Chronic Ankle Instability Treatment in Fairfax, VA
An ankle that keeps giving way after old sprains, treated with targeted rehab, bracing, and ligament repair when needed.
Overview
When ankle ligaments don't heal properly after a sprain, the ankle can stay loose and prone to rolling. Over time, repeated sprains can damage cartilage and tendons inside the ankle. Chronic ankle instability is common, and it's very treatable.
Symptoms
- The ankle "giving way," especially on uneven ground
- Repeated sprains, sometimes from minor missteps
- Ongoing pain or swelling on the outside of the ankle
- A wobbly or unsteady feeling
- Reluctance to trust the ankle during sports
Causes and risk factors
- One or more previous ankle sprains
- Incomplete rehab after a sprain
- High arches or a heel that tilts inward
- Loss of balance and ankle-position sense after injury
Diagnosis
We test ligament laxity, balance, and strength, and check the peroneal tendons, which are often injured alongside. Stress X-rays and MRI show ligament damage and any cartilage injury.
Treatment
- Conservative: physical therapy focused on balance, strength, and proprioception
- Support: lace-up or functional braces and taping for activity (Sports Medicine & Custom Orthotics)
- Orthotics: custom orthotics to correct foot mechanics that tip the ankle outward
- Surgery: lateral ankle ligament repair or reconstruction, often with arthroscopy to address damage inside the joint (Reconstructive Surgery & Trauma)
When to see us
If your ankle has given way more than once, or you've been sprain-free but avoid activities because you don't trust it, schedule an evaluation at our Fairfax office.
Our approach
Ligament repair and reconstruction are part of the reconstructive surgery both of our physicians trained in. Consistent with our doctors' measured, patient-specific approach, surgery is recommended only after focused rehab and bracing haven't restored a stable ankle.
Frequently asked questions
Will physical therapy fix my unstable ankle?
For many patients, yes. A focused rehab program can restore stability without surgery.
What's recovery like after ligament repair?
Most patients are in a boot for several weeks, then begin rehab. Return to sport is typically three to four months after surgery.
Can instability cause arthritis?
Yes. Repeated sprains can damage cartilage and lead to ankle arthritis, which is why treating instability matters.