My Blog

Posts for category: Ankle Care

Arthroscopy of the ankle is a less invasive surgical technique performed through small incisions that give full access to a joint that can be used to treat joint adhesions, small joint fractures, bone spurring, and soft tissue build-up, which, as a result of repetitive injury, can clog the joint.

Typically, patients are non-weightbearing for 2 weeks to permit the small incisions to fully heal, slowly increasing activities as tolerated for the next 4-6 weeks, until a return to full activities can be accomplished.

The person who may benefit most from undergoing an Ankle Arthroscopy procedure is that individual who has suffered a twisting ankle injury and felt that their ankle has never been 'quite right' since. Prolonged repetitive activity when playing demanding sports like soccer or basketball can cause a gradual build-up of tissue without obvious injury.

Below are intraoperative images of an ankle arthroscopy revealing significant scar tissue and an osteochondral lesion of the talus, both of which were treated during the procedure.

If you have ankle pain and would like to discuss if arthroscopy is right for you, please give us a call for an appointment today! (425) 339-8888, ext 0



The Achilles tendon is prone to injury because the center of the tendon has poor circulation. For patients who are young and active in sports, or have demanding occupations that require a strong Achilles tendon, surgery is the treatment of choice. The surgery involves suturing the ruptured ends of the tendon back together and applying a splint for several weeks while the tendon heals. We use a published functional, rehabilitation Achilles Rupture Protocol.

To learn more about Achilles tendon ruptures, visit our website, Seattle Achilles Rupture & Injury Doctor | Ankle and Foot Specialist.

Below is an MRI revealing an Achilles tendon rupture with 16.9 mm gap. The Achilles tendon was repaired and the patient is doing very well after surgery.


Accidents happen. Maybe you missed the last step coming down stairs or fell playing basketball. Now you are looking at X-ray’s of a broken ankle at an urgent care facility. We know this is not the way you wanted to spend Sunday afternoon. Dr. Christensen, Dr. Smith, and Dr. Bowlby all have extensive experience in trauma surgery. We will be able to schedule both an appointment and surgery promptly so that you can start healing ASAP! Below is an example of a patient that sustained an ankle fracture while skate boarding. After surgery, the patient is doing very well and their bones have healed.

What is Platelet Rich Plasma (PRP)?

Platelets are pieces of blood cells that play a large role in blood clotting. A small amount of blood is drawn from the patient and then prepared by separating and concentrating the platelets from other blood cells, thereby creating a platelet-rich plasma. The PRP is then injected into an injured area of the body, such as the Achilles tendon.  The PRP contains concentrated growth factors released by the platelets that have been shown to promote tissue healing.

What happens after the injection?

Depending on the area that is injected, immobilization may be necessary for a couple of weeks followed by continuing physical therapy.  It may take several months before the maximum benefit of the PRP is seen.

Why isn’t PRP covered by insurance?

PRP is only indicated by the Food and Drug Administration (FDA) for use in the operating room with bone grafting procedures.  Although research does support other uses, they are considered “off label” and therefore not covered by insurance companies.

To learn more about PRP,  give us a call today!

Do you often “roll” or twist your ankle when walking on an uneven sidewalk or a hiking trail? This is a condition called lateral ankle instability. When you sprain your ankle, the ligaments are stretched or torn and can lead to progressive loss of balance.


You may begin to experience frequent falls and peroneal tendinitis as the ankle instability worsens. Overtime, the ankle can become painful and eventually severe ankle arthritis develops. The ankle is often stuck in a tilted (varus) position which complicates surgical repair.


In mild cases, proper rehab can strengthen the muscles around the ankle and “retrain” the tissues within the ankle that affect balance. An ankle brace or high-top shoes can be worn during high risk activities such as hiking or basketball. Ankle Ligament Repair can be performed to  in more severe cases.


For more information, check out our website, Marysville Ankle Instability | Burlington Unstable Ankle Specialists

If you are tired of rolling your ankle, give us a call today!