Although arthritis of the ankle is less common than the other bigger joints of the lower body such as the hip and knee, it can still occur. The most common cause of ankle arthritis is a history of trauma or having chronic ankle instability (typically from repeat ankle sprains). Symptoms of this condition include a deep ankle pain, morning stiffness, mild swelling, and occasionally ankle “crunching and clicking” noises. You may also have pain putting full weight on the ankle. Fortunately, the ankle has a lot of muscle supports that can be used to help take the load off the ankle joint and often gentle activity helps sore stiff arthritic joints feel better. Your therapist will assess the status of your ankle and create a treatment plan to address your concerns. Your treatment plan may include hands on therapy (manual therapy), home exercises (stretches and strengthening), taping or bracing to support the ankle, and needling for pain relief (acupuncture or dry needling). If needed, your therapist may also teach you to use a device to help take weight off your ankle while it heals (such as a crutch or cane).