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Chapter 23 - Chronic Ankle and Foot Pain

from Part V - Extremities

Published online by Cambridge University Press:  01 December 2023

By
Kevin Bennett  and
Jamal Hasoon
Edited by
Omar Viswanath  and
Ivan Urits
Omar Viswanath
Affiliation:
Creighton University, Omaha
Ivan Urits
Affiliation:
Southcoast Brain & Spine Center, Wareham
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Summary

Chronic foot and ankle pain is a common symptom of a wide variety of conditions. Nationwide burden of substantial foot or ankle pain is 24% and 15%, respectively, resulting in a significant healthcare burden. Certain conditions have more specific etiologies or risk factors, many origins of chronic pain lie in obesity, lack of exercise/foot strength, and poor foot biomechanics. Chronic repetitive damage to the surrounding ligaments of the ankle joint structure or repetitive damage to the synovial joint itself can lead to CAI and osteoarthritis, respectively. Systemic disease, acute and overuse injuries, and anatomical deformities must also be considered when evaluating for the origin of pain. For many conditions, conservative treatment with oral anti-inflammatory drugs, orthotics, and physical therapy are first-line treatment and mitigate symptoms effectively in a majority of compliant patients. There is good evidence for the use of various modalities of pharmaceutical injections before recommending a patient to a more invasive surgical procedure.

Keywords

foot painankle painankle injectionsfoot injectionsosteoarthritischronic pain
Type
Chapter
Information
Cambridge Handbook of Pain Medicine , pp. 181 - 193
Publisher: Cambridge University Press
Print publication year: 2023

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