Your ankles play a crucial role in enabling activities like walking, running, and jumping. They consist of three bones that join together, facilitating the upward and downward movement of our feet. These bones' meeting points are cushioned by a smooth tissue called cartilage, which safeguards and pads the bones.

However, osteoarthritis can lead to the gradual deterioration of this cartilage. As a result, the bones can come into direct contact, leading to the development of bone spurs. This condition in the ankle can result in discomfort, inflammation, and reduced mobility.

Signs of ankle osteoarthritis (OA) tend to develop gradually and intensify as time goes by. You might notice:

• Increased pain and stiffness, especially after waking up or after periods of inactivity.

• Sensitivity when pressure is applied to the joint.

• Possible swelling either all around the ankle or localized to one side.

• A limited ability for your ankle to fully bend and flex.

• Challenges in walking due to discomfort, stiffness, and reduced mobility

To determine the condition of your ankle, your doctor will have a discussion with you and conduct several evaluations.

• Checking for swelling and tenderness: Your doctor will gently examine your ankles for any signs of discomfort or inflammation.

• Observing your walking pattern: The way you walk can provide valuable insights to your doctor.

• X-rays: This will help identify any bone spurs or loss of cartilage.

• Laboratory tests: Blood tests will be done to ensure other types of arthritis are not the underlying cause.

While osteoarthritis (OA) can't be cured or reversed, there are treatments available to help manage pain and enhance mobility.

Non-Drug Treatments:

• Consider using a topical cream with ingredients such as capsaicin, menthol, camphor, or CBD.

• Shedding a few pounds can lessen the strain on your ankle.

• Adjust your activities to avoid those that cause discomfort.

• Physical therapy sessions can be beneficial.

• Think about wearing a brace, using a cane, or opting for shoe inserts for better support.

Drug Treatments:

• Oral pain relievers, including acetaminophen or NSAIDs like Advil and Aleve, can be helpful.

• There are also topical treatments such as NSAID-infused gels, lidocaine creams, and salicylates that you can apply directly to your ankle.

• Steroids, specifically Glucocorticoid injections, offer temporary relief. Remember, these are typically limited to a few times a year.

Surgical Treatments: If non-drug and drug treatments don't provide the relief you're seeking, surgery might be an option.

• Arthroscopic surgery: While not common for OA, this procedure involves removing loose cartilage and bone spurs from the ankle and may benefit some individuals.

• Arthrodesis: This joint fusion surgery aims to reduce pain by eliminating ankle movement.

• Arthroplasty: This total ankle replacement procedure involves replacing damaged cartilage and bone with metal or plastic components.

Always consult with your healthcare provider to determine the best course of action for your unique situation.