If your ankle frequently gives out, feels weak, or you’re constantly worried about rolling it during normal activities, you may be dealing with chronic ankle instability. While many ankle injuries can heal with conservative care, long-term instability is a sign that your ligaments may be stretched, torn, or unable to properly support your joint. At Steven Struhl, MD – Shoulders & Knees, with offices in New York City and Westchester, we specialize in diagnosing and treating ankle instability, including when surgery becomes necessary.

What Causes Ankle Instability?

Ankle instability most often develops after repeated ankle sprains or one severe sprain that damages the ligaments supporting the joint. These ligaments don’t always heal completely, especially without proper rehabilitation, leading to looseness in the ankle and a tendency to roll or twist during activity. Over time, this instability can affect your balance, posture, and overall joint health.

Common causes include:

  • Recurrent ankle sprains
  • Incomplete healing of a prior injury
  • Ligament laxity from overuse or genetics
  • Weak surrounding muscles or poor proprioception (joint awareness)

Symptoms of Chronic Ankle Instability

Signs of ankle instability go beyond occasional discomfort. If your ankle feels unpredictable or you’ve altered your movement to avoid pain, it may be time for a medical evaluation. Symptoms include:

  • Frequent rolling or twisting of the ankle
  • A feeling of “giving way,” especially on uneven surfaces
  • Swelling or tenderness around the ankle
  • Pain during physical activity
  • Limited range of motion or joint stiffness

Left untreated, chronic ankle instability can lead to further ligament damage, cartilage wear, and long-term joint degeneration.

When Is Surgery the Right Option?

Surgery for ankle instability is typically recommended when:

  • Non-surgical treatments fail: Physical therapy, bracing, and rest haven’t improved strength or stability after several months.
  • You’ve had repeated injuries: Frequent ankle sprains or rolls that disrupt your daily life are a sign that the ligaments are no longer functional.
  • Your ligament is torn or severely stretched: Imaging studies show structural damage that can’t heal on its own.
  • Activity levels are impacted: You’ve had to give up sports or limit physical movement due to instability.

Surgical options usually involve ligament repair or reconstruction, restoring strength and alignment to the ankle joint. Procedures are often performed arthroscopically, allowing for smaller incisions, faster recovery, and long-term relief.

Expert Ankle Care in NYC and Westchester

Dr. Steven Struhl is a board-certified orthopedic surgeon with advanced training in sports medicine and joint reconstruction. With offices in Manhattan and Westchester, he offers both non-surgical and surgical treatments for ankle instability, tailored to each patient’s condition, lifestyle, and goals.

If you’re living with ankle instability and want answers, schedule a consultation today. We’ll evaluate your injury, explain your options, and help you return to confident, pain-free movement—without unnecessary delays.