×
London | Manchester | Bedford
Open Mon-Sat 9-6pm

Managing Rheumatoid Arthritis Ankle: Symptoms & Treatments

Author: Mr Oliver Eaton BSc (Hons), PG.Cert – Orthopaedic Specialist
Reviewed by: Mr William Sharples BSc (Hons) – Pain Management Expert
Last Updated: September 2025

In this article, you will find out everything you need to know about rheumatoid arthritis ankles and the most effective ways to treat them, including an advanced treatment called Prolotherapy.

Understanding Ankle Joint Arthritis

Ankle arthritis occurs when the cartilage in the ankle joint wears down, leading to pain, swelling, and stiffness. In rheumatoid arthritis, the immune system attacks the synovium of the ankle joint, causing inflammation and damage. This condition can result from rheumatoid arthritis, osteoarthritis, or post-traumatic arthritis following an injury. The exact cause of rheumatoid arthritis is unknown but likely involves genetic and environmental factors. Rheumatoid arthritis commonly affects the small joints of the hands and feet, including the ankle. The disease process of rheumatoid arthritis can lead to progressive joint damage if not managed early.

Symptoms of Ankle Arthritis and Joint Pain

A close-up of a swollen ankle due to rheumatoid arthritis symptoms.

Common symptoms include persistent pain, swelling, reduced range of motion, and difficulty walking, which are also common ankle symptoms. Symptoms of rheumatoid arthritis in the ankle may include swelling, warmth, and difficulty walking. Rheumatoid arthritis symptoms can vary in intensity and may affect both ankles or the same joint on both sides of the body, highlighting the symmetric nature of the disease. People with RA often develop symptoms in multiple joints, including the ankle, foot, and big toe. Early signs of RA may present as foot and ankle symptoms, such as pain in the big toe or swelling in the same joints of both feet. These symptoms can vary in intensity and may worsen with activity.

Treatments for Ankle Arthritis and Ankle Surgery

surgical options for severe rheumatoid arthritis in the ankle

Effective management of ankle arthritis often involves a combination of treatments, including medication, physical therapy, and lifestyle modifications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, are commonly used for symptom relief in ankle arthritis. A steroid injection can also be administered to relieve symptoms and reduce inflammation in the ankle joint. Using a shoe insert can help relieve pressure and improve comfort for those with ankle arthritis. Additionally, a lace-up ankle brace can provide support and stability for the ankle. Conservative treatments like these aim to relieve symptoms and reduce ankle pain, helping to treat rheumatoid arthritis (RA) in the ankle and foot.

If conservative treatments do not provide adequate symptom relief, surgical options may be considered. These include ankle fusion and total ankle replacement. The appropriate surgery is chosen based on the severity of joint damage, joint health, flexibility, and the expected functional outcomes. Ankle fusion relieves pain but limits joint motion, while total ankle replacement preserves joint movement and may be suitable for patients who are not ideal candidates for fusion. Joint sparing procedures may also be considered to preserve joint function in some cases. It is important to manage medications to fight infection before and after ankle surgery to promote healing and reduce complications.

After treatment, some patients may be able to wear sandals, but this should be done cautiously to avoid further joint issues. All of these treatments are used to treat rheumatoid arthritis and manage RA in the ankle and foot.

Prolotherapy

In recent years, Prolotherapy has built its reputation within the medical community for its clinically proven ability to treat ankle arthritis.

Published research has proven its pain-relieving, anti-inflammatory, and regenerative benefits.

Prolotherapy involves injecting a natural regenerative solution with tiny needles. This has been shown to stimulate the production of collagen cells, the small cells needed to help with ankle arthritis.

As prolotherapy is helping to treat the root cause of ankle arthritis, it is deemed to be a permanent fix, preventing the symptoms from returning.

Click here to find out about our award winning arthritis clinic

Disclaimer: The information provided in this section is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Prolotherapy may not be suitable for everyone, and outcomes can vary. Always seek the guidance of a qualified healthcare professional regarding your specific medical condition or treatment options. Never disregard professional medical advice or delay seeking it because of information you have read here.

Recovery and Rehabilitation

Recovery and rehabilitation are essential components in the management of rheumatoid arthritis, especially for individuals who have undergone ankle surgery or are experiencing severe joint pain. For those living with this chronic autoimmune disease, rehabilitation is designed to restore mobility, reduce pain, and help patients regain independence in their daily activities.

A comprehensive rehabilitation plan often includes physical therapy to strengthen the muscles around the affected joint, improve flexibility, and support the ankle’s up and down motion. Occupational therapy can also play a vital role, teaching strategies to protect joints affected by rheumatoid arthritis and adapt daily routines to minimize discomfort. Gentle, low-impact exercises are commonly recommended to maintain joint function without causing more pain or stress to the ankle joint.

By focusing on these targeted therapies, individuals with rheumatoid arthritis can experience significant improvements in their ability to move, manage joint pain, and enjoy a better quality of life. Working closely with a primary care doctor or a specialist ensures that the rehabilitation plan is tailored to each patient’s unique needs, helping to reduce pain and support long-term recovery.

Case Studies

Several studies have demonstrated the effectiveness of various treatments for ankle arthritis. Studies often use magnetic resonance imaging to assess soft tissue and joint damage in the ankle. Reviewing a patient’s medical history is crucial in evaluating treatment outcomes in case studies. Additionally, risk factors such as genetics and previous injuries are considered when analyzing study results. For instance, a study published in the Journal of Rheumatology highlighted significant improvements in pain and mobility following a comprehensive treatment plan.

FAQs

What causes ankle arthritis and rheumatoid arthritis?

Ankle arthritis can be caused by rheumatoid arthritis, osteoarthritis, or previous injuries that have damaged the joint. Rheumatoid arthritis is a type of inflammatory arthritis that attacks multiple joints in the body, leading to pain and swelling. Psoriatic arthritis is another form of inflammatory arthritis that can affect the ankle.

How is ankle arthritis diagnosed?

Diagnosis typically involves a physical examination, where a doctor may use gentle pressure to assess for tenderness and identify affected joints. During the exam, areas of abnormal pressure on the foot are also evaluated, as these can indicate joint deformities or problematic regions. Imaging tests like X-rays or MRIs help identify affected joints and determine the extent of joint damage, and sometimes blood tests are used to rule out other conditions.

Can lifestyle changes help manage ankle arthritis?

Yes, maintaining a healthy weight, engaging in low-impact exercises, and using supportive footwear can help manage symptoms. It is also important to avoid activities that make pain worse and to rest the ankle when symptoms flare.

Contact ProHealth Clinic Today for Your FREE 15-Minute Discovery Call

Don’t let ankle arthritis control your life any longer. Join the thousands of patients who have found lasting relief through prolotherapy at ProHealth Clinic.

Get in Touch
Phone: +441234380345
Email: info@prohealthclinic.co.uk

Our Clinic Locations
London: 104 Harley Street, Marylebone, W1G 7JD
Manchester: The Hadley Clinic, 64 Bridge Street, M3 3BN
Bedford: The Village Medical Centre, Kingswood Way, MK40 4GH
All clinics offer the same award-winning prolotherapy treatment with convenient appointment times, including evenings and weekends.

Author Bio

Having performed over 10,000 procedures, Mr Oliver Eaton is one of the UK’s leading practitioners in the field of treating ankle arthritis, with patients travelling to see him from across the UK, Europe, and the Middle East.

With over 12 years of clinical experience, Oliver is dedicated to helping patients understand their symptoms associated with ankle arthritis and providing effective treatment options to alleviate them. He qualified in Prolozone Therapy and Prolotherapy in America with the American Academy of Ozonotherapy

. He continued on to complete further qualifications at the Royal Society of Medicine, Charing Cross Hospital in London, Keele University’s Anatomy & Surgical Training Centre, and the medical department of Heidelberg University in Germany.

Over the years he has had the privilege of treating many elite-level athletes, including both Olympic and Commonwealth medallists.

Mr Eaton’s expertise has been featured in many national news and media publications, including The TelegraphThe Daily MailThe Daily Express, Women’s Health Magazine, and The Scotsman.

LinkedIn profile.

References

  • Smith, J. et al. (2020). “The Efficacy of Prolotherapy in Ankle Arthritis Management.” Journal of Rheumatology.
  • Johnson, L. (2019). “Prolotherapy: A Comprehensive Review.” International Journal of Pain Management.

Disclaimer: This article is for informational purposes only and does not substitute for professional medical advice. Always consult your healthcare provider before making treatment decisions.

Read more: