Ankle Pain

A Selection of Our Ankle Pain Services

Ankle Fracture

Ankle fractures are breaks in one or more of the bones that make up the ankle joint: primarily the tibia, fibula, and talus. These fractures can range from small cracks in the bones to shattering-type breaks that pierce the skin. The cause can be as simple as twisting the ankle during a misstep or as intense as a traumatic injury from sports or accidents. Symptoms generally include pain, swelling, bruising, and an inability to bear weight on the affected foot. The nature and location of the fracture dictate the treatment approach, which can vary from immobilization using a cast or splint to surgical intervention. Early and appropriate care is crucial to ensure proper healing and to prevent potential complications, ensuring a return to full functionality of the ankle.

Ankle Sprain

An ankle sprain is a common injury that occurs when the ligaments that support the ankle stretch or tear, often due to the foot turning or twisting in an awkward way. This can happen during sports, while walking on uneven surfaces, or even during everyday activities. Symptoms typically include pain, swelling, and bruising, with varying degrees of severity depending on the extent of the damage. While many minor sprains heal with rest, ice, compression, and elevation (often referred to as the R.I.C.E. method), more severe sprains may require medical intervention. It’s important to address an ankle sprain promptly, as untreated or recurrent sprains can lead to long-term pain and instability.

Chronic Ankle Instability

Chronic Ankle Instability is a condition characterized by the frequent giving way of the outer side of the ankle. It typically develops after an individual has had one or multiple ankle sprains. Over time, the ligaments become weakened or stretched, resulting in repeated ankle rolling, especially on uneven surfaces or during physical activity. This recurrent instability can lead to discomfort, swelling, and an ongoing sensation of the ankle being wobbly or unstable. Proper rehabilitation of an initial ankle sprain is crucial to prevent chronic ankle instability. Treatment options range from physical therapy exercises to strengthen the muscles, improve balance, and regain range of motion, to surgical interventions for more severe cases.

OS Trigonum Syndrome

OS Trigonum Syndrome is a relatively uncommon foot condition that arises due to an extra bone called the ‘os trigonum’ located behind the ankle. Not everyone has this bone, but for those who do, certain movements or trauma can cause the surrounding tissue to become inflamed, leading to pain and swelling at the back of the ankle. This syndrome is often observed in athletes and dancers, who frequently push their feet to extreme positions. Symptoms can be similar to those of an Achilles tendon injury, which makes diagnosis crucial. Treatment typically includes rest, physical therapy, and sometimes injections or even surgical removal of the os trigonum for persistent cases.

Tarsal Tunnel Syndrome

Tarsal Tunnel Syndrome is a neuropathic condition characterized by pain and tingling in the ankle and foot, caused by the compression of the posterior tibial nerve as it passes through the tarsal tunnel located on the inner side of the ankle. Similar to carpal tunnel syndrome in the wrist, this condition arises when the nerve is trapped and pressured, often due to factors such as flatfeet, inflammation, injury, or an enlarged or abnormal structure pressing on the nerve. Symptoms often include burning, tingling, or numb sensations radiating into the foot. Early diagnosis is essential, as prolonged compression can lead to permanent nerve damage. Treatments range from supportive measures, like braces and anti-inflammatory medications, to surgical interventions in more severe cases.