For ankle impingement, resting the joint is usually recommended initially. If this fails to alleviate the condition, a steroid (corticosteroid or cortisone) injection may be required. Alternatively, in recurring and more severe cases, surgery may be recommended.
If other, less-invasive treatments have been tried and failed, surgery may be required. The exact type of surgery you have will depend on the cause, location and severity of the ankle impingement.
Surgery involves removing the bone or soft tissue that’s causing the ankle impingement; this can usually be carried out arthroscopically (keyhole technique) or, if the bone spurs are large, by open surgery on the ankle joint.
The operation may be carried out under a general anaesthetic (so you’ll be asleep) or a local anaesthetic (so you’ll stay awake but won’t feel anything). The operation usually takes around an hour and you’ll usually go home on the same day.
Immediately after surgery we’ll help you manage any pain or discomfort with painkillers. We’ll discuss your aftercare and arrange any follow-up appointments with you before you leave hospital.
In the next few days you’ll be able to walk with the aid of crutches but you’ll need plenty of rest with your leg raised. You’ll be offered a programme of physiotherapy to aid your recovery, and we’ll let you know how soon you’ll be able to resume normal day to day activities.
As with any surgical procedure there can be some risks, including:
- blood clots (including deep vein thrombosis (DVT)
Rest or a steroid injection.