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Posts for tag: Hypermobility

        One minute you’re running down the field after the ball and in a split second your ankle twists and gives way. You fall, allowing the other team to score the winning point. Does that sound like a familiar scenario? For people dealing with ankle hypermobility, also known as weak ankles, this is a very real possibility.

What is a Sprain and Why is it Bad?

An ankle sprain occurs when the ligaments holding our ankle joint steady are stretched or torn, usually from a sudden twist such as a quick direction change or bad misstep. This can happen to anyone, but those with chronic instability will suffer repeated sprains, leaving ligaments looser each time. Cartilage and tendons are also affected by this trauma and arthritis can develop in the ankle joint. You can’t live an active lifestyle if your ankles can’t keep up.

 

READ MORE: Sprain or Strain?

 

 

Who Should Consider Surgery?

Minor sprains can be treated with RICE. Your podiatrist may also recommend physical therapy to strengthen muscles and tendons. Ankle braces should be worn for sports or any vigorous activity. If the ligament has torn completely apart, bracing and ankle exercises have not prevented further injury, or if you suffer two or more ankle sprains a year, you need to consider a surgical solution.

 

READ MORE: What is RICE?

 

The Surgery

Lateral ankle stabilization is the best approach to correct chronic ankle instability. Procedures are performed as an outpatient service (meaning you get to go home that same day) under general anesthesia. The surgeon will make an incision on the outside of the ankle over the joint. Separated or torn ligaments will be sewn together while loose but intact ligaments are shortened and tightened. The ligament is then anchored to the fibula bone using special stitches or pins. The surgeon may connect other tissues to the repaired ligament for support. The incision is then closed, and your foot is wrapped in a cast or splint.

 

Recovery

Patients will need to remain non weight-bearing with the cast or splint in place for 2 to 6 weeks, after which they will progress to a brace or walking boot. At this time, physical therapy to strengthen the ankle will begin. Patients should wear an ankle brace during sports and activities for a minimum of 6 to 12 months, though many choose to continue using it long after for added safety.

 

READ MORE: Chronic Ankle Instability

 

You should never have to sit out of the game due to chronic ankle instability or hypermobility. Ankle sprains do major damage to your joints and preventing this is the number one step in living a healthy and active lifestyle. All of the FAAWC podiatrists are board certified for Lateral Ankle Stabilization and other corrective surgeries. Talk to your podiatrist today if you are tired of persistent ankle sprains.

 

 

May is Ehlers-Danlos Syndrome Awareness Month.

If you weren’t aware that this even existed, you are not alone. After all, that’s what an awareness month is for, making us aware of a disease that doesn’t often get a lot of press.

In fact, Ehlers-Danlos is not just one syndrome; it’s a series of 13 connective-tissue disorders that result primarily in various joint and skin related issues, but sometimes manifest in dangerous ways. It all has to do with your genetics. In fact, it’s as common as 1 in 5,000 people. It affects any of 12 different genes, and which one determines how they appear in physical symptoms.

Many types have normal life expectancies, but some can result in shorter-than-expected lifespan or painful complications. The wide array of symptoms range from things you probably know like hyper-elastic skin or rheumatoid arthritis-like finger deformities and many obscure syndromes, such as levido reticularis or Arnold-Chiari malformation. Trust me, there’s too many to list here, so we’re just going to look at one type: hypermobility.

People with this type of EDS have very loose joints, which allows for excessive movement and flexibility. However, while it may look cool to bend your body in strange directions, this condition can have your joints dislocating frequently, causing painful and lasting damage. Physical evaluation and family history are the only tools for diagnosis, and there is no known cure for the disease, only treatment for its symptoms.

Don’t worry though. You should know by now if you have EDS. But it’s always worth a quick Google search to learn more about it, especially since you are now aware that it’s Ehlers-Danlos Awareness Month!