Ankle

Arthritis

Arthritis occurs when cartilage is damaged or decreased over time. Cartilage is the smooth covering over bones that allows joints to glide. This covering can become damaged due to traumatic injury or can just degenerate over time.

With severe and untreated arthritis the joint becomes inflamed and extra bone can form as your body attempts to protect the joint which causes even more pain.

Types

Arthritis in the wrist causes the wrist joint to become more narrow. There are different types of arthritis. The primary reason for arthritis is “wear and tear,” and is caused over time. This is osteoarthritis. Other types of arthritis can occur due to trauma or illness such as rheumatoid arthritis or septic arthritis. Systemic psoriasis or lupus can also cause joint degeneration.

Symptoms:

  • Pain
  • Loss of motion
  • Loss of strength
  • Grinding
  • Clicking
  • Pain with daily activities and motion

Diagnosis

  • Exam by your surgeon
  • X-rays
  • Possible MRI
  • Possible CT/CAT scan

Possible Treatment: Non-operative

  • Physical Therapy
  • Anti-inflammatory Medication
  • Injections
  • Nutritional Supplements

Possible Treatment: Operative

  • Fusion or excision of hand bones
  • Removal of cartilage fragments

Fractures

Ankle fractures are usually the result of trauma such as a blow to the ankle or a twisting force. The ankle is formed by the tibia (larger leg bone) which forms the medial malleolus on the inside of your ankle joint and fibula (smaller leg bone) which forms the lateral malleolus on the outside of your ankle.

Symptoms

  • Pain
  • Swelling
  • Bruising
  • Pop
  • Loss of movement
  • Possible deformity

Diagnosis

  • Exam by your surgeon
  • X-rays
  • Further imaging

Possible Treatment: Non-operative

  • Cast for six or more weeks

Possible Treatment: Operative

  • Plate and screws
  • Cast

Inflammation

Achilles Tendinitis

Tendinitis may occur from overuse or tight calf muscles. Achilles tendinitis is inflammation of the achilles tendon which is the largest tendon in the body. This tendon connects your calf muscles to your heel.

Symptoms:

  • Pain
  • Swelling
  • Bump

Diagnosis

  • Exam by your surgeon
  • X-rays
  • MRI

Possible Treatment: Non-operative

  • Anti-inflammatory medication
  • Heel lifts
  • Rest
  • Cast
  • Physical Therapy

Possible Treatment: Operative

  • Tissue debridement
  • Tendon repair

Ankle Instability

Chronic Ankle Laxity

Ankle laxity can occur due to incomplete healing from a previous sprain. There are many ligaments in the ankle that can cause injury. The deltoid and spring ligaments are on the inside of your ankle. The Anterior Talofibular Ligament (ATFL), Calcaneofibular Ligament (CFL), and Posterior Talofibular Ligament (PTFL) are on the outside of your ankle. The syndesmotic ligaments are located between the tibia and fibula. Any of these ligaments can become stretched out and/or improperly heal from a sprain.

Symptoms:

  • Pain with movement
  • Recurring sprains
  • Feeling of instability

Diagnosis

  • Exam by your surgeon
  • X-rays

Possible Treatment: Non-operative

  • Physical Therapy
  • Brace
  • Cast

Possible Treatment: Operative

  • Ligament reconstruction with graft

Office Location

Gitelis Orthopedics office

Hoffman Estates

1800 McDonough Road
Suite 202
Hoffman Estates, IL 60192

Located in the Ashton Center for Day Surgery building.

(847) 807-7770
fax: (847) 807-7771

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Barrington

27401 W. Hwy 22
Suite #6
Barrington, Il. 60010

Second office near Good Shepherd Hospital in Barrington, Il.

(847) 807-7770
fax: (847) 807-7771

Download Patient Forms