ANKLE INJURIES

Achilles pain can present as an acute overload or chronic. Areas of pain include mid portion achilles pain and insertional achilles pain. Like most tendon type pains the first few steps in the mornings are always the worst. These injuries respond well to manual therapy, heel raises, strength training and load management. 

​

Achilles rupture is a sudden snap of the tendon with most patients reporting feeling like having been kicked in the back of the ankle. Patients should consult with a specialist to decide if surgery is required. 

Fractures to the distal fibula are common in a lateral ankle injury. Depending on the area of fracture, the management may differ. 

One of the most common sporting injuries we see in clinic. The mechanism of injury usually involves the foot rolling inwards causing stretching to the surrounding ligaments.The Lateral ankle is made up of the Anterior Talo-fibular ligament (ATFL), Calceno-fibular ligament (CFL) and posterior Talo-fublar ligament (PTFL). 

​

Injuries can rage from low grade 1 to a high grade/full rupture. Physiotherapy can help to reduce swelling and pain and restore normal movement and function. 

Different to the lateral ankle. A syndesmosis injury involves and outwards movement of the foot causing pressure to be applied through the Anterior Inferior Tibia-Fibula Ligament (AITFL). Also known as a high ankle sprain, these are ones you don't want to miss and they may require onwards referral to see a specialised for review. Surgery is often indicated to stabilise the joint. 

​

Good news is that with the right diagnosis, treatment and rehab you can return to normal activities and sport confidently.