What is ankle arthritis?

​Ankle arthritis is a condition affecting the ankle joint, where the cartilage that covers the joint surfaces becomes worn. This can lead to pain, stiffness and difficulty walking.
Unlike hip or knee arthritis, ankle arthritis is often related to previous injury, such as an ankle fracture or repeated ankle sprains.

Symptoms of ankle arthritis

Common symptoms include:
  • Pain in the ankle, particularly with walking or standing
  • Stiffness, especially first thing in the morning
  • Swelling around the joint
  • Reduced range of movement
  • Difficulty walking on uneven ground
Symptoms may gradually worsen over time but can vary between individuals

Non-surgical treatment

Many patients can manage symptoms without surgery. Options include:
  • Activity modification
  • Physiotherapy
  • Supportive footwear or ankle braces
  • Anti-inflammatory medication
  • Steroid injections
These treatments aim to reduce pain and improve function.

Surgical treatment

If symptoms persist despite non-surgical treatment, surgery may be considered.
Surgical options include:The most appropriate treatment depends on the severity of arthritis, alignment of the joint and individual patient factors.

When to seek specialist advice

If ankle pain is affecting your daily activities, a consultation can help determine the cause and discuss appropriate treatment options.

Frequently asked questions

What causes ankle arthritis?
Ankle arthritis is often caused by previous injury such as ankle fractures or repeated sprains. It can also develop due to wear and tear over time or inflammatory conditions.
What are the early signs of ankle arthritis?
Early symptoms include pain with walking, stiffness in the ankle, swelling and difficulty with uneven ground. Symptoms may gradually worsen over time.
Can ankle arthritis be treated without surgery?
Yes, many patients can manage symptoms with non-surgical treatment such as physiotherapy, supportive footwear, activity modification and injections.
When is surgery needed for ankle arthritis?
Surgery may be considered if symptoms persist despite non-surgical treatment and significantly affect daily activities.
What surgery is available for ankle arthritis?
Surgical options include ankle arthroscopy, ankle fusion and ankle replacement. The most appropriate option depends on the severity of arthritis and individual patient factors.