Acute and Chronic Ankle and Foot Injuries in Portland, OR
Foot and ankle injuries can occur suddenly during sports, exercise, work, or everyday activities. Other problems develop gradually because of repetitive stress, previous injuries, arthritis, or changes in foot structure. Dr. Natalie Mesnier provides specialized evaluation and treatment for acute and chronic ankle and foot injuries in Portland, OR. Her practice at Multnomah Orthopaedic Clinic focuses on foot and ankle conditions, including injuries affecting bones, joints, ligaments, tendons, and other soft tissues.
What Are Acute and Chronic Ankle and Foot Injuries?
Acute ankle and foot injuries occur suddenly, often because of a fall, twist, impact, or other traumatic event. Examples include ankle sprains, fractures, tendon ruptures, and dislocations.
Chronic injuries and conditions may develop over weeks, months, or longer. They can result from repetitive stress, an incompletely healed injury, altered biomechanics, arthritis, or an underlying structural problem. Some acute injuries can also become chronic when symptoms persist or the original injury does not heal properly.
Foot and ankle injuries can affect people of all activity levels. Prompt evaluation can help identify the extent of an injury and determine an appropriate treatment plan.
What Are the Causes of Acute and Chronic Ankle and Foot Injuries?
Ankle and foot injuries can have many causes. Common causes of acute injuries include:
- Twisting or rolling the ankle
- Falls or missteps
- Sports-related collisions or sudden changes in direction
- Direct blows or other impacts
- Motor vehicle or workplace accidents
- Landing awkwardly after a jump
- Sudden overstretching of a tendon or ligament
Chronic problems may develop because of:
- Repetitive stress or overuse
- Previous ankle or foot injuries
- Recurrent ankle instability
- Improperly healed fractures
- Arthritis and joint degeneration
- Tendon disorders
- Changes in foot alignment or structure
- Repetitive activities that place stress on the foot or ankle
What Are the Symptoms of Acute and Chronic Ankle and Foot Injuries?
Symptoms depend on the type and severity of the injury. Common symptoms may include:
- Pain in the foot or ankle
- Swelling or bruising
- Tenderness
- Difficulty walking or putting weight on the affected foot
- Reduced range of motion
- Joint stiffness
- Ankle instability or a feeling that the ankle may give way
- Weakness
- Changes in foot or ankle alignment
- A popping or snapping sensation at the time of injury
Severe pain, significant swelling, inability to bear weight, visible deformity, or symptoms following a major injury warrant prompt medical evaluation.
How Are Acute and Chronic Ankle and Foot Injuries Diagnosed?
Diagnosis begins with a detailed discussion of your symptoms, how the injury occurred, previous injuries, activity level, and medical history. Dr. Mesnier performs a physical examination to assess tenderness, swelling, range of motion, strength, stability, alignment, and other signs of injury.
Imaging may be recommended depending on the suspected condition. X-rays can help identify fractures, joint changes, and alignment problems. Additional imaging, such as MRI or other advanced studies, may be used when more information about ligaments, tendons, cartilage, or other soft tissues is needed.
A thorough evaluation helps distinguish between different causes of foot and ankle pain and guides treatment.
What Are the Treatment Options for Acute and Chronic Ankle and Foot Injuries?
Treatment depends on the type of injury, its severity, how long symptoms have been present, and your overall foot and ankle health.
Nonsurgical Treatment
Many injuries can initially be treated without surgery. Depending on the condition, treatment may include:
- Activity modification
- Rest and protection of the injured area
- Ice and elevation
- Bracing or immobilization
- Physical therapy
- Exercises to restore strength, flexibility, balance, and range of motion
- Medications for pain and inflammation when appropriate
- Supportive footwear or orthotics
- Injections or other nonsurgical treatments for selected conditions
Surgical Treatment
Some injuries require surgery, particularly when there is significant structural damage or when nonsurgical treatment has not adequately addressed the problem. Surgical treatment may be considered for certain fractures, tendon injuries, ligament injuries, joint instability, deformities, and other complex conditions.
Dr. Mesnier's foot and ankle reconstruction practice includes treatment of fractures and dislocations, ankle instability, tendon problems, arthritis, and other conditions that may require reconstructive surgery. The recommended procedure depends on the specific injury and your individual needs.
Why Choose Dr. Mesnier for Acute and Chronic Ankle and Foot Injuries in Portland?
Dr. Natalie Mesnier is a board-certified, fellowship-trained orthopaedic surgeon specializing in foot and ankle reconstruction. Her training includes fellowship training in foot and ankle reconstruction, and her practice focuses on the diagnosis and treatment of a broad range of foot and ankle conditions.
Her clinical interests include ankle fractures, ankle instability, Achilles tendon injuries, ankle sports injuries, tendon problems, foot and ankle arthritis, deformities, and complex reconstruction. Patients in Portland can receive specialized foot and ankle evaluation and treatment at Multnomah Orthopaedic Clinic.
Acute and Chronic Ankle and Foot Injuries FAQs
What is the difference between an acute and chronic ankle or foot injury?
An acute injury occurs suddenly, often after a specific traumatic event. A chronic injury or condition develops or persists over a longer period and may be related to repetitive stress, a previous injury, arthritis, or another underlying problem.
When should I see a doctor for a foot or ankle injury?
Consider prompt medical evaluation if you have significant pain or swelling, cannot put weight on the affected foot, notice a deformity, experience instability, or have symptoms that do not improve with initial self-care.
Can an ankle sprain become a chronic problem?
Yes. Some ankle sprains can result in persistent pain, instability, or recurrent sprains, particularly when the original injury does not heal appropriately or rehabilitation is incomplete.
Do foot and ankle injuries always require surgery?
No. Many injuries can be treated with nonsurgical measures such as activity modification, bracing, physical therapy, and other conservative treatments. Surgery may be considered when there is significant structural damage or when appropriate nonsurgical treatment does not provide adequate improvement.
How long does it take to recover from a foot or ankle injury?
Recovery depends on the type and severity of the injury, the treatment required, and individual healing. Minor injuries may improve within weeks, while fractures, tendon injuries, and complex injuries can require several months of rehabilitation.
Acute and Chronic Ankle and Foot Injury Care in Portland, OR
Persistent foot or ankle pain can interfere with walking, work, exercise, and everyday activities. Whether you have recently injured your ankle or have been dealing with symptoms for months, Dr. Natalie Mesnier can evaluate your condition and discuss appropriate treatment options.
Schedule an appointment at Multnomah Orthopaedic Clinic in Portland, OR, for specialized evaluation and treatment of acute and chronic ankle and foot injuries.














