We present a case of Kashin-Beck Disease primarily affecting the ankles. Our findings are consistent with other reports of the symptoms, incidence, and progression of these diseases. At this time, our patient has chosen conservative treatment, but is considering eventual osteoarticular allografts. According to the available literature, surgical treatment is the only option that will not only alleviate her symptoms but halt her joint degeneration. Additionally, osteoarticular allografts have been shown to be an effective treatment and are able to be converted to an ankle arthrodesis if necessary.