Ankle Arthritis Treatment Painfree Walking Without Surgery by Seattle Podiatrist Larry Huppin
Hi. Today I want to talk to you about anklearthritis, which is arthritis in this joint right here, between your leg bone and yourankle bone. This cartilage here can get worn away and there's a number of reasons it canoccur. This often occurs after an injury but it can occur even decades after the injuryoccurs. For example, if you're somebody who sprained their ankle multiple times, that,over time, can lead to ankle arthritis. But when it does occur, it can become severelypainful. What I really want to talk about today is what you can do to prevent the needfor surgery and be able to do what you want to do without pain. So, when this gets wornaway, any sort of motion in this area can
start to cause pain. Most particularly, ifthe foot is angled one way or another and these two bones are not lined up as they shouldbe. That can really lead to pain. So, there's several different ways that wecan approach treating this problem. One is you can sometimes use a foot orthotic. Now,there are really two types of arthritis that are called ankle arthritis. One is the anklejoint we just talked about. The second one is this joint down here called the subtalarjoint, and that's often called the lower ankle joint. Now, if your arthritis is down in this area,because that is the joint that allows your
foot to go in and out, using a foot orthoticthat conforms really close to the arch of the foot and is very deep around the heel,can limit motion of that heel, can actually do a lot to decrease pain in that region.So, for lower ankle joint arthritis or subtalar joint arthritis, foot orthoses, along withvery stable shoes, can be quite beneficial. Now, some things to look at on shoes are thatthe shoe itself should be stable enough that it stops the foot from rolling inward. Thatwould limit motion in the subtalar and the ankle joint. Another thing that's beneficialis to use a shoe that has what's called a rocker sole. This shoe here is rigid and whenyour walk through, it rocks you through the
step. What that does for your ankle joint and yoursubtalar joint is it limits motion of those joints. Without the rocker, you're doing alot of motion going through. With the rocker, that's very limiting. By limiting that motionin an arthritic joint, you can decrease pain quite substantially. There's a lot more informationon this on our website. Just go and look for ankle arthritis and you'll find informationon both overthecounter and custom orthotics that can be used, in addition to differenttypes of shoes that come with rocker soles that can be beneficial.
Now, for more severe ankle arthritis, in particular,and I'm talking about this upper ankle joint, foot orthotics and shoes alone are usuallynot enough or often aren't enough, because they don't cross the ankle joint and theydon't limit motion. So in that case, you may want to use what's called an anklefoot orthotic.And these are both different types. This is the best one usually, for people withsevere ankle arthritis. It's called a gauntlet AFO or anklefoot orthosis. And what it doesis it incorporates a foot orthotic but it also goes up above the level of the anklejoint to stop motion in both the ankle and the subtalar joint. So, it's extremely effectiveat limiting motion, and by doing so, it can
limit pain. So, these are all different ways that youcan avoid surgery if you do have pain that's related to ankle joint arthritis of any sort.For more information, go to the website, do a search for ankle arthritis. All of thisinformation is there, with specific things that you can actually try at home initiallyand then what you may want to do if that isn't enough. If you really liked this information,please subscribe to us and we'll let you know when there are new tutorials coming out.
How to Best Treat Foot Arthritis with Seattle Podiatrist Larry Huppin
Hi. So today we're going to talk about arthritison top of the foot or what's called midfoot arthritis. That's arthritis in these jointsthrough here. This is the second most common cause that we see causing pain on the topof the foot. The first one is a condition called dorsal compression syndrome, whichjust means that the foot is collapsing down and all these bones get pressed together toomuch but there's no actual damage to the joint. For information on that problem, go to ourwebsite and do a search for quot;dorsal compression syndromequot; or quot;top of foot pain.quot; However, today we're going to talk about arthritisin these joints. So longterm, this foot flattening
out too much can start to damage these joints.As the foot goes down, all these bones get pressed together. Initially it just causespain, but over time, it starts to wear away the cartilage on the inside of these joints,and that can cause a lot of pain. So after that occurs, almost any motion in this areawill start to cause pain. Also, a lot of times people will see a bump, a bone occurring ontop of the foot associated with that arthritis. When we look at treating it, our first goalis to avoid surgery and still eliminate a 100% of the pain. You really should look atsurgery as only the very, very last resort. And in most cases, in fact, in almost allcases, we can treat this without doing surgery.
Our goal here is to limit motion in thesejoints, so what we're going to do is put something under the arch of the foot. We're going totake an orthotic device, put it underneath there, and we're going to try and use thatto stop the motion in that joint. For that to work the best, we want that orthotic toconform extremely close to the arch of the foot. It's called a total contact orthotic.Again, you can look up quot;total contact orthoticquot; on our website. That type of orthotic doesthe best job of limiting motion in this area. If that's not enough, we can actually do someshoe modifications where we put what's called the rocker on the bottom of your shoe to limitthe motion in that foot. This is a big orthotic
that we might use in a men's dress shoe orin anybody's athletic shoe. For women's dress shoes, we can use much, much smaller devices,as we aren't going to a flat or a heel, but the key is that still conforms very closeto the arch of the foot. So if you think you might have arthritis inyour midfoot, what you want to do first is find a podiatrist in your area who specializesin orthotics and biomechanics. If you're in our area, go to our website and you can findcontact information there. If you're not in our area, look for someone who has that specialty. If you want to try and treat this yourself,go to our website and do a search for quot;selftreatment
for midfoot arthritisquot; or quot;selftreatmentfor foot arthritisquot; and you'll find all kinds of hints there, we'll recommend some overthecounterarch supports you can try instead of the custom ones. We'll recommend some types of shoesyou can use and a number of different things you can do initially to try and treat thisproblem.