Remedies for severe ankle cartilage wear include physical therapy, medication and surgery. 1. Physical therapy: when the cartilage of ankle is severely worn, first of all, the cartilage should be braked, so that the worn area can fully rest, and during the recovery period, red light therapy and hot compresses can be used to promote blood circulation, and ultrasonic therapy can also be used to promote the repair of cartilage. 2. Medication: take ibuprofen, diclofenac sodium and other drugs to relieve pain, and also use glucosamine to promote cartilage repair. 3. Surgery: If conservative treatment is ineffective or symptoms persist, arthroscopy can be used to remove the damaged area and promote the recovery of the worn area. Once the ankle cartilage is worn out, the wear and tear factors should be relieved in time. Go to the hospital for nuclear magnetic examination, the doctor will clarify the severity of the damage, choose the appropriate treatment and follow the doctor’s prescription for medication.