Ankle

Osteochondral Lesion of the Talus

An osteochondral lesion is a cartilage and bone injury within the ankle joint, often following an ankle sprain. Persistent ankle pain after a sprain may signal an OLT.

Medically reviewed by Michael G. Lyons, DPM — Board-Certified Foot and Ankle Surgeon

Written and reviewed by the physicians of Foot Health Centers, Hernando & Southaven, MS. Meet our doctors

Common symptoms
  • Deep ankle pain
  • Catching or locking
  • Swelling
  • Pain that persists after a sprain
Common causes
  • Prior ankle sprain or fracture
  • Repetitive impact
  • Genetic predisposition
Conservative treatment
  • Boot immobilization
  • Activity modification
  • Bracing
When surgery is considered

Arthroscopic treatment is considered for symptomatic lesions that fail conservative care.

Recovery

Recovery typically 3–4 months depending on procedure.

Frequently asked questions

Why does my ankle still hurt months after the sprain?

Persistent pain after a sprain can mean an OLT, peroneal tendon injury, or chronic instability. Imaging clarifies the cause.

Schedule a consultation

Tell us about your osteochondral lesion of the talus — our team will follow up to schedule.

Please do not submit private medical information, Social Security numbers, detailed symptoms, photographs, or urgent medical concerns through this form. For urgent or emergency concerns, call the office or seek emergency care.

Or call 662-449-3663

Ready to Get Relief?

Call Foot Health Centers to schedule your visit in Hernando or Southaven.

Call 662-449-3663