Treatment for arthritis of the Subtalar joint in the ankle

Posted by lovetennis @lovetennis, Jul 24, 2018

I was diagnosed with moderate arthritis of the subtallular ankle joint. Dr. says no research has been done indicating help for arthritis in this joint. He said that this joint is very complicated. The only recourse is to adjust my orthotics. He does not believe that any injections will help including cortizone, PRP, or stem cell. He said way down the road, a fusion might be considered. I will never have a fusion or any surgery done on my ankles or feet. I do not want to wait for my condition to get that bad to have anything done. Is there anyone out there with this condition? Is there any research or trials to test treatment for this particular joint? Is there anyone who can advise me on what to do about arthritis in the ankle?

@windyt

@gallagher17
Got the results of my nerve conduction study and they are not at all what I expected. Thought they would find nerve damage in the ankle or foot but the results show those as normal and the injury being to my spine. So my chiropractor recommends a spinal MRI to see what the injury is. Regardless of what it shows, if it needs any type of surgery or complicated treatment it won't be happening until I am on medicare. Good news is that when she carefully adjusted my back with an activator, the numbness and pain in the foot/toes improved for a few days and I was able to put more weight on it. She also mentioned a decompression therapy that I may be a candidate for depending on the MRI results. So now it looks like my treatment is going a different direction.

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@wendyt Welcome to our connect group We are caring helpful people . I'm 76 and have gone to a chiropractor all my life for a sacreal back problem. I've gotten great relief as you from nerve problems Sounds like your in good hands

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I was wondering if anyone has had any experience with stem cell therapy and the subtalar joint… I was involved in a motorcycle accident 35 years ago and suffered a comminuted (crushed) fracture of my foot… The Subtalar, Calcanius and Cubiods… I was advised to fuse them at the time of my accident.. but didn't… I work as a cinematographer and am on my feet 14 to 16 hours a day and on uneven terrain… over the years my foot has gotten worse and the pain has become unbearable in the last 3 or 4 years… I have tried orthotics.. special footwear.. braces.. taping.. anti-inflammatory pills… cortisone shots… numerous foot specialists.. at the moment the consensus is to fuse my subtalar joint… I live in a mountainous area with steep slopes and am very active.. Besides being on my feet all day at work I work a lot at my place in the mountains…Cutting wood.. tending to fruit trees.. etc.. etc.. I love to hike.. (used to) I am concerned about fusing the subtalar joint and will it limit my movement? Will I be able to walk 20,000 steps a day? without pain? on steep slopes? will I be able to run? I am able to still use my foot but I am in extreme pain.. almost unbearable… every day… I came across this article on stem cell procedure… (attached and a pdf) any thoughts? the article is almost 10 years old.. any feed back would be much appreciated..

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The New Procedure Giving More Mobility (The-New-Procedure-Giving-More-Mobility.pdf)

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Is it true that only the ankle joint can be replaced, but that is not an option with the subtaylar joint? Are there any other options than fusion such as stem cell therapy?

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@panahead

I was wondering if anyone has had any experience with stem cell therapy and the subtalar joint… I was involved in a motorcycle accident 35 years ago and suffered a comminuted (crushed) fracture of my foot… The Subtalar, Calcanius and Cubiods… I was advised to fuse them at the time of my accident.. but didn't… I work as a cinematographer and am on my feet 14 to 16 hours a day and on uneven terrain… over the years my foot has gotten worse and the pain has become unbearable in the last 3 or 4 years… I have tried orthotics.. special footwear.. braces.. taping.. anti-inflammatory pills… cortisone shots… numerous foot specialists.. at the moment the consensus is to fuse my subtalar joint… I live in a mountainous area with steep slopes and am very active.. Besides being on my feet all day at work I work a lot at my place in the mountains…Cutting wood.. tending to fruit trees.. etc.. etc.. I love to hike.. (used to) I am concerned about fusing the subtalar joint and will it limit my movement? Will I be able to walk 20,000 steps a day? without pain? on steep slopes? will I be able to run? I am able to still use my foot but I am in extreme pain.. almost unbearable… every day… I came across this article on stem cell procedure… (attached and a pdf) any thoughts? the article is almost 10 years old.. any feed back would be much appreciated..

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Hi, I had internal fixation and reduction of both my heels (calcaneus) ten years ago (I was 31 at the time of the accident) after a fall from height. Although I recovered well I had ongoing mild to moderate pain in my subtalar joint and had cortisone injections biannually. I decided last Christmas that I'd take the advice of my foot and ankle consultant and have the previous fixation hardware removed and fuse both my subtalar joints. Left side fusion was completed in March and right in September. I have to say that after only 10 weeks of my left foot subtalar fusion I knew I'd made the correct choice. Mild aching of the heel itself, but none of the debilitating inflammation and pain just under the outer ankle. I'm 7 weeks in on my right side and already managing to walk a mile a day in an aircast boot and attend short indoor cycling classes. I'd be happy to further share my experiences with you if you think it will help?

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@lovetennis

Is a fusion and ankle replacement the same? My arthritis is moderate right now. So, fusion or ankle replacement is not needed at this time. However, I want to do something now to prevent having to do either in the future.

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Hi, subtalar fusion and ankle fusion are very different. The subtalar joint provides the heel with left to right movement, and if fused doesn't affect function of the ankle joint. I've had my subtalar joints fused on both feet this year and am happy to share my experiences if they are of use to anyone.

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