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  • HOME
  • Our Story
  • Meet the Doctors
    • Candace Criscione, DPM
    • Robert E. Gallucci, DPM, FACFAS
    • Stephen J. Rogers, DPM, FACFAS
  • Conditions We Treat
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    • Foot & Ankle Corrective and Reconstructive Surgery
    • Ankle Joint Arthroscopy
    • Ankle Joint Replacement
    • Diabetic Foot & Ankle Medicine and Surgery
    • Pediatric Foot Care
    • Custom Orthotics
    • Wound Care
    • High-Risk Conservative Foot Care
    • Foot & Ankle Revisions and Second Opinions
    • Stem Cell and PRP Injections
  • New Patients
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    • Warwick, RI
    • Middletown, RI
    • Dartmouth, MA

5 Signs You May Need Ankle Replacement Surgery: When to Consider Arthroplasty

September 19, 2025

A team of male and female surgeons performing an ankle replacement surgery.

Key Takeaways:

  • Non-Surgical Treatments Do Not Work: Ankle replacement can help if conservative options do not ease symptoms.
  • Severe Symptoms: Severe symptoms may require surgery for relief.
  • Pain Interfering with Daily Activities: If your symptoms interfere with daily life, surgery may help.

Ankle replacement surgery is a procedure that swaps out a damaged ankle joint for an artificial implant. It is often recommended for people with long-term ankle pain or trouble walking because of joint problems. The goal is to help you move better, hurt less, and enjoy life more.

If ankle pain is slowing you down, it might be time to explore your options. Here are some key signs that you might need ankle replacement surgery.

Sign 1 – Persistent Ankle Pain Despite Non-Surgical Treatments

Sometimes, ankle pain does not go away. Even after trying physical therapy, medication, or lifestyle changes, the discomfort can persist. These options can help with mild foot problems, but if they stop working, it might mean something more serious is going on.

Arthritis is often the cause of constant pain. These can be osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. The pain can make walking, standing, and even resting difficult.

If you have tried every non-surgical option and still can not get relief, consider ankle replacement surgery. It could help you move better and enjoy life again.

Sign 2 – Severe Stiffness and Loss of Range of Motion

Stiffness in the ankle that makes it hard to move or flex your foot can be a sign that surgery may be needed. Ankles that feel tight or “locked” can make simple activities much harder. Simply walking, climbing stairs, or getting out of bed could feel difficult.

This stiffness is often worse in the morning or after sitting still for a while. A limited range of motion often happens when there is serious joint damage. This can stop you from exercising, enjoying hobbies, or keeping up with daily activities.

If you find yourself skipping plans or avoiding movement because of stiffness, it may mean some damage has progressed.

Sign 3 – Advanced Joint Damage Confirmed by Imaging

Imagery such as X-rays, MRIs, or CT scans can reveal the extent of ankle joint damage. These tools help podiatrists identify cartilage erosion. They can also reveal bone-on-bone contact or significant joint deformity. Any of these findings can point to serious ankle damage.

For patients experiencing intense pain and stiffness, these imaging results often confirm why those symptoms persist. They provide valuable information about the severity of damage.

According to the Cleveland Clinic, ankle replacement surgery can help if your tests reveal severe deformity.

Sign 4 – Ankle Instability and Frequent Giving Way

One lesser-known sign that could necessitate ankle surgery is instability. If your ankle often wobbles or rolls, it could mean the joint is too damaged. In some cases, it may no longer be able to stabilize itself.

This instability not only raises the risk of falls and sprains but also causes uneven weight distribution. Over time, that can speed up joint damage.

If your ankle continues to be in this state, it may mean the joint is too damaged to stabilize itself. Ankle replacement surgery can relieve pain and restore the joint’s structure. This can give you the confidence to move freely again.

Sign 5 – Pain Interfering With Sleep and Daily Activities

Pain that disrupts sleep or everyday activities can be a turning point. Discomfort that keeps you awake at night can be exhausting. Trouble walking even short distances can also be overwhelming, physically and emotionally.

Many people adapt by limiting activities like work, hobbies, or family gatherings. This often leads to frustration, isolation, and a lower quality of life.

If the pain is constant, it can stop you from living the life you want. At that point, surgery such as ankle arthroplasty may be worth considering.

When to See a Podiatrist for Ankle Replacement Surgery

If you are experiencing any of these symptoms, it is important to consult a podiatrist. They specialize in foot and ankle care. They will review your symptoms and treatment history, and use imaging tests to create a personalized care plan.

Recovery and Expectations

Recovery from ankle replacement surgery happens in stages:

  • Hospital Stay: A short stay to monitor your healing after surgery.
  • Physical Therapy: Exercises to strengthen your ankle and improve flexibility.
  • Weight-Bearing Activities: Gradually introduced to help you adjust to the new joint.

According to Mayo Clinic, most patients return to their normal activities within a few months. However, recovery time can vary based on factors like age, health, and activity level.

Ankle Replacement Surgery in Warwick & Middletown, RI, and Dartmouth, MA

Ankle replacement surgery can be helpful for those with severe ankle pain, stiffness, or instability. The main signs also include foot problems and pain reaching the point that it is affecting daily life. Spotting these early can help you decide if it is time to see a specialist for possible ankle arthroplasty.

If you are experiencing these symptoms, the Foot & Ankle Institute of New England is here to help. Our experienced team of foot and ankle doctors can provide treatment plans to help you get back on your feet. To schedule a consultation, please call our office location nearest to you or use our convenient appointment request form.

We look forward to serving you!

Filed Under: Ankle Arthroscopy, Ankle Pain, Ankle Replacement Tagged With: ankle arthroplasty, ankle joint, Ankle Pain, Ankle Replacement Surgery, Ankle Surgery, foot and ankle care, Foot Problems, medication, Physical Therapy, podiatrist

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We offer foot and ankle issues treatment services Foot & ankle reconstruction sugery ,Ankle Joint Arthroscopy , Ankle Joint Replacement , Diabetic Foot care, Wound Care, pediatric foot care, Custom Arthotics, Stem Cell & PRP Injections, Conservative foot care .