Chronic Ankle Instability | Makovicka Physical Therapy in Omaha

Thank you for visiting Makovicka Physical Therapy’s Chronic Ankle Instability page. We have 5 locations in Omaha and the surrounding suburbs and would love to hear from you if you are experiencing any of the signs and symptoms below.

The ankle joint is comprised of three bones that held together by tendons and ligaments. Chronic ankle instability occurs when these structures are damaged or compromised in any way. Ankle fractures and sprains can be major influences to the instability you are experiencing.

Other factors that may influence chronic ankle instability are:

  • Increased stress to the ankle joint.
  • Damage to the interosseous membrane of the tibia and fibula.
  • Tendonitis

Treatment of Chronic Ankle Instability:

  • First make sure that the instability is not from an acute ankle sprain or related to a fracture. Seek the advice of your physician and follow the RICE model below to decrease pain and swelling.
  • If the instability is from chronic ligament damage, physical therapy has shown to increase the stability of the ankle.

RICE Model

  • Rest: Give yourself time to heal by keeping weight off your ankle. Crutches may help you get around if the pain doesn’t go away.
  • Ice: Make sure to ice right after the injury to decrease the pain and swelling. Ice 15-20 minutes every couple hours for the first few days or until pain and swelling has decreased.
  • Compression: By using an elastic bandage, you can decrease the swelling. Make sure to start wrapping the bandage at your toes and work your way towards your leg.
  • Elevation: Prop your ankle up using a pillow or bolster.



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