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Why Do My Ankles Hurt?

ankleAnkle pain is not unusual. Some people perceive that they have “weak ankles” and are prone to twists and sprains. Others notice a gradual change in their ankle pain and functioning.

The ankle is actually a complex joint between three bones: the tibia, the fibula and the talus with bands of ligaments that connect the bones.

In addition to the bones and the ligaments, several tendons traverse the ankle. The tendons connect the muscles of the lower long to the ankle and foot bones. The most famous of these tendons is the Achilles tendon.

It’s important for your health care team to diagnose the cause of ankle pain accurately. Some typical causes of ankle pain include:

  • Sprains, which occur when ligaments are overstretched typically as a result of an injury or fall, often a missed step.
  • Broken ankles: these fractures are actually quite common, again, usually the result of a fall or missed step, sports injury or traumatic event like a car accident.
  • Rheumatoid arthritis affects the synovium, which lines the joints, causing pain, swelling and immobility. Most people with rheumatoid arthritis have ankle issues.
  • Osteoarthritis, which contributes to a deterioration of the cartilage in the joints. As this cartilage wears away, the bones rub against one another, and can cause pain, swelling and immobility.
  • Gout is another type of arthritis which can affect the joints and is caused by a buildup of uric acid throughout the joints of the body.
  • Lupus, an autoimmune disease, often affects many joints, Although many forms of arthritis and related conditions can affect the ankles, the most common cause of ankle pain is a sprain. A sprain occurs when the ligaments that support the ankle become stretched or torn. Here is what you need to know about sprained ankles and some other common ankle injuries.

Your health care team will evaluate your pain, your mobility and the circumstances that surrounded your ankle issues. They will then order a series of exams including x-rays and perhaps other diagnostic tools to determine their next steps. It is very important for a physician to distinguish between sprains and fractures of ankles because they often present themselves in a similar fashion.

Next week: Recovery from ankle pain

Filed Under: Foot and Ankle Pain Tagged With: arthritis, gout, Lupus, sprained ankle

What A Pain! Changes in the Weather and Your Arthritis

autumn leavesFor those who suffer from arthritis, the variable fall temperatures bring beautiful skies, gorgeous leaves…and sometimes pain.

You might be surprised to know that scientists are extremely skeptical about what changes the weather actually brings to those who deal with pain.  We all know arthritic patients who swear that they “feel it in their bones” when there are changes in the humidity or drops in temperature. Yet, there is no concrete evidence that changes in the weather truly create measurable physical changes in our bodies.

But, if a person sees those looming storm clouds or watches the Weather Channel’s forecasts for dipping temperatures, there may be a psychological component to their experiences of low temperature weather pain. If a person has previously felt increased arthritic symptoms in the cold weather, then the brain may be sending a message to their body to prepare for more pain. This could, in turn, “excite” the pain nerve receptors, thereby activating them.

Even if we can’t find a reason for more symptoms during cold weather months, we still have to treat the pain. So, all pain patients should be aware of the following steps that can lessen pain:

Changes in medication might be necessary. This might mean actually changing the class of medication that is being used to treat your pain or it could mean changing the dosage.

Staying warm is also key, so that your mind and your body don’t feel exposed to cold. Make preparations before you hit the outside morning air. Be sure you are fully bundled up; don’t wait to zip up after you’ve already walked out the door. Try to warm up the car ahead of time (or get somebody else to start the car for you), if your car is kept outside.  Dress in layers so that you feel toasty, but not sweaty. You can always remove layers if you warm up throughout the day. 

Concentrate on reducing swelling in affected joints. Osteoarthritis is essentially swelling in the joints. Anything you can do to decrease the swelling will decrease the pain. Unfortunately, heat does not decrease swelling. But there are other methods: gloves and splints worn on swollen hands can bring down the swelling.

Exercise and movement are essential. It may seem counterintuitive; if you are feeling pain, you may want to go back to bed or to become totally sedentary. In fact, this is absolutely the wrong way to go. Regular, gentle, fluid motion does keep arthritis pain at bay. Water aerobics, light walking, stretching, yoga and other activities can be helpful. Activities that have a social component also can combat the depression that may accompany chronic pain.

 

Filed Under: Diseases That Cause Pain Tagged With: arthritis, cold weather

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2480 W. Campus Dr., Mt. Pleasant, MI 48858

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5059 Old 27 South, Gaylord, MI 49735

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