Guidelines for Intra‑articular Corticosteroid Use in the Ankle Joint

Post‑Injection Joint Management

After an intra‑articular corticosteroid injection of the ankle, patients should avoid strenuous use of the injected joint for the first 24 hours; routine immobilization is not recommended. 1

Strict aseptic technique must be employed for every injection to prevent iatrogenic septic arthritis. 1
In patients with diabetes, clinicians should counsel that a transient rise in blood glucose may occur during days 1‑3 after injection and advise self‑monitoring of glucose levels. 1
Informed consent that clearly documents the procedure, the injectable medication, anticipated benefits, and potential risks is required before injection. 3
When a local anesthetic is used in conjunction with the corticosteroid, clinicians should discuss its advantages and disadvantages with the patient. 1

For individuals with chronic anterior talofibular ligament pathology who have failed conservative therapy, referral for surgical evaluation is recommended. 1