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Painful stitches in ankle

  1. The ankle is a joint that connects the lower leg to the foot. The ankle makes the foot movable in relation to the leg. This allows us to walk, jump, run and turn. But too much stress on the ankle can cause injuries. A minor injury is quickly healed, but a serious injury sometimes takes more than a year to recover. In a number of cases, an operation is even required. Damage can also occur without overload, such as with ankle osteoarthritis. Stinging pain is a common complaint of injury or damage to the ankle. It is not always clear where this pain comes from.

The ankle joint

  1. By the ankle we mean the part that connects the lower leg to the foot. The ankle consists of the ankle joint. On the outside, we recognize the ankle by two visible lumps on either side. These cusps are the ends of the shin (inside ankle) and the fibula (outside ankle).

Stitches in the ankle

  1. Pain in the ankle can always arise. Pain can develop suddenly but can also creep in slowly. We also know the painful stitches. It appears as if a sharp object is inserted into the ankle. This painful sting can be a one-off but it can also return again and again. When it comes to a one-off stitch, nothing is wrong. But when the stitches keep coming back, there could be more to it. There are various causes for this, which are not always clear. Some of them are described below.

Local tendonitis

  1. Tendons connect muscles to bones. The force of the muscles is transferred to the bone via the tendons. Muscles can become overloaded, but so can tendons. We see this with a continuous pressure on the bone, whereby the tendon is pushed together, as it were. Too tight or wrong footwear or overweight can be related to this. Symptoms are a stabbing pain or a continuous pain, swelling and often redness. Often local tendinitis develops on the outside of the ankle. Tendinitis often heals on its own, with enough rest to relieve the load on the tendon. Sometimes anti-inflammatory drugs are administered.

Outer ankle ligament injury

  1. The outer anklets can be damaged. For example, by spinning the foot, stiffening or too long a load. There will then be just a little too much stretch on the anklets, which can cause cracks in them. The foot often sprains inward while the ankle sprains outward. The outer anklets cannot handle this movement. The symptoms are pain, sometimes a stabbing pain, difficulty in using the foot normally, swelling, redness and a feeling that the foot is no longer stable. Another change happens more often. The complaints can be felt on the outside of the ankle. It mainly occurs in people who exercise a lot and make unexpected movements such as turning, running, jumping and falling. Treatment first consists of rest in combination with elastic wrapping, later an ankle bandage. Then physical therapy to aid recovery. A complete rupture requires surgery. Recovery takes an average of six weeks, but can also take a year. The load is then slowly increased again.

Inner ankle injury

  1. This trauma is less common and we mainly see people who suddenly fall. Children also have to deal with this more often. The foot then suddenly spins outward while the ankle moves inward. This causes the inner ankle strap to stretch and tear. Again the complaints are pain, sometimes a stabbing pain, not being able to use the foot normally, redness, swelling and an unstable foot. Treatment consists of relieving the torn ankle ligament. Raising the leg promotes healing. In addition, the ankle can be bandaged. Physiotherapy helps the ankle recover. The load should be slowly built up again.

Peroneal tendon luxation

  1. Not much is known about this condition. It is often thought that it is a torn ankle bracelet. The tendon shifts here. Occasionally this can be felt because the tendon, as it were, slides or clicks over the bone. There is pain, sometimes a stabbing pain, swelling and sometimes redness. Often the pain can be felt behind the fibula, but also underneath. The peroneal tendons always run on the outside of the ankle, through a groove where they are held in place. In a peroneal tendon luxation, the tendon is thrown out of its groove. The cause can often be found in sprains of the ankle or a hollow foot, as a result of which the position of the feet is not good and there is overload. Unlike other ankle problems, this condition will never heal on its own. Surgery is therefore always necessary.

Ankle OA

  1. Osteoarthritis is a condition in which joints wear and tear. The cartilage becomes thinner and softer. As a result, the joints will increasingly rub against each other, because the cartilage is no longer in between. This means that the joint is subject to wear. Osteoarthritis belongs to the rheumatic diseases. Ankle OA is nothing more than OA of the ankle joint. It is most common in people from middle age. The cause can also be found in a previous ankle ligament injury. Symptoms include pain when walking, especially pain in the morning and later ankle joint stiffness. Treatment consists of pain relief, anti-inflammatory drugs, physiotherapy, an arch support and sometimes surgery.

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