The occurrence of an ankle sprain or fracture can lead to degenerative arthritis in the joint in later years – ankle arthrosis. Degenerative arthritis occurs more frequently in the knee than in the ankle due to joint differences, but cartilage degeneration occurs in the ankle. After a doctor has diagnosed ankle joint arthrosis, treatment to relieve pain and improve mobility is often the goal. If applicable, a physician will usually encourage a patient to reduce the impact on the joint. If a patient experiences significant pain during certain activities, it may be helpful to change the activities to reduce the discomfort. By supporting the ankle, the joint can be supported, which can relieve pain. Anti-inflammatory medications can also reduce swelling, which can help with the pain. At some point these treatments often stop working. This is the time when many doctors may turn to surgery. However, other non-surgical options are also possible.

Platelet-rich plasma therapy

Platelet-rich plasma therapy – PRP therapy – is similar to stem cell therapy, but a PRP ankle injection uses a patient’s blood instead of stem cells. The blood contains platelets that contain growth factors that can promote healing. In this procedure, a nurse trained in regenerative medicine draws blood, fills it into a centrifuge to concentrate the platelets, and then mixes the enriched platelets back into the plasma in their concentrated form. The final step is the PRP injection. Ankle joints often respond easily to this treatment, and patients will notice a reduction in pain and an increase in joint mobility. PRP ankle injections may need to be performed several times to maximize efficacy.

Prof. Dr. med. Philip Schoettle
Office hours Monday to Friday by appointment

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