Ankle instability is a common problem following repeated ankle sprains or previous injury. For some patients, the ankle repeatedly “gives way”, leading to pain, loss of confidence, and difficulty with walking or sport.

As a consultant orthopaedic surgeon specialising in foot and ankle surgery, I provide expert assessment and surgical treatment of ankle instability for patients in Darlington and across the Tees Valley and North Yorkshire.

What Is Ankle Instability?

Ankle instability occurs when the ligaments on the outside of the ankle fail to heal properly after injury. This can result in ongoing looseness of the joint, recurrent sprains and a feeling of instability, particularly on uneven ground.

Over time, untreated instability can lead to cartilage damage and ankle arthritis.

Common Symptoms of Ankle Instability

Patients with ankle instability often describe repeated ankle sprains, swelling after activity, pain around the outside of the ankle and a sensation that the ankle may give way.

Symptoms are commonly worse during walking, sport or activities that involve turning or uneven surfaces.

Diagnosis and Assessment

Assessment begins with a detailed clinical examination to evaluate ankle stability and ligament function. X-rays are often used to assess joint alignment, while MRI scanning may be required to evaluate ligament damage and cartilage health.

Accurate diagnosis is essential to determine whether surgery is appropriate and to plan the most effective treatment.

Non-Operative Treatment Options

Initial treatment for ankle instability may include physiotherapy focused on strengthening and balance, bracing, and activity modification.

While these measures can help some patients, persistent instability despite appropriate rehabilitation is a common reason for referral for surgical opinion.

When Is Surgery Recommended?

Surgery may be recommended when ankle instability continues to cause symptoms despite structured non-operative treatment. This is particularly the case when instability interferes with daily activities, work or sport, or when repeated injuries increase the risk of long-term joint damage.

The aim of surgery is to restore ankle stability, reduce pain and help prevent further injury.

Surgical Treatment for Ankle Instability

Surgical treatment for ankle instability typically involves repair or reconstruction of the damaged lateral ankle ligaments. In some cases, keyhole (arthroscopic) techniques may be used to assess and treat associated joint damage at the same time.

The specific procedure is tailored to the individual, based on the extent of ligament injury and overall ankle condition.

Lateral Ligament Reconstruction Surgery

Lateral ligament surgery is commonly performed for patients with chronic ankle instability caused by damage to the ligaments on the outside of the ankle. The procedure aims to restore normal ankle stability by repairing or reconstructing the injured ligaments, reducing the risk of recurrent sprains and further joint damage. When performed appropriately, lateral ligament reconstruction can improve confidence in the ankle, enhance function, and help protect the joint from long-term degenerative change.

Recovery and Rehabilitation

Following ankle surgery, a period of immobilisation is usually required to allow the repaired ligaments to heal. This is followed by gradual progression to weight-bearing and structured physiotherapy.

Rehabilitation plays an essential role in restoring strength, balance and confidence in the ankle, helping patients return safely to activity.

Why Specialist Surgical Care Matters

Chronic ankle instability is a mechanical problem that often requires specialist surgical management to achieve lasting improvement. Careful assessment and appropriate reconstruction help reduce the risk of further injury and long-term complications such as arthritis.

Patients are commonly referred after recurrent sprains or failure of physiotherapy-led treatment.

Consultant Orthopaedic Care in Darlington

I am a consultant orthopaedic surgeon specialising in foot and ankle surgery, based in Darlington. I treat patients from across the Tees Valley and North Yorkshire, including Stockton-on-Tees, Yarm, Stokesley, Middlesbrough, Durham and surrounding areas.

Request an Ankle Instability Consultation

If you experience repeated ankle sprains, ongoing instability or loss of confidence in your ankle, a specialist consultation can help determine whether surgical treatment is appropriate.

Please complete the form below and a member of the team will be in touch to discuss your enquiry and appointment options.

Your details will be treated confidentially and used only to contact you regarding your care.

What Happens Next?

• Your enquiry is reviewed by the clinical team

• You are contacted to discuss symptoms, imaging and treatment history

• A consultation is arranged at a convenient location

• A clear treatment plan is agreed, including whether surgery is recommended

Ongoing Ankle Instability Doesn’t Have to Limit You

Living with an unstable ankle can affect confidence, mobility and long-term joint health. With specialist assessment and personalised surgical care, many patients experience improved stability, reduced pain and a return to normal activities.

If conservative treatment has not resolved your symptoms, a consultation can help you understand your surgical options and expected outcomes.