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Talar Dome Cartilage Damage (Osteochondral Lesion)
What is an Osteochondral Lesion?
What Are the Causes of Osteochondral Lesions
Several factors can contribute to osteochondral lesions, including:
- Trauma: Ankle sprains, fractures, or direct impacts can damage the cartilage and bone.
- Repetitive Stress: Athletes or individuals engaging in high-impact activities may develop lesions over time due to repeated stress on the joint.
- Poor Blood Supply: Reduced blood flow to the affected area can weaken cartilage and bone, increasing the risk of lesions.
- Congenital Factors: Some individuals may have anatomical abnormalities that make them more prone to osteochondral lesions.
What Are the Symptoms of Osteochondral Lesions
Common symptoms of osteochondral lesions include:
- Persistent ankle pain, especially during movement
- Swelling and stiffness in the joint
- A catching or locking sensation in the ankle
- Weakness or instability while walking
- Decreased range of motion
If you experience any of these symptoms, it is important to consult a podiatrist for an accurate diagnosis and treatment plan.
Diagnosing Osteochondral Lesions
A podiatrist will conduct a physical examination and review your medical history. Diagnostic tests may include:
- X-rays: These help assess bone damage and joint alignment.
- MRI or CT scans: These provide detailed imaging of cartilage and soft tissue involvement.
- Arthroscopy: A minimally invasive procedure that allows direct visualization of the joint.
Treatment Options for Osteochondral Lesions
The treatment approach depends on the severity of the lesion. Common treatment options include:
- Rest and Immobilization: Reducing weight-bearing activities and using a brace or cast can help the joint heal.
- Physical Therapy: Strengthening and flexibility exercises can improve joint function and stability.
- Medications: Anti-inflammatory drugs can help relieve pain and swelling.
- Injections: Platelet-rich plasma (PRP) or corticosteroid injections may be used to promote healing and reduce inflammation.
- Surgery: In severe cases, procedures such as microfracture surgery, cartilage repair, or osteochondral grafting may be necessary.
Living with Osteochondral Lesions
Managing osteochondral lesions involves lifestyle adjustments and proper treatment. Here are some tips:
- Avoid high-impact activities that strain the joint.
- Wear supportive footwear to reduce stress on the ankle.
- Follow a rehabilitation program prescribed by your podiatrist.
- Maintain a healthy weight to minimize joint pressure.
Why Choose University Foot & Ankle Institute?
Osteochondral lesions can cause significant pain and mobility issues, but with early diagnosis and appropriate treatment, patients can recover and maintain joint health.
At University Foot & Ankle Institute, our board-certified podiatrists offer expert care for conditions like Osteochondral lesions. We provide advanced treatment options, from conservative care to surgical solutions, ensuring personalized care for every patient.
If you are experiencing persistent ankle pain or swelling, make an appointment with one of our expert Podiatrists today.
Dr. Abimbola Johnson completed his undergraduate degree at Loyola University Chicago, where he played Division II rugby and was also involved in social justice clubs aimed at helping younger students prepare for college.
Upon graduation, he entered Scholl College of Podiatric Medicine, where he served as president of the practice management club and volunteered as coordinator at the Free Foot Clinic in Chicago. He served his residency at Regions Hospital/Health Partners in St. Paul.
Dr. Johnson provides comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common and complex disorders and injuries. The doctor is uniquely qualified to detect the early stages of disease that exhibit warning signs in the lower extremities, such as diabetes, arthritis, and cardiovascular disease.
Dr. Johnson can be seen at our Santa Barbara location
