Almost everyone has twisted or rolled their ankle at some point. For most, the pain and swelling fade away, and life returns to normal. But for others, that initial sprain never seems to go away. At Syracuse Podiatry, we recognize this as chronic ankle instability, and it’s one of the leading causes of ankle injuries. Let’s explore what chronic ankle instability is, why it happens, and why it’s worth addressing.

What is Chronic Ankle Instability?

Put simply, chronic ankle instability develops when your ankle ligaments have been stretched or torn and haven’t healed properly. Then, the lingering feeling of weakness ensues – you feel like it can roll over at any moment. And finally, it happens: you’ve officially reinjured your ankle. This is the vicious cycle of chronic ankle instability, and it can greatly affect your confidence in sports and life. But why doesn’t the ankle heal all the way?

Why Does Chronic Ankle Instability Happen?

CAI is a tale of incomplete healing that typically begins with an acute ankle sprain. But the problem starts when you rush back to your daily activities or sports before your ligaments have had a chance to fully heal and regain their strength.

This can be as simple as walking it off or playing before you’re ready. Ligaments that are not allowed to recover can remain loose and stretched out.

To complicate matters, an initial ankle sprain can damage the nerves that connect your ankle and brain. When this system is impaired, your brain doesn’t get the right signals to react quickly to an awkward step.

This combination of weak ligaments and poor proprioception creates the perfect storm for re-injury.

Causes and Risk Factors

The biggest risk factor for developing chronic ankle instability is a history of one or more severe ankle sprains, especially if they were not properly treated with rest and rehabilitation. But other factors include:

• Inadequate Rehabilitation: Not completing a full course of physical therapy after a sprain.
• Foot Mechanics: Certain foot structures, like flat feet or high arches, can make a person more prone to sprains and instability.

And of course, playing sports.

The Danger of a Wobbly Ankle

A wobbly ankle isn’t just an inconvenience. Beyond the frustration of repeated sprains, chronic instability can lead to more serious problems. Constant abnormal movement and stress on the ankle joint’s cartilage can eventually cause osteoarthritis, which makes visiting our trusted team all the more worthwhile!

For advice related to any podiatric concerns you’re facing, the expert team at Syracuse Podiatry is here to help guide you. Contact us today so Dr. Ryan L. D’Amico, Dr. Donal M. Erickson, Dr. Keith Sherman, and Dr. Nicholas Cronin can elevate your foot health and help your feet feel their best.