Managing an acute flare-up of osteoarthritis (OA) in the ankle involves a combination of strategies to reduce pain, inflammation, and improve function.

Here are some common approaches:

1. Rest and Protection:

   
   

   • Rest: Avoid activities that exacerbate pain. Resting the ankle can help reduce inflammation.

   • Protection: Use an ankle brace or support if necessary to stabilize the joint and prevent further injury.

     
     

2. Ice Therapy:

   
   

   • Apply an ice pack wrapped in a cloth to the affected ankle for 15-20 minutes several times a day to help reduce swelling and numb the pain.

     
     

3. Elevation:

   
   

   • Keep the ankle elevated above heart level when resting to help reduce swelling.

   
   

4. Compression:

   
   

   • An elastic bandage or compression wrap can help reduce swelling. Make sure it’s not too tight to avoid restricting blood flow.

     
     

5. Medications:

   
   

   • NSAIDs: Nonsteroidal anti-inflammatory drugs like ibuprofen or naproxen can help relieve pain and inflammation. Always follow dosing instructions and consult with a healthcare provider if you have any concerns.

   • Acetaminophen: For pain relief, especially if you can’t take NSAIDs.

   • Topical Treatments: Creams or gels containing NSAIDs or capsaicin can be applied directly to the skin over the affected area.

     
     

6. Physical Therapy:

   
   

   • Gentle stretching and strengthening exercises can help maintain joint function and reduce stiffness. A physical therapist can tailor a program specifically for you.

     
     

7. Assistive Devices:

   
   

   • Using a cane or crutches can help reduce the load on the affected ankle and alleviate pain.

     
     

8. Lifestyle Modifications:

   
   

   • Weight Management: Maintaining a healthy weight reduces stress on the joints.

   • Footwear: Wearing supportive, cushioned shoes can help reduce ankle strain.

     
     

9. Alternative Therapies:

   
   

   • Heat Therapy: Once the initial inflammation has subsided, heat packs or warm baths can help relax muscles and ease stiffness.

   • Acupuncture or massage might also provide relief for some people.

If the flare-up is severe, persistent, or not improving with these measures, it’s important to consult with a healthcare professional. They might recommend further treatments such as corticosteroid injections or more advanced interventions.

Physio@Home is proud to offer specialized physiotherapy services across mid Cornwall, from Truro to Falmouth, including villages like Feock, Playing Place, Mabe, Carnon Downs, Penryn, and Mawnan Smith. Our care also extends northward to St Agnes and Perranporth, as well as to surrounding communities like Perranarworthal, Chacewater, Devoran, and Constantine. No matter where you are, we are committed to delivering high-quality, personalized physiotherapy directly to your community.

More information

Osteoarthritis Information Booklet - by Versus Arthritis