group – Voltaren, Diclofenac, Ortofen. They can be in ointments, injections or tablets.
- Chondroprotectors – Arthra, Structum.
- Glucocorticoids – Prednisone, Betamethasone, Triamcinolone.
If the ankles on both legs hurt, the treatment is carried out similarly to the above.
To combat gouty inflammation, analgesics and NSAIDs alone are not enough. The patient is recommended medications to reduce the level of hyperuricemia: Colchicum, Allopurinol, Adenurik.
If the ankle joint hurts due to damage to the veins and the legs get very tired when walking, treatment involves the following measures:
- the use of local drugs to improve blood flow (Troxevasin, Venorutan, Heparin ointment, Lyoton, Dolobene);
- wearing compression underwear;
- daily limb massage.
Therapy allows, if you do not completely get rid of the disease, then significantly improve your well-being, relieve inflammation and swelling, and stop the further development of pathology.
In general, the main treatment for pain in the ankle joint should be aimed not so much at alleviating the symptoms as at eliminating the root cause of the discomfort. Therefore, if any unpleasant sensations in the joint appear, you should consult a doctor, and not engage in amateur performances. After all, not only bruises and dislocations, but also other, much more serious ailments, can provoke malaise.
Posted by: Elena Medvedeva, Doctor,
specially for Ortopediya.pro
Useful video about ankle pain
List of sources:
- Restoring the shape and function of the ankle joint / O. V. Oganesyan, S. V. Ivannikov, A. V. Korshunov // Binom, Medicine, 2003.
- Joint diseases. Manual for Doctors / Ed. V.I. Mazurova.// St. Petersburg SpetsLit, 2008.
- Joint diseases / O. N. Rodionova. // M .: Vector, 2012.
Pain in the ankle joint
Pain in the ankle joint is manifested by damage to one of the three bones – tibia, fibula or talus. The muscles in the joint area help the leg move with back and plantar flexion.
Pain in the ankle is formed from contusion, dislocation, bone fracture, sprains, arthritis or arthrosis. With arthritis, it is quite easy to detect inflammation, as other joints begin to become inflamed. At this point, the ankle swells, and at night the symptom intensifies.
At the moment when the leg begins to hurt for the first time, many patients are interested in the question of why such a process occurs and what it is caused by. Quite often, the cause of the syndrome becomes diseases for which ankle pain is characteristic. These pathologies include:
- mechanical damage to the ankle joint and foot;
- dystrophic ailments;
- pathologies of an inflammatory nature in the joints;
- Achilles tendon damage.
Ankles hurt, usually from damage. Etiology includes sprain, fracture of the outer ankle, posterior edge of the tibia, phalanges of the toes, bones in the heel or dislocation of the foot. This damage can be provoked by turning the foot in or out, falling from a height on the heel or on the foot.
Subluxations are often diagnosed in people who are overweight, or with a weakened ligamentous apparatus. Weak ligaments provoke that a person often tucks his leg. As a result, the swelling of the leg begins, which takes several weeks. If the patient often exhibits dislocations of the leg, arthrosis may develop, as the cartilage in the joint is damaged.
From severe injuries of the ankle, a person may develop a serious complication that will provoke increased pain. Often with improper therapy, people develop deforming arthrosis of the joint. Such an ailment can provoke various additional symptoms, for example, swelling of the joint, pain in the muscles of the leg and restriction of movement.
Sick in the ankle joint can not only from a violation in the musculoskeletal system, but also from other causes. Such pathologies and factors can provoke the development of the syndrome:
- unbalanced nutrition;
- standing work;
- insect bite;
- systemic lupus erythematosus;
- wearing substandard or inappropriate shoes.
As a result of these factors, an ankle joint may hurt in a person, which provokes the development of various musculoskeletal disorders.
The ankle joint hurts when walking for various reasons and with different intensity. If a sprain was the provoking factor, then the person feels a sharp pain and a small tumor forms on the leg. If you touch the ankle, then a more severe attack of the syndrome occurs.
With a fracture of the external ankle, the patient feels the same signs and strength of pain. However, if the patient has two ankles damaged and the foot is dislocated, then the joints begin to rapidly increase in volume. A person is constrained by all movements and with slight movement, he feels sharp pains. Touching an inflamed place in the ankle, a person feels a strong attack of pain.
If the calcaneus is damaged, the heel turns outward and thickens, and the entire foot also increases. The patient cannot stand on his foot due to a sharp pain syndrome, when the heel is pressed, the symptom intensifies.
With a fracture of the diaphysis in the metatarsal bones, a hematoma forms in the patient, the leg increases and severe pain is felt when a person moves the forefoot.
In case of dislocation and subluxation, the ankle is also damaged. The patient is diagnosed with a thickening and a change in the state of the joint, the heel unfolds inward. A large hematoma appears on the opposite side of the patient. A similar type of dislocation is often manifested in overweight people.
Another cause of leg tucking may be the weakness of the articular ligaments. After a person injures his leg, a tumor and edema immediately appear on the inflamed area.
With deforming arthrosis in the patient, the entire musculoskeletal system may be impaired. In each person, this pathology manifests itself in various symptoms and with a different nature. However, clinicians have identified several signs that exactly appear – a joint tumor, muscle pain, limited movement, impaired gait. The patient worsens pain when walking, especially when walking long distances.
In case of pain in the ankle joint when walking, you should seek medical help from a medical institution where an examination will be carried out and treatment will be prescribed.
To establish why a swelling of the leg appeared, the patient needs to consult a traumatologist or orthopedist. Diagnosis of the disease begins with a complete examination of the patient, clarification of the clinic. The patient is assigned instrumental examination methods:
- CT scan;
- Magnetic resonance imaging.
After a full examination, the doctor can prescribe an individual treatment to the patient, depending on the detected ailment.
Pain in the ankle joint has individual causes and treatment, which are based solely on the diagnosis. For the treatment of this disease, doctors prescribe drugs and to achieve such goals:
- improve blood circulation;
- reduce the permeability of the vascular walls;
- eliminate exudate;
- improve vein tone.
At the beginning of therapy, doctors are allowed to use painkillers and ointments to reduce pain. Treatment with such agents can be carried out at home. If the cause was more severe ailments, arthritis or arthrosis, then it is advisable to choose non-steroidal drugs.
Medicines for pain in the back and joints often reduce pain and inflammation, but do not help restore the structure of the cartilage.
As a means of improving the structural state and metabolism of cartilage, dietary supplements can be applied to the food line “Glucosamine-Maximum”, which contains two active components: glucosamine and chondroitin. These substances are natural structural elements of healthy cartilage tissue, and are directly involved in metabolic processes.
Due to their natural nature, they are well absorbed and stimulate the metabolism in cartilage cells, contribute to the restoration of the structure of cartilage tissue after the inflammatory process.
If the aching pain in the ankle area developed from trauma, then the patient can not do without the help of a doctor. In this case, the patient is recommended to quickly provide first aid:
- immobilize the leg;
- make a cold compress;
- apply a tight bandage when stretched;
- keep your foot slightly elevated to reduce blood flow.
Doctors provide specialized help to the patient to relieve pain and swelling in the ankle joint:
- diagnosis of trauma;
- the use of painkillers;
- immobilization of a damaged limb with a bandage;
- with a complex fracture, an operation is performed;
- so that the bone fuses faster or heals the wound, the leg must be left alone;
- physiotherapy is possible;
- ointments for healing;
- taking medications to regenerate cells and to prevent infection.
If a person has an ankle joint very often, then what should be done to eliminate the symptom? To reduce the spread of the syndrome to the knee, foot and entire leg, doctors sometimes recommend using folk remedies. You can treat the symptom with compresses on kefir, chopped onion and soap and salt solution. By eliminating pain in the ankle joint and at the top of the foot in the traditional way, doctors must prescribe physiotherapy, massage, UHF treatment, phonophoresis, magnetotherapy, and laser therapy to patients.
Pain in the ankle joint
Why is the ankle vulnerable?
The ankle itself is a ring of three bones: the central part is the talus, and on the sides are the tibia and fibula. They are interconnected by tendons and muscles, performing flexion and extension of the toes, various movements of the foot. The displacement of bones is prevented by the ligaments that fix the joint. The bones of the ankle are very strong: they provide stability to the position of the human body and withstand the main load when walking.
Increased motor activity of this part of the leg contributes to the fact that problems in it are a fairly frequent phenomenon. According to statistics, pain in the leg shin is one of the most common reasons for contacting medical specialists.
As a rule, pain in this area is accompanied by other symptoms, for example:
• swelling of the ankles / ankles;
• redness of the skin over the joint;
• elevated temperature of the local area of the skin;
• characteristic crunch;
• violation of the mobility of the foot.
To make a diagnosis, the patient is usually prescribed radiography or MRI. In the clinics of Tibetan medicine, traditionally eastern methods are added to these diagnostic methods:
• a survey, which is a conversation with the patient about the lifestyle of the latter, his nutrition, nature, frequency of stressful situations encountered on his life path, etc .;
• examination, including palpation of the lower extremities, bioactive points, as well as the study of the appearance of the mucous membranes, proteins of the eyes, nails and hair, skin;
• pulse diagnostics, which consists in listening to and analyzing the frequency and other parameters of heart contractions in various places of passage of arteries.
Pain in the ankle joint. Possible reasons
Discomfort and discomfort in the legs can cause reasons, both objective and hidden, not obvious at first glance. Sharp pain in most cases indicates injury, while less intense can be a sign of a variety of, and not always harmless, diseases.
Damage. Sprain, fracture of the ankle, metatarsal, calcaneus, tibia, toes, crack in the bone, dislocations and subluxations can cause acute pain in the ankle when walking and at rest. Typically, the patient injures his leg, unexpectedly tucking it, jumping from a height or dropping a heavy object on it. A damaged limb swells, it hurts greatly, foot mobility is limited, its deformation and the appearance of a hematoma are possible. Injuries to the ankle joint are caused by untrained and weak ligamentous apparatus, excessive weight and increased load on the joint, unexpectedly increased physical activity. If the first two conditions occur, then the lesions usually recur and subsequently provoke the onset of cartilage destruction and the development of arthrosis.
Arthritis and arthrosis of the ankle.
This is the most common cause of the type of pain that interests us. Worn or damaged cartilage tissue ceases to protect the joint, an inflammatory process occurs. Arthritis worries a person mainly at night, and arthrosis creates discomfort, usually during the day. The initial stages of the disease pass with mild symptoms, which makes it difficult to start treatment on time. However, one must be wary if there is pain in other joints: as a rule, arthritis affects more than one bone joint.
Gout. The specific type of gouty feet is a distinctive feature of the nineteenth-century aristocrats, distinguished by immoderation in food and addiction to fatty meat and alcoholic beverages. Excess purines and metabolic disorders led to and deposition of salts and excess uric acid in the tissues. The pain is intense, cutting, felt in the foot and ankle joint, interferes with free movements and impairs well-being.
Synovitis. Inflammation in the synovial bag and the accumulation of fluid there provokes the occurrence of pain. Connective tissue is converted into fibrous, blood and lymph circulation are disturbed. Due to excess synovial fluid, the leg looks edematous, the discomfort is muffled, which is why patients do not immediately consult a doctor. Not completely cured synovitis leads to deforming arthrosis of the ankle joint.
Tibetan doctors believe that problems with ankles and other joints in most cases cause indignation in the energy “dosha” “mucus” and “wind”.
The “outrage” of these constitutions occurs for one or more of the following reasons:
• subcooling. External weather conditions, work in damp and / or unheated rooms, bathing in water with a low temperature, too light clothing in winter or in the off-season – all this contributes to the development of cold diseases (“indignation” of the “mucus” constitution);
• unreasonable food. Too much sweet, alcohol, frequent diets and starvation, eating fast food, on the run, an overabundance of products with “cold” properties, overeating also cool the body and provoke Slime diseases;
• laziness, lack of motor activity, excess weight, the lifestyle of “bed-chair-sofa” weakens the musculoskeletal system and, in particular, joints;
• overwork. Stresses, both physical and mental, must be rational and systematic, otherwise the joints are not ready for intense activity. Abuse of too hot, fatty, meaty foods and alcohol also leads to “indignation” of bile. We can also add to this that the manifestation of negative emotions such as anger, temper, resentment reinforce the “outrage” of bile. Large physical activities (for example, fitness, physical work in the country, etc.) give a load to the liver, strengthen its work, and then deplete its energy. “Disturbance” of the bile dosha leads to excessive release into the blood of various complexes that affect the functioning of the joints.
• stresses and negative emotions are also harmful to health because they increase the “indignation” and “mucus” and “bile”.
Pain in the ankle joint. How are Tibetan medicine clinics treated?
Western medicine traditionally uses antibiotics, glucocorticoids, anti-inflammatory drugs and physiotherapy to treat diseases that indicate problems in the ankle. If conservative methods do not help, the next step of the allopath is surgery.
The doctors of the Tibetan medicine clinic “Naran” are sure: in order for the treatment to be correct, complete and as effective as possible, the doctor must make the correct diagnosis by determining the true cause of the disease and the source of energy imbalance. In this case, the specialist will be able to influence not only the visible symptoms of concern to the patient, but also the “root” of the disease. For this, medications and surgical operations are not needed; treatment can and should be soft, natural. A set of measures used in the treatment of diseases by Tibetan medicine contributes to the overall healing and rejuvenation of the body, which helps it to independently resist the disease.
The procedures necessary for the treatment of a specific disease, their number and duration of sessions are determined by the personal doctor after preliminary consultation and diagnostics.
An integrated approach to therapy includes methods such as:
• diet therapy;
• herbal medicine, normalizing metabolism and energy circulation;
• moxotherapy, eliminating muscle spasms;
• acupuncture, which alleviates pain and stops the inflammatory process;
• oil compresses that warm the body;
• vacuum therapy, improving blood supply and nutrition of the affected joint;
• acupressure, restoring immunity;
• hirudotherapy, renewing and purifying blood;
A set of procedures at a fixed cost. Ideal for the treatment of any disease.
It perfectly complements the procedures and treats you from the inside.
Why does the ankle hurt and how to get r >
The ankle joint has a complex structure and plays a huge role for walking and other movements of the limbs. Pain in the ankle cannot be ignored. It is necessary to identify the cause of the pain and take appropriate measures. Prevention of ankle damage will help preventive measures.
Possible causes of pain in the ankle can be divided into two large groups – these are injuries and various diseases. The first group includes the following factors:
- wounds of a different nature – stabbed, sliced, lacerated, bruised-lacerated, chopped, gunshot, bitten.
If a pathology is the cause of pain in the ankle, then it is usually accompanied by an inflammatory process. The following diseases can cause pain:
- Arthritis. Such a pathology can be acute or chronic.
- Osteoarthrosis. This joint disease is degenerative-dystrophic and is characterized by damage to the cartilage tissue on the surface of the joints. Such a disease can limit work.
- Tendonitis. This pathology is inflammatory and dystrophic in nature and affects the tendon tissue.
- Tenovaginitis. In this case, the synovial membrane of the fibrous vagina of the muscle tendon becomes inflamed.
- Plantar fasciitis. This pathology is provoked by inflammatory and degenerative changes in the plantar fascia. The disease is often called a heel spur, although it precedes it, and is not synonymous.
- Heel spur. The inflammatory process is localized at the junction of the long plantar ligament and the middle of the calcaneus.
The clinical picture for pain in the ankle can be different. Symptoms depend on the cause of the pain:
- When bruised, pain occurs during trauma. It can be accompanied by a hematoma, limited or diffuse edema, lameness, numbness of the fingers and feet during edema.
- With a dislocation, the ankle and foot area swells and swells, and the area of damage depends on the severity of the injury. The joint becomes stiff, local and even general temperature may increase. Standing up is uncomfortable or impossible.
- With a fracture, the pain is very severe, it is impossible to turn a sick leg or lean on it. The shin swells quickly. If the ligaments and tissues are damaged, then hemorrhage begins, a sharp turning blue of the leg. With an open fracture, broken bones can be seen.
- Sprain is accompanied by severe pain, gradually increasing. The subcutaneous tissue around the joint is very swollen, the movements become painful. After a day, intensification of edema, the appearance of bruising, and extensive hematomas are possible.
- Arthritis is accompanied by swelling and redness of the affected area, an increase in local temperature. Discomfort and pain are manifested during flexion-extension of the joint, putting on shoes, wearing them. Due to intoxication and autoimmune processes, general weakness, fever may appear.
- With osteoarthritis, the pain increases from exertion, walking, playing sports. Due to stagnation of venous blood at night, it can become dull and aching. In the morning hours, starting pain is characteristic, gradually subs >
Usually, complaints about pain in the ankle are addressed to the surgeon or therapist, if he gives directions to narrow specialists. Depending on the situation, you may need to visit a chiropractor, orthopedist, traumatologist, neurologist.
Diagnosis of pain in the ankle joint consists in laboratory and instrumental studies. Usually they take standard blood and urine tests, they can examine synovial fluid.
Among the instrumental methods for pain in the ankle, you may need:
- arthrography (x-ray with contrast);
- tomography – computed or magnetic resonance;
- goniometry (study of motor function).
Treatment of ankle pain
Features of therapy depend on the cause of the pain in the ankle. With various injuries to the affected limb, rest is usually necessary. To fix the damaged area may require gypsum, a special bandage. Sometimes you have to use a cane or crutches.
If the ankle disease is secondary, then it is necessary to find its root cause and begin treatment with it. Otherwise, the situation will only worsen.
For injuries and serious illnesses, surgical intervention may be required. It may consist in the removal of damaged tissues, stitching ligaments. They also resort to arthroscopy, arthrodesis, arthrotomy, arthroplasty.
The main purpose of using medications for pain in the ankle is to eliminate this unpleasant symptom and relieve inflammation. The following drugs are used in treatment:
Means of a non-stero >
Drug therapy should be prescribed by a doctor. Self-medication may be ineffective or exacerbate the situation.
In the treatment of injuries and various pathologies of the ankle joint, they often resort to various physiotherapeutic methods:
- UHF therapy;
- paraffin applications;
- vacuum therapy;
- laser irradiation;
Physiotherapy is used not only for treatment, but also during the rehabilitation period. This approach is necessary after operations, serious injuries.
There are several exercises that strengthen the ligamentous apparatus. They should be performed during periods of remission of the disease.
The following exercises are effective:
- Turns of the foot. This should be done while lying in a relaxed state. Stops first turn on yourself, then away from you. The amplitude should be minimal.
- Rotation of the foot. The starting position is the same. First you need to rotate clockwise, then vice versa.
- Imitation of walking. You must do this while sitting on a chair. It is necessary to alternately lower and raise socks with heels.
- Shallow squats. The knees should be directed strictly forward, the heels and socks should not be torn off the floor.
- Stand on socks. You need to stand on the floor and stand on your toes, holding at the extreme point for a few seconds.
- Reverse stance. It is carried out similarly to the previous exercise, only socks need to be lifted up.
Another set of exercises for pain in the ankle, which requires the presence of an assistant, is shown in this video:
To avoid injuries and various pathologies of the ankle, the following preventive measures must be observed:
- Maintain normal body weight. With an excessive form, the lower extremities experience an increased load, therefore, they suffer in the first place. Too much weight can lead to trouble, especially when a person has lost weight dramatically. In this case, the body does not have time to rebuild, which often leads to injuries.
- Train sustainability. This helps reduce the risk of injury. Training consists in standing on one leg – you need to hold out for as long as possible. In this case, the leg should be bent at the knee, and it is better to close your eyes.
- The right shoes. It should be of appropriate size, breathable, on a flexible but firm sole. Women should refuse high heels or spend a minimum of time on them. It is important to choose the right pad completeness.
- Use an ankle clamp. Such an adaptation is necessary after surgery, removal of gypsum, during treatment of the joint, with its instability. Such a fixer is needed for athletes, as well as for people who are on long legs.
- Proper nutrition, adequate intake of vitamins and minerals.
- Physical activity should be dosed.
In case of pain in the ankle joint, consult a specialist. Using various diagnostic methods, he will determine the cause of the discomfort and prescribe competent treatment. You can avoid herbs and ankle pathologies with the help of preventive measures.
Why does the ankle joint hurt – what to do, what and how to treat?
The ankle joint is one of the largest and most complex bone structures in the body. Due to the constant high load and anatomical features, this section of the lower extremities is at significant risk of injury and the development of various pathologies, accompanied by severe pain. Consider why there is pain in the ankle joint, the main methods of diagnosis and treatment.
Features of the structure and function of the joint
The ankle is a mobile joint of the tibia and talus of the lower extremities. The joint has a block shape: the tibia and fibula form a “fork” covering the upper part of the tarsus. The connection is supported by a large number of ligaments, tendons and muscles located mainly on the front surface.
The main functions of the ankle are flexion, extension and rotation of the foot along the front axis, as well as minor abduction and reduction. Any injuries and diseases of the joint lead to limited mobility of the lower extremities, impaired gait, and in severe cases to disability.
The main causes of pain
The occurrence of pain in the ankle joint may be associated with external and internal adverse factors:
- Injuries (bruises, dislocations, fractures, damage to ligaments);
- Infectious and inflammatory processes (arthritis, achillitis, infection of soft tissues);
- Degenerative-dystrophic changes in cartilage (osteoarthrosis);
- Metabolic disorders, accompanied by the deposition of salts in the joints (gout, pyrophosphate arthropathy);
- Vascular disease and impaired local circulation.
The intensity, duration and localization of the pain syndrome depends on the nature of the ankle damage. Consider the manifestations of the main injuries and diseases of the joint.
The most common types of injuries to the ankle joint are bruises, dislocations and sprains after direct mechanical impact or a fall from a height. Dislocations usually occur at the junction of the talus and calcaneus and are characterized by significant swelling and deformation of the ankle. The heel is turned inside out, as a result of which the patient cannot step on the injured leg. Dislocations are accompanied by severe aching pains, a burning sensation and bursting.
Sprain is characterized by the development of edema due to hemorrhage, most often from the inside of the foot. During palpation of the ankles, sharp pain is noted, intensifying when you try to tuck your foot inward.
Fractures of the tibia, talus and calcaneus are extremely rare and require long-term treatment. These types of injuries are commonly found in athletes, the elderly, and accident victims. The main symptoms of the fracture are acute pain in the lower leg, severe swelling from the toes to the knee and above, the inability to step on the limb. In many patients, there is a violation of sensitivity after a fracture of the heel as a result of damage and compression of the nerve fibers surrounding the ankle.
Infectious and inflammatory pathologies
Against the background of injuries, disorders of the musculoskeletal system and some transferred general diseases, arthritis often develops – inflammation of the joint and surrounding soft tissues. Damage to the ankle is manifested by intense pain, a local increase in temperature, a significant limitation of foot mobility. Acute pathology develops suddenly, within a few hours, most often at night. With the purulent nature of the inflammation of the pain in the ankle joints are accompanied by general intoxication, fever, weakness.
The chronic form of pathology is characterized by the alternation of periods of relative well-being and exacerbations. The main signs of the disease are poorly expressed, there is a slight stiffness of the ankle joint, a decrease in the amplitude of movements, moderate pain after physical exertion.
Degenerative-dystrophic joint changes
Arthrosis is one of the most common pathologies of the musculoskeletal system. The disease has symptoms similar to arthritis, but due to the aseptic nature of the inflammation, it develops over time.
In the initial stages, the ankle joint hurts periodically, discomfort intensifies after running, prolonged walking or physical exertion. Patients are concerned about the feeling of stiffness in the legs in the morning, dry clicks in the ankle during movement. As the amount of hyaluronic acid in the joint decreases and the cartilage is destroyed, the symptoms increase. At the third stage, the pain syndrome persists even at rest, persistent deformation of the ankle develops, and the gait is disturbed.
Deposition of salts in the joint
Many elderly patients have an ankle joint pain due to the deposition of salt crystals. The most common disease of this type is gout, a severe metabolic disorder accompanied by the accumulation of uric acid salts in the body. In almost 80% of cases, the pathology affects the big toes, sharp pain spreads to the entire upper foot and lower leg. The disease is characterized by sudden acute attacks, during which the ankle increases in volume, and the skin around it turns red. It is difficult for the patient to step on his feet, mobility of the feet is limited.
With pyrophosphate arthropathy, deposits of calcium pyrophosphate crystals occur in the joints of the lower extremities. The attack is accompanied by severe pain and general malaise. Often there is a destruction of bone tissue near the ankle, leading to a significant violation of mobility.
Sometimes pain in the ankle joint can be triggered by factors that are not related to disorders of the musculoskeletal system. Approximately 5-7% of patients complain of severe discomfort in the ankles and ankles for no apparent reason. The pain syndrome occurs with vascular and muscle pathologies, some autoimmune disorders, during pregnancy, severe physical exertion and stress. Often the ankle joint hurts when walking while wearing uncomfortable shoes that hamper the movement of clothing.
In the absence of timely treatment, all types of ankle joint lesions lead to serious foot deformities, lameness, and the inability to move without the help of crutches.
To find out the exact causes of pain in the ankle joint, it is necessary to undergo a differential diagnosis, which includes the following measures:
- Visual inspection and palpation of the affected limb;
- Instrumental studies of limbs (radiography, ultrasound, MRI, CT);
- A blood test to identify indicators of inflammation;
- Other examinations according to indications (ultrasound of internal organs, synovial fluid puncture), consultation of specialized specialists if necessary.
The standard treatment for ankle pain includes the following:
- Immobilization of the affected ankle in case of fracture and other mechanical injuries, acute attack of arthritis, gout. In the subacute period, the wearing of special orthopedic appliances (orthoses, insoles, arch supports) as indicated by the doctor is indicated;
- Elimination of pain. To remove moderate discomfort, inflammation and swelling, non-stero >
Therapy should be carried out only under the supervision of a specialist. Long-term use of certain medicines for joint pain (NSAIDs – non-steroidal anti-inflammatory drugs, colchicine) can lead to serious complications of the gastrointestinal tract, blood vessels and kidneys.
Drug treatment of the ankle joint can be supplemented with the use of traditional medicine:
- Compresses from crushed rhizomes of celery, oatmeal, cranberry juice. To relieve pain, it is necessary to carry out procedures for at least 10 days. It is recommended to apply a compress at night, insulating the ankle area with polyethylene and woolen cloth;
- Foot baths with sea salt or pine needles. Procedures lasting 15-20 minutes should be carried out daily, the course of treatment for at least 2-3 weeks;
- Ankle massage with olive oil, honey and salt.
Only a doctor can answer the question of how and how to treat an ankle at home. Self-medication is unacceptable, since joint pain is often a sign of a serious pathology.
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