Ankle Pain & Instability

Hello I'm Kumar Kunasingam - Ankle sprains are extremely common injuries, but sometimes they don't heal as expected. This video explains what happens when ankle problems persist - and the treatment options available to help restore stability and confidence. When you sprain your ankle, the ligaments that hold the joint stable are stretched or torn. Most sprains heal well with rest, ice, and physiotherapy. However, some people develop ongoing pain, swelling, or a feeling that the ankle gives way. This is called chronic ankle instability. Chronic instability can develop if the ligaments do not heal properly, or if the ankle is repeatedly sprained before full recovery. You may notice that your ankle feels weak or unreliable, particularly on uneven ground or during sport. This significantly affects confidence and activity levels. Research suggests that up to thirty percent of people who sprain their ankle may develop some degree of chronic instability. This is why proper rehabilitation after a sprain is so important. However, even with good initial treatment, some people do develop ongoing problems that require specialist assessment. Other causes of persistent ankle pain include cartilage damage, bone bruising, or loose fragments within the joint. These conditions can sometimes be missed after a sprain, which is why thorough assessment is important. Diagnosis begins with a detailed history and physical examination, testing the stability and range of motion of your ankle. X-rays can reveal any bone abnormalities; while MRI scanning - provides detailed images of the ligaments, tendons, and cartilage. This helps identify exactly what is causing your symptoms. Treatment will depend on the underlying problem: Physiotherapy can strengthen the muscles around your ankle and improve balance, which often resolves instability - Also, bracing may provide additional support during sport. If conservative treatment fails, surgery to repair or reconstruct the damaged ligaments may be recommended - to restore lasting stability. Ankle arthroscopy, or keyhole surgery, allows me to examine and treat problems inside the joint through small incisions. This can address cartilage damage; remove loose bodies; and treat inflammation. For ligament reconstruction, minimally invasive techniques typically offer faster recovery and excellent outcomes. After ankle stabilisation surgery - you will typically wear a protective boot for several weeks, while the repaired ligaments heal. Physiotherapy then focuses on rebuilding strength and balance. Most patients return to sport within four to six months, though this varies depending on the procedure and your individual progress. If your ankle sprain has not healed properly or you experience ongoing instability, please contact my team. Early assessment can prevent further damage and help you return to the activities you enjoy with confidence.