Ankle Arthritis Progression: Is It Time to Consider a Total Joint Replacement?

Ankle arthritis may not seem like a serious condition at first. It may start as a nagging ache or a stiff sensation when you wake up in the morning. However, arthritis is a progressive condition that worsens over time, and adjusting your lifestyle may not be enough to keep the pain at bay.

If this sounds like you, have you considered a total joint replacement? At Cascade Foot & Ankle Center in Provo and Nephi, Utah, board-certified podiatric surgeon Jared Clegg, DPM, FACFAS, and our team understand that the thought of ankle surgery can be nerve-wracking. 

We’re here to help you understand why a total ankle replacement might be the right option when conservative treatments aren’t enough.

Many types of arthritis can slowly damage your ankle

If you have ankle arthritis, you may already struggle with daily pain and discomfort. What you may not realize, though, is that different types of arthritis can affect the ankle in unique ways. 

Each type can lead to wear and tear on the joint and the cartilage that cushions it, resulting in pain, stiffness, and limited mobility. 

Here’s a closer look at the most common types of arthritis that can affect your ankle:

Osteoarthritis 

Osteoarthritis typically develops as the cartilage in your ankle gradually breaks down over time. This wear and tear leads to increased joint pain, swelling, and stiffness, especially as you age or if you've had previous injuries. 

Rheumatoid arthritis 

Rheumatoid arthritis is an autoimmune condition where your body mistakenly attacks healthy tissues in the joints, leading to inflammation and damage. RA can cause both ankle joints to swell, stiffen, and feel unstable. 

Psoriatic arthritis 

Psoriatic arthritis, linked to the skin condition psoriasis, can affect any joint, including the ankle. This condition leads to inflammation and pain and can cause stiffness, making it hard to move your ankle freely. Symptoms can come and go, often making it unpredictable and more challenging to manage.

Conservative treatments may not be enough in the long run

Even with conservative treatments like medication, physical therapy, or lifestyle changes, arthritis symptoms can become more difficult to manage over time. 

Here are some telltale signs that it may be time to consider ankle replacement:

Pain is constant or worsening

When arthritis progresses, the pain can become more constant, even when you’re at rest. If your ankle pain keeps you from doing everyday activities or worsens over time, it could be a sign that your joint is significantly damaged.

Limited mobility or difficulty walking

If it’s becoming increasingly hard to walk or move around without pain, your joint is likely compromised. Limited mobility can affect your quality of life, making it harder to do simple tasks like walking, climbing stairs, or standing for long periods.

Swelling that doesn’t improve

Chronic swelling that doesn’t improve with rest, ice, or elevation may signal that the joint is inflamed or that the damage is progressing. 

Instability in the affected joint

If it feels like your ankle is unstable or giving out when you walk, it could mean the joint is losing function. 

Difficulty managing pain with medication

When over-the-counter pain relievers or prescribed medication no longer provide sufficient relief, it may be time to consider surgical options — especially if you’re relying on medication more frequently.

Book a total joint replacement consultation in Provo or Nephi, Utah

If you’re struggling with arthritis pain, don’t wait to seek help. Call our expert team at Cascade Foot & Ankle Center or schedule an appointment online today.