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Varus Ankle Osteoarthritis - Causes, Symptoms, and Treatment

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Varus ankle osteoarthritis affects the ankle of the person and limits ankle movement. Read below to learn in detail.

Medically reviewed by

Dr. Anuj Nigam

Published At May 25, 2023
Reviewed AtJanuary 27, 2024

Introduction:

Varus ankle osteoarthritis is a condition that occurs when the cartilage in the ankle joint breaks down and causes pain and inflammation. This condition can be very debilitating, making it difficult to walk, run, or even stand for long periods. In this article, we will discuss what varus ankle osteoarthritis is, what are its causes, and how it can be treated.

What is Varus Ankle Osteoarthritis?

Varus ankle osteoarthritis is a type of osteoarthritis that affects the ankle joint. It is characterized by the breakdown of the cartilage in the ankle joint, which leads to pain, stiffness, and swelling. The term "varus" refers to the deformity that can occur in the ankle joint when the cartilage breaks down. This deformity can cause the ankle to turn inward, making it difficult to walk or stand.

What Is the Incidence and Prevalence of Varus Ankle Osteoarthritis?

The prevalence and incidence of varus ankle osteoarthritis vary depending on the population being studied. In general, osteoarthritis is more common in older adults and those with certain risk factors, such as a history of joint injuries or obesity.

According to a study published in the Journal of Foot and Ankle Research, the prevalence of ankle osteoarthritis is estimated to be between 1 % to 10 % of the general population. However, the prevalence may be higher in certain populations, such as older adults or athletes.

The incidence of varus ankle osteoarthritis is difficult to estimate, as it can develop slowly over time and may be asymptomatic in the early stages. However, some studies have suggested that the incidence of ankle osteoarthritis may be increasing in certain populations, such as older adults and those with a history of joint injuries.

What Are the Causes of Varus Ankle Osteoarthritis?

Varus ankle osteoarthritis can be caused by a variety of factors, including:

  • Age: As we age, the cartilage in our joints breaks down, which can lead to osteoarthritis.

  • Injury: An injury to the ankle joint, such as a sprain or fracture, can increase the risk of developing osteoarthritis.

  • Obesity: Being overweight can put extra stress on the ankle joint, which can increase the risk of developing osteoarthritis.

  • Genetics: Some people may be more predisposed to developing osteoarthritis due to their genes.

  • Other Medical Conditions: Certain medical conditions, such as rheumatoid arthritis, can increase the risk of developing osteoarthritis.

What Are the Symptoms of Varus Ankle Osteoarthritis?

Varus ankle osteoarthritis can cause a range of symptoms that can vary in severity depending on the extent of joint damage. Some common symptoms include:

  • Pain: Pain is a hallmark symptom of varus ankle osteoarthritis. The pain may be located on the inner side of the ankle joint. The pain may be dull or achy and may be present during activity or at rest.

  • Stiffness: The ankle joint may feel stiff, especially in the morning or after prolonged periods of inactivity. The range of motion may be limited.

  • Swelling: The joint may appear swollen, and the skin around the joint may be warm to the touch.

  • Clicking or Popping: You may hear a clicking or popping sound when you move your ankle joint.

  • Difficulty Walking: Walking may be difficult or painful, especially on uneven or rough surfaces.

  • Deformity: In advanced cases of varus ankle osteoarthritis, the joint may become deformed, causing the ankle to appear crooked or misshapen.

  • Tenderness: The ankle joint may be tender to the touch, and the area around the joint may be sensitive.

How to Diagnose Varus Ankle Osteoarthritis?

Diagnosing varus ankle osteoarthritis typically involves a combination of a physical examination, medical history, and diagnostic tests. During a physical examination, the doctor will look for signs of inflammation, such as swelling and tenderness, and may perform range-of-motion tests to assess the mobility of the ankle joint. The doctor may also ask about the patient's symptoms, medical history, and any risk factors for osteoarthritis.

Diagnostic tests may include X-rays, MRI (magnetic resource imaging) scans, or CT (computerized tomography) scans of the ankle joint. These tests can help to confirm the diagnosis of osteoarthritis and determine the severity of the condition. In some cases, the doctor may also perform a joint aspiration, which involves removing fluid from the joint with a needle, to check for signs of inflammation or infection.

How Can Varus Ankle Osteoarthritis Be Treated?

Varus ankle osteoarthritis can be treated with a variety of approaches, depending on the severity of the condition. Some common treatment methods include:

  • Medications: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help to relieve pain and reduce inflammation.

  • Physical Therapy: A physical therapist can help to improve range of motion and strength in the ankle joint through exercises and stretches.

  • Braces or Shoe Inserts: These devices can help to support the ankle joint and reduce the risk of further damage.

  • Injections: Corticosteroid injections can help to reduce inflammation in the ankle joint and relieve pain.

  • Surgery: In severe cases, surgery may be necessary to repair or replace damaged cartilage in the ankle joint.

What Are the Complications of Varus Ankle Osteoarthritis?

If left untreated, varus ankle osteoarthritis can lead to several complications in the future. Some potential complications include:

  • Chronic Pain: The ongoing pain associated with varus ankle osteoarthritis can significantly impact a person's quality of life and make it difficult to perform daily activities.

  • Limited Mobility: As the condition progresses, the ankle joint may become more stiff and difficult to move, which can limit a person's mobility and ability to walk or stand.

  • Deformity: Over time, the cartilage breakdown in the ankle joint can cause the joint to become deformed. This can make wearing shoes, walking normally, or performing other activities difficult.

  • Increased Risk of Falls: People with varus ankle osteoarthritis may be at an increased risk of falls, which can result in injuries such as fractures or sprains.

  • Reduced Independence: In severe cases, varus ankle osteoarthritis can make it difficult for a person to perform daily activities independently, which can impact their overall quality of life.

Conclusion:

Varus ankle osteoarthritis is a common condition that can cause pain, stiffness, and swelling in the ankle joint. Various factors, including age, injury, and obesity, can cause it. Treatment options include medications, physical therapy, braces or shoe inserts, injections, and surgery. If you are experiencing symptoms of varus ankle osteoarthritis, it is important to consult with the doctor to determine the best course of treatment for the specific condition.

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Dr. Anuj Nigam
Dr. Anuj Nigam

Orthopedician and Traumatology

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