Have you been told you might need an ankle replacement due to degenerative joint changes? If you’re dealing with persistent ankle pain that’s gradually worsened over time, you’re not alone. As a physiotherapist with 13 years of experience, I’ve worked with many patients navigating this significant but life-changing procedure using my hands-on approach combined with targeted strength training.
What is ankle replacement?
Ankle replacement, also known as total ankle arthroplasty, is a surgical procedure where damaged ankle joint surfaces are replaced with artificial components. Think of it like getting new parts for a worn-out hinge – the goal is to restore smooth, pain-free movement while maintaining stability.
Understanding degenerative ankle changes
Most patients I treat for ankle replacement have developed degenerative arthritis over many years. Research shows this wear-and-tear process typically results from:
- Natural aging causes cartilage breakdown
- Previous ankle injuries that accelerated joint deterioration
- Repetitive stress from high-impact activities or occupations
Studies indicate that up to 80% of ankle arthritis cases are post-traumatic, meaning they developed following an initial injury. In my practice, I often see patients who initially dismissed their ankle stiffness as “just getting older,” only to find the degeneration had progressed significantly.
My approach to optimising your outcome
Evidence supports comprehensive pre-surgical preparation, which is why I use my hands-on treatment philosophy:
Targeted strength training: Research demonstrates that patients with stronger supporting muscles achieve better post-surgical outcomes. I design specific programs addressing weakness in the calf, anterior tibialis, and hip stabilisers, as these muscles are crucial for protecting your new joint.
Manual therapy techniques: Studies show that maintaining pre-operative range of motion leads to improved post-surgical function. Using hands-on mobilisation and soft tissue work, I help preserve whatever joint mobility remains and address compensatory movement patterns.
Functional movement preparation: Evidence indicates that patients who undergo pre-surgical conditioning programs have faster recovery times and better long-term outcomes.
When to seek professional help
If degenerative ankle pain is limiting your daily activities, disrupting sleep, or if conservative treatments aren’t providing lasting relief, it’s time to consult with specialists. Research shows early intervention often leads to better surgical outcomes.
Your recovery journey
Studies consistently show that ankle replacement surgery has high success rates, with most patients experiencing significant pain reduction and improved function. In my experience treating patients both before and after ankle replacement, I’ve seen remarkable improvements in quality of life. While recovery requires commitment to our evidence-based strength rehabilitation program, most patients return to activities they thought they’d lost forever. With proper preparation and dedication to the process, there’s every reason to feel optimistic about your future mobility.
Grant Freckleton is a physiotherapist at Physica, 25 Wantirna Road Ringwood, with special interest in musculoskeletal physiotherapy and strength and conditioning coaching.