Repeated ankle sprains can cause ligament laxity that leaves the ankle feeling loose, unsteady, or prone to giving way. When this becomes a persistent pattern, it is called chronic ankle instability. Dr. Hanson treats this condition from its earliest stages through surgical ligament reconstruction.
Most ankle sprains heal well with appropriate rest and rehabilitation. But when the lateral ankle ligaments are repeatedly stretched or torn, they may heal in a lengthened position, reducing their ability to stabilize the joint. Over time, even minor perturbations can cause the ankle to give way, and simple activities like walking on uneven ground become difficult or anxiety-provoking.
Chronic ankle instability is common in active patients, particularly those who have had multiple sprains without adequate rehabilitation. It can also develop after a single severe sprain that was not fully addressed. Left untreated, it can lead to cartilage damage and early ankle arthritis.
Treatment begins with a structured rehabilitation program to address the neuromuscular deficits that accompany ligament laxity. Many patients respond well to conservative care when it is properly designed and followed consistently.
When surgery is needed, the Brostrom-Gould procedure is the gold standard for most patients, tightening and reinforcing the stretched lateral ligaments. Recovery typically involves a period of immobilization followed by progressive rehabilitation.
Dr. Hanson has treated ankle instability at every level of activity, from recreational patients to professional athletes. His published work in sports medicine and years as team physician for collegiate and professional teams give him a nuanced understanding of when to push for conservative care and when surgery is the more efficient path to durable stability.
Dr. Hanson will take time to understand your specific situation, review any prior imaging or records, and give you an honest assessment of all your options including non-surgical approaches.