Ankle sprains are among the most common ankle injuries. They occur when one or more of your ankle ligaments are torn or stretched. Duke foot and ankle specialists in Cary, Raleigh, and Durham can assess the severity of your injury and recommend the best treatment plan to heal your ankle and lower your risk for chronic ankle pain and instability.
When to Seek Treatment
A torn or stretched ankle ligament can occur from simply walking down the street or when playing vigorous sports. The damage can range from mild to severe. A complete tear of the ankle ligament can cause your ankle joint to partially dislocate. This might sound like a pop and can be as painful as an ankle fracture. Immediate medical attention is required to determine the extent of your ankle injury.
Visit Duke Orthopaedics Urgent Care
Our convenient orthopaedic urgent care locations in Durham, Apex, and Wake Forest are open seven days a week. Get fast service with no long waits and no unnecessary exposure to illness. No appointment needed; walk-ins are welcome.
Ankle Instability Increases Your Risk for Chronic Ankle Pain
Mild ankle injuries benefit from medical attention too. Ankle sprains that don’t heal properly can weaken your ankle over time and lead to chronic ankle pain. Ankle instability can put you at increased risk for chronic ankle pain and ankle arthritis. Duke foot and ankle experts use a variety of imaging techniques to evaluate your ankle injury, including X-rays to look for broken bones, and MRI and ultrasound to evaluate the health of your soft tissues, including ankle tendons, cartilage and ankle ligaments.
Duke Health orthopaedic clinics are located throughout the Triangle. In-person and virtual appointments are available.
Ankle surgery may be recommended if you have persistent ankle instability and chronic ankle pain that has not responded to months of nonsurgical treatment. Ankle surgery may be needed to clean out the joint or repair and/or reconstruct torn ligaments. If arthritis has caused extensive damage to your ankle joint, you may be a candidate for ankle fusion or ankle replacement surgery.
A tiny tube-like device with a camera at its tip -- called an arthroscope -- is inserted into the ankle joint through small incisions. Ankle arthroscopy allows your ankle surgeon to view your joint, clean away chipped bones and scar tissue, and repair or reconstruct ankle tissues that may be torn or stretched.
Ankle Ligament Reconstruction
Severely torn ankle ligaments may be repaired or reconstructed using tendons taken from elsewhere in the body or from donor tissue.
Ankle arthrodesis, or ankle fusion, may be recommended if you have severe ankle arthritis and are not a candidate for ankle replacement surgery. Two bones below the ankle joint are fused together to reinforce the ankle and reduce ankle instability. The long-lasting procedure reduces pain and restores some function.
Also referred to as ankle arthroplasty, this procedure can be the treatment of choice for severe ankle arthritis and damaged ankle joints. A metal or plastic ankle implant replaces the diseased ankle joint. Total ankle replacement surgery reduces pain and restores maximum function.
Chronic ankle pain can be a sign of avascular necrosis, a condition that occurs when the blood supply to the ankle is disrupted and can result in the death of ankle bone tissue. This can be extremely debilitating and painful, and even put the ankle at risk for amputation. Duke foot and ankle surgeons and plastic surgeons perform complex procedures that restore blood supply to the ankle bone in the face of serious ankle trauma, fractures, and joint damage. We are also using 3D printing to create replacements for foot and ankle bones when avascular necrosis is present. This innovation can prevent the need for amputation and help you regain much of your normal ankle function.
Seek Care from an Experienced Ankle Surgeon
Sports Medicine Specialists
Our sports medicine specialists are trained to care for sports-related injuries and specialize in the treatment of every level of athlete. They include primary care doctors, physiatrists, physical therapists, and orthopaedic surgeons. They help you recover from an ankle injury, prevent injury, and can work with you to improve your sports performance. They help active individuals return to the activities they love.
Duke foot and ankle experts perform hundreds of foot and ankle procedures each year. They are board certified and fellowship trained in foot and ankle surgery.
Leading Ankle Researchers
Our foot and ankle surgeons' extensive research on ankle sprains, ankle instability, and ankle arthritis has informed the way we approach treatment. We understand how ankle instability changes the forces that impact the ankle. The results of our research help us get you back on your feet faster.
Ankle Repair and Ankle Reconstruction Surgery
Our foot and ankle surgeons use the latest techniques to repair and reconstruct ankle joints with bone and tissue grafts. These advances can result in less pain and better function.
Ankle Replacement Surgery Advances
We have extensive experience with the newest ankle implants and procedures. We were involved in the development or refinement of many of the ankle implants used in total ankle replacement surgery. Some of the newer ankle implants are only available at major ankle centers like Duke. They get you back to weight-bearing activities sooner.
Minimally Invasive Techniques
When ankle fracture or ankle trauma is present, we use minimally invasive surgical techniques. The small incisions translate to faster recoveries and a quicker return to your daily activities.
Where you receive your care matters. Duke University Hospital is proud of our team and the exceptional care they provide. They are why our orthopaedics program is nationally ranked, and the highest ranked program in North Carolina, according to U.S. News & World Report for 2020–2021.