Understanding the Link Between Ankle Fractures and Arthritis: Management Strategies

Ankle fractures are among the most common injuries, often resulting from falls, sports injuries, or accidents. While immediate treatment focuses on healing the fracture, there is a long-term concern that many people may not consider: the development of arthritis. This blog explores how ankle fractures can lead to arthritis and offers management strategies to reduce symptoms and improve quality of life.

The Connection Between Ankle Fractures and Arthritis

When an ankle fracture occurs, it disrupts the normal alignment of the bones and can damage the surrounding cartilage— the smooth tissue that covers the ends of bones at joints. As the body heals, it may not restore the joint to its original state, which can lead to osteoarthritis or post-traumatic arthritis later in life. Here’s how the connection forms:

Cartilage Damage: the force of the injury can cause direct damage to the cartilage. If the cartilage is damaged, it may wear down faster than normal, leading to arthritis.

Joint Instability:  ankle fractures can result in joint instability if not properly aligned or if there is residual damage to ligaments. This instability can cause abnormal wear and tear on the joint.

Inflammation: following an injury, people often experience inflammation, which can lead to changes in joint structure and function, making arthritis more likely to develop.

Changes in Weight Bearing: pain or instability after an ankle injury might lead individuals to alter their gait, putting stress on other parts of the joint or lower limb, further contributing to the development of arthritis.

Symptoms of Arthritis Post-Ankle Fracture

Individuals who develop arthritis after an ankle fracture may experience a range of symptoms, including:

- Ongoing pain in the ankle joint
- Swelling and tenderness around the joint
- Stiffness, especially in the morning or after periods of inactivity
- Reduced range of motion
- Crepitus (a grating or crackling sensation) during movement

Managing Arthritis After an Ankle Fracture

While a definitive cure for arthritis is not available, several strategies can help manage symptoms and improve function:

Physical Therapy

A tailored physical therapy program can strengthen the muscles around the ankle, improve stability, and enhance range of motion. Physical therapists can also provide exercises that focus on flexibility and balance.

Medication

Over-the-counter pain relief, such as NSAIDs (nonsteroidal anti-inflammatory drugs), can help reduce pain and inflammation. In some cases, your doctor may prescribe stronger medications or recommend corticosteroid injections for more significant discomfort.

Lifestyle Modifications

Maintaining a healthy weight can reduce stress on the ankle joint. Engaging in low-impact activities, such as swimming or cycling, can also keep you active without overloading the joint.

Assistive Devices

Using braces, orthotics, or a cane can provide additional support and stability to the ankle, making it more manageable to walk and perform daily activities.

Surgical Options

In some cases, if arthritis becomes severe and significantly impairs mobility or quality of life, surgical options such as arthroscopy (minimally invasive surgery) or ankle fusion may be considered. These procedures can help alleviate pain and restore functionality.

Alternative Therapies

Many individuals find relief through alternative therapies such as acupuncture, massage therapy, or heat/ice therapy. These can complement medical treatments and improve overall well-being.

If you are experiencing symptoms of pain after an ankle fracture, schedule your appointment with Dr. Gireesh Reddy or Dr. Sirisha Pokala today by calling (469) 573-3427 or by booking an appointment online at www.restorefoot.com.