Inside Ankle Collapse: Why is This Happening and What To Do…

By Chris Centeno, MD /

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I both love and hate getting older. The one part of getting older I do like is that I get to experience on a first-hand basis all of the stuff my patients present with. There is no better way to hone your skills than seeing it all happen in yourself. Up this week is my left inside ankle collapse. Let’s dig in.

Inside Ankle Collapse

When the inside of the ankle collapses inward, it’s also called ankle pronation. This is the opposite of ankle supination, which goes the other way. See below:

ankle pronation

My Ankle

I don’t usually work out in front of a mirror, but since I’m down in Grand Cayman, the condo where I stay has a good gym with a mirror. I was doing some simple cross fit exercises and I noticed that my left ankle was collapsing inward. Check out my video below and pay attention to the inside of that left ankle.

inside ankle collapse

However, my outside ankle was the area that hurt the most, why? See my video below for that explanation:

What’s Wrong?

The inside of the ankle is supported by strong ligaments. The main ones are called the deltoid ligaments. There are also the spring ligaments:

ankle deltoid ligaments

When these ligaments are loose, the ankle collapses inward.

How Do I Get This Fixed?

I definitely won’t get any surgery. I will have one of my Colorado partners inject high dose platelet-rich plasma using very precise ultrasound guidance. The goal is to get these weak ligaments to heal and tighten. I’ll also get a higher arch insert in the meantime.

What If I Just Leave It?

The outside of my main ankle joint is taking on too much pressure because of these weak inside ankle ligaments. Hence, if I leave this and continue to be active, I will eventually get arthritis in the outside of my ankle joint. So this needs to be treated asap.

To see why I’m taking care of this right now, read my book about getting older and staying ahead of the multiple injuries that plague all of us middle-aged and older people:

The upshot? I need to take care of this right away! While getting old is hard, I do love making me a better doctor!

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6 thoughts on “Inside Ankle Collapse: Why is This Happening and What To Do…

  1. Mel

    I noticed my son has ankle pronation w/ a low arch. Would he benefit from orthotics? He’s 20 and also has knee subluxation. Would you recommend seeing a Podiatrist for this problem or just over the counter orthotics? Maybe in the future he could do prp.

    1. Regenexx Team

      Hi Mel,
      We’d need to examine your son to advise. If you’d like to do that, please call 855 622 7838 to set up an exam.

  2. Barbara J Cooper-Ward

    I fracyured my left ankle on March 17th of this year,it still hurts alot when i try to move certain ways,do i have to worry about it?
    TY
    Barbara

    1. Regenexx Team

      Hi Barbara,
      In a fractured ankle there can also be tendon or ligament damage. Please see: https://regenexx.com/blog/memo-to-orthopedic-surgeons-stop-missing-ankle-instability/ and https://regenexx.com/blog/arthritis-from-injury/ It may resolve. If it continues, it should likely be looked into. http://www.regenexx.com

  3. JENNIFER HARDY

    I have this same exact problem! I’m having PRP done by Regenexx this Monday July 22! I wonder if my ankle will ever look and function normally again..?

    1. Regenexx Team

      Hi Jennifer,
      Congrats for catching it and having it treated!

Chris Centeno, MD

Regenexx Founder

Chris Centeno, MD is a specialist in regenerative medicine and the new field of Interventional Orthopedics. Centeno pioneered orthopedic stem cell procedures in 2005 and is responsible for a large amount of the published research on stem cell use for orthopedic applications.
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