Symptoms caused by Ankle Instability
- Ankle discoloration
- Ankle inflammation
- Ankle pain
- Ankle swelling
- Arch cramping
- Crepitation with movement
- In mild cases, there may be a propensity for the ankle to continually turn inward
- Inability to move the ankle properly
- Loss of motion
- Loss of muscle strength
- Mild aching to sudden pain
- Numbiness in toes
- Pain even when no weight is put on the ankle
- Referral foot and toe pain
These symptoms can be signs of the following ankle pain conditions caused by ankle instability that we commonly treat with Prolotherapy.
Chronic Conditions caused by Ankle Instability
Ankle Instability Forces
Inversion forces stress the lateral ligament complex; whereas eversion forces stress the deltoid ligament.
Prolotherapy Treatment for Ankle Pain
Ankle pain is most commonly due to ankle joint instability, caused by ligament damage. Since ligaments do not heal well on their own, ankle instability quickly becomes a chronic, painful condition. It allows for destructive joint motions every time the ankle joint is used, wearing down the cartilage and causing further structural damage.
The stability of the ankle has to be made greater to run compared to slow walking on account of tremendous forces generated with running.
|In Achilles tendon with walking||1.2 times body weight|
|Slow walking||2.1 times body weight|
|Fast walking||3-5 times body weight|
|Running||Up to 13 times body weight|
Stauffer RN, Chao EYS. Force and motion analysis of the normal, diseased and prosthetic ankle joints. Clin Orthop Relat Res. 1977;127:189-196. Proctor P, Paul JP. Ankle joint biomechanics. J Biomech. 1982;15:627-634. Burdett RG. Forces predicted at the ankle during running. Med Sci Sports Exerc. 1982;14:308-316.
Our providers understand the need for ankle stability to prevent the long-term damage of ankle instability. Therefore, we utilize Comprehensive Prolotherapy to restore the ligament integrity and strengthen the joint function. This prevents the continued cartilage degeneration through destructive joint motions and allows the ankle a chance to heal. Prolotherapy, in simple terms, stimulates the body to repair painful areas. It does so by inducing a localized, mild inflammatory reaction in the weakened ligament and tendon attachments. Since the body heals by inflammation, Prolotherapy stimulates healing. This can include traditional dextrose Prolotherapy and sometimes combined with Platelet Rich Plasma (PRP) and/or Stem Cell therapy, as these are all types of Prolotherapy.
Direct Bone Marrow Ankle Injection
For ideal results, the ankle must be treated comprehensively, meaning this is not just a one or two injection treatment. At Caring Medical, one of the reasons our Hackett-Hemwall technique is sought is due to it addressing more weakened areas per treatment than the average PRP/Stem Cell/Prolotherapy doctor who gives only one or two injections.
Chronic ankle sprains have been effectively eliminated with our Comprehensive Prolotherapy treatment series, usually taking just a short series of treatments for most patients to obtain long-term results. A physical examination and consultation with one of our Prolotherapists can identify the areas of the ankle that are most unstable and need treatment, as well as which Prolotherapy solution is best for your particular case, and approximately how many treatments should get you back to where you want to be.
Examination of Lateral Ankle
Excessive movement or soft end feel compared to non-painful side while inverting ankle is a sign of lateral ankle instability.
Our Research on the use of Prolotherapy for Ankle Pain
In our retrospective observational study of chronic unresolved ankle pain, Hackett-Hemwall dextrose prolotherapy helped promote a measurable decrease in the pain and stiffness of the treated joints and improvement in clinically-relevant parameters. The complete study and results can be read here: Hauser R, et al. Dextrose Prolotherapy injections for chronic ankle pain. Practical Pain Management. 2010;70-76.
Pain scale is 1-10 where 1 = no pain & 10 = unrelenting pain.
We get patient satisfaction results. In 9/10 cases we meet or beat the patients expectations. Our results are long lasting and provide permanent pain relief. This is why patients travel from all over the world to see our providers.
Our other studies on regenerative treatment outcomes for ankle pain
- Avascular Necrosis Case Report of Direct Bone Marrow Injections and Prolotherapy Treatment
- The Theoretical Basis for and Treatment of Complex Regional Pain Syndrome with Prolotherapy
- Prolotherapy as an Alternative to Surgery
- A Systematic Review of Dextrose Prolotherapy for Chronic Musculoskeletal Pain
- Evidence-Based Use of Dextrose Prolotherapy for Musculoskeletal Pain: A Scientific Literature Review
- Joint Instability Treatment with Prolotherapy
Patient Success Stories using Prolotherapy for Ankle Pain
Ankle Instability from Ehlers-Danlos Syndrome
Kristle Lowell, Double-Mini Trampoline World Champion, diagnosed with EDS was experiencing severe instability from multiple ligament injuries of her left ankle and received massage, physical therapy, cortisone and NSAIDS, from which she saw no long-term relief. In order to inhibit menstruation from interfering with training, she went on birth control pills, which caused a worsening of symptoms. Kristle suffered a career threatening injury to her ankle, which made gymnastics training unbearable. She came to Caring Medical and received 2 PRP Prolotherapy treatments, and discontinued the birth control pills. Her ankle was stabilized, enabling her to compete and place second in national championships and qualify for world championships.
Cortisone, NSAIDS, PT and MT do nothing to strengthen the ligaments of an unstable joint. Prolotherapy strengthens the injured ligaments and stabilizes the joint. Estrogen in birth control pills inhibits the fibroblastic proliferation necessary for the healing of ligaments. Fibroblastic proliferation is the mode of healing by which Prolotherapy repairs.
Avascular Necrosis of the Talus
JS was diagnosed at age 13 with Crohn’s Disease for which she had been prescribed Prednisone over numerous years. At age 34, she began experiencing pain, swelling, achiness, crepitus and burning in the ankle, and was diagnosed with avascular necrosis of the talus, for which her orthopedist recommended fusion surgery. JS decided instead to seek out Prolotherapy. After 5 treatments of Bone Marrow to the joint and Prolotherapy to the ligaments, her symptoms resolved, enabling her to walk on a strong, pain-free ankle.
Long-term anti-inflammatory use with corticosteroids makes it more likely a person will experience joint degeneration and ligament laxity, even to the point of causing bone death or avascular necrosis. In such scenarios, Prolotherapy should be sought as early as possible to resolve the condition.
Improvement of Ankle X-rays with Stem Cell Prolotherapy
This patient received several lipoaspirate Prolotherapy treatments between x-ray studies. The studies showed a gradual improvement in the ankle joint articular cartilage (arrows), which correlated to reduced pain and range of motion improvement.
More Information About Prolotherapy for Ankle Pain
Articles about Prolotherapy for Ankle Pain
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We Get the Best Results
In 9/10 cases we meet or beat the patients expectations. Our results are long lasting and provide permanent pain relief. This is why for 25 years, patients have been traveling from all over the world to see our providers. Give us a call, or fill out the form below to get started.