Ace Physiotherapy and Sports in Singapore
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+65 81535374 -
ACE PHYSIO SPORTS
East gate Building, 46 East Coast Road
#08-03 Singapore 428766 -
Opening Hours
Mon to Fri: 08:00am - 8:00pm -
Opening Hours
Sat: 08:00am - 4:00pm
Sunday (By prior appointment)
Ankle Arthroscopy
Arthroscopy of the Ankle
Ankle arthroscopy, also known as keyhole surgery of the ankle, is a minimally invasive procedure performed by an orthopaedic surgeon to investigate, diagnose, and treat a variety of ankle conditions. During the procedure, the surgeon makes two or three small ‘keyholes’ or ‘portholes’ in the ankle through which surgical instruments are inserted. The arthroscopy allows the surgeon to have a clear view of the inside of the ankle joint, enabling assessment of the structures within the ankle for any damage. If damage is detected, it is often repaired during the same procedure, providing a targeted and efficient treatment approach.
Ankle arthroscopy is used to treat a variety of conditions and can be suitable for many individuals. Common procedures performed using this minimally invasive technique include:
- Removal of loose bodies: Small fragments of bone or cartilage that cause pain or restrict movement.
- Repair of cartilage damage: Treating areas of worn or damaged cartilage to reduce pain and improve function.
- Treatment of ankle impingement: Removing inflamed or scar tissue that restricts ankle movement.
- Ligament repair or reconstruction: Addressing ligament injuries that cause instability.
- Synovectomy: Removal of inflamed synovial tissue in cases of arthritis or chronic inflammation.
- Treatment of fractures: Managing certain ankle fractures with minimal disruption to surrounding tissue.
An ankle arthroscopy can be performed under either general or local anaesthetic, depending on your specific case and surgeon’s recommendation. During the procedure, the ankle is filled with sterile fluid, which provides a clear view of the joint and helps wash away any debris. If any damage is identified, it is usually corrected using small surgical instruments guided by the camera. Arthroscopic ankle surgery allows these treatments to be performed without the need for large incisions, reducing trauma to surrounding tissues. The keyhole approach offers several advantages, including a lower risk of infection, smaller scars, and faster post-operative rehabilitation compared to traditional open ankle surgery.
Physiotherapy prior to an ankle arthroscopy
Prior to your surgery, your physiotherapist at acephysiosports.com can design a pre-operative rehabilitation programme to help control symptoms, improve muscle strength, and optimise biomechanics. By undertaking this programme before surgery, your post-operative rehabilitation may be more effective, and recovery timeframes and outcomes can be improved. Exercises will focus on balance and proprioception, and treatment may include:
- Targeted strengthening exercises: Focusing on the muscles around the ankle, foot, and lower leg.
- Balance and coordination training: Preparing the joint for improved stability after surgery.
- Range of motion exercises: Maintaining flexibility in the ankle and surrounding joints.
- Soft tissue techniques: Reducing stiffness and improving circulation in the ankle.
- Patient education: Guidance on posture, movement strategies, and safe activity prior to surgery.
Symptoms following an ankle arthroscopy
Following arthroscopic ankle surgery, it is normal to experience some or all of the symptoms below. The severity of post-operative symptoms often depends on the extent and type of surgery performed. Common symptoms include:
- Swelling and bruising around the ankle joint.
- Mild to moderate pain at the surgical site.
- Stiffness and reduced range of motion in the ankle.
- Muscle weakness in the lower leg due to limited movement.
- Tenderness around the keyhole incision sites.
- Temporary changes in sensation, such as numbness or tingling near the incision areas.
Physiotherapy following ankle arthroscopy
Following your ankle arthroscopy, the physiotherapists at acephysiosports.com will perform a thorough assessment of your ankle and design a personalised rehabilitation programme tailored to your individual needs. This programme will focus on managing acute post-operative symptoms, including: reducing pain, restoring range of movement, improving weight-bearing capacity, and enhancing balance. The goal is to help you return to normal activities as safely and quickly as possible. Treatment may include:
- Gentle range of motion exercises: To gradually restore ankle mobility.
- Pain management techniques: Including ice, elevation, and manual therapy.
- Weight-bearing progression: Safely increasing load on the ankle to rebuild strength.
- Balance and proprioception training: Improving stability and coordination.
- Targeted strengthening exercises: Focusing on the muscles around the ankle and lower leg.
- Education and guidance: Advice on safe movement, posture, and activity progression.
Summary
Ankle arthroscopy is a minimally invasive procedure used to examine, diagnose, and treat a variety of ankle problems. It can be performed as a standalone procedure or alongside repair or reconstruction of damaged structures. Physiotherapy is essential for complete rehabilitation following ankle arthroscopy, helping to reduce pain, restore movement, and regain function. The physiotherapists at acephysiosports.com provide a comprehensive and personalised treatment programme to ensure full recovery of strength, mobility, and functional use in your ankle and affected leg. For more information or to book an appointment, call +65 81535374 or visit acephysiosports.com today.
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