Experiencing pain around or inside the ankle can be debilitating for a patient. Each step forward requires a sequence of foot movements: dorsiflexion, plantarflexion, inversion and eversion. Lower limb motion is complex; we need to recognise that the ankle is bi-planar in motion but the foot itself is tri-planar in movement. Proper assessment of the human ankle will highlight underlying pathological conditions which can and will lead to chronic pain in patients.
There are many structures present at the ankle which are highly susceptible to injury. These injuries may be due to soft tissue or osseous (bony) pathologies.
These intricate formations around the ankle are the major supporting structures for the foot. Insufficient support within these structures allow the foot to sag or become prone to injury. Injuries around the ankle joint often become chronic because the area is hypovascular (has reduced blood flow).
Soft Tissue Ankle Problems:
Osseous (Bony) Ankle Problems:
Ankle pain may originate from the ankle, or it could be referred pain from elsewhere on the body. Clinical examination by East Coast Podiatry Centre will help to determine if your ankle pain requires conservative or surgical management.
Ankle pain is commonly subcategorized into the following:
Ankle Joint Spurring
Talar Dome Injury
Tibialis Anterior Tendinopathy
Extensor Hallucis Longus Tendinopathy
Anterior Tibial Artery
Deep Peroneal Nerve
Superior and Inferior Extensor Retinaculum
Osteochondritis Dessicans of the talus
Achilles Tendon Rupture
Os Trigonum / Stieda Process
Small Saphenous Vein
Posterior Tibial Artery
Posterior Tibial Vein
Flexor Hallucus Longus Tendon