In my office I start with an exam to see why you have pain. Then we go to manual therapy and active rehabilitate exercises. You go home with no more than 3 exercises that you do at home 23 times a day until your next visit where we do the entire process again to see how you have improved and continue to treat your deficits with new exercises.. MyThe majority of my patients are healed within 34 visits.

Talk to your podiatrist

For a patient with chronic ankle pain, the typical treatment is acupuncture.

For chronic ankle pain and lower back pain I recommend the modalities of acupuncture, herbs and massage 2-3 times a week for 4-6 weeks to get the best result.

acupuncture treatment for chronic ankle pain .

Without any assessment it's difficult to quantify, since it's chronic though, I would begin with 2 treatments weekly for 2 weeks, then reassess. We'd also need to go over other self care options for quickest and best results.

Adjustments of the Subtalar (ankle) joint can improve range of motion which will in turn reduce pain in the ankle. When a joint is out of alignment, not in its most efficient position, inflammation begins to develop in and around the joint. Additionally, adjustments of the Cuboid and Navicular bone using an activator will help with chronic ankle pain.
Hope this provides some clarity.

Typical Treatment Plan for Chronic Ankle Pain
Diagnosis and Evaluation:

A healthcare provider will assess the cause of the pain (e.g., arthritis, tendonitis, ligament injury, or overuse).

Imaging tests like X-rays, MRIs, or ultrasounds may be used to identify underlying issues.

Pain Management:

Medications: Over-the-counter pain relievers (e.g., ibuprofen, acetaminophen) or prescription anti-inflammatories.

Topical Treatments: Gels or creams containing NSAIDs or capsaicin for localized relief.

Physical Therapy:

Strengthening and stretching exercises to improve ankle stability and mobility.

Techniques like ultrasound therapy or manual therapy may be used.

Lifestyle Modifications:

Avoid activities that worsen the pain.

Use supportive footwear or orthotics to reduce strain on the ankle.

Injections:

Corticosteroid injections to reduce inflammation in cases of severe pain.

Hyaluronic acid injections for arthritis-related pain.

Bracing or Support:

Ankle braces or compression wraps to provide stability and reduce stress on the joint.

Surgical Options (if conservative treatments fail):

Arthroscopy to repair damaged tissue.

Joint fusion or replacement in severe cases of arthritis.

Alternative Therapies:

Acupuncture, massage, or chiropractic care for pain relief.

Supplements like glucosamine or omega-3s (consult a doctor first).

Well typical I would want to sit down and do a consult with exam first to determine what the condition of the ankle is. Then determine course of action through any X-rays and or orthopedic tests necessary. Most likely treatment would include ankle adjustments, scar tissue treatment (scraping, cupping or other soft tissue work) cold laser, Interferential muscle stimulation, and inflammatone (supplement that helps a healthy inflammation response) Hope this helps Dr James