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Treatments for Ankle Osteoarthritis

Treatment List for Ankle Osteoarthritis

The list of treatments mentioned in various sources for Ankle Osteoarthritis includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

  • The damage is irreversible and treatment is aimed managing the pain, maintaining mobility of the joint and slowing the progression of the condition. Painkillers, anti-inflammatories, exercise and reducing stress on the joint may help alleviate symptoms. Studies have shown no conclusive benefits of supplements such as glucosamine and chondroitin but some people may find they help. Joint replacement surgery may be required in severe cases that involve joints such as the hip or knee
  • Treatment for osteoarthritis of the ankle depends on the severity of the symptoms, and the patients' age, general health and other medical conditions. Treatment is aimed at symptom control and modification of disease progression. Treatments include:
    • Explanation - Education plays an important role in arthritis management
    • Rest - during bouts of active inflammation
    • Exercise - graduated exercise program recommended to maintain good joint function, especially in osteoarthritis
    • Heat - may provide relief in non-inflammatory arthritis such as osteoarthritis
    • Weight loss - will assist with symptom control in patients who are overweight, and have arthritis in weight bearing joints
    • Physiotherapy - can assist with regaining and maintaining joint function
    • Occupational therapy - can assist with management at home and mobility aids
    • Simple analgesics (used regularly) - can be effective in control of pain either alone or in combination with other agents. Regular paracetamol is an effective first line agent
    • NSAIDs, aspirin and COX-2's - used for more persistent pain or where there is evidence of an inflammatory component. Need to be wary of gastrointestinal and cardiovascular side effects
    • Stronger analgesics - tramadol, buprenorphine, opioid analgesics, used when pain is not adequately controlled with other measures, but not first line
    • Intra-articular steroids - not recommended as first line therapy, but can be effective for acute flare ups of arthritis
    • Intra-articular hylans - for osteoarthritis of the knee
    • Glucosamine - found in some studies to be as effective as NSAIDs in osteoarthritis
    • Surgery - arthroscopy and joint replacement and fusion have a role when other measures do not provide adequate symptom control

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Hospitals & Medical Clinics: Ankle Osteoarthritis

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