[av_three_fifth first min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_heading tag=’h1′ padding=’10’ heading=’Ankle pain’ color=” style=” custom_font=” size=” subheading_active=” subheading_size=’15’ custom_class=” admin_preview_bg=”][/av_heading][av_textblock size=” font_color=” color=” admin_preview_bg=”] At some point, nearly everyone have ‘twisted’ their ankle. Most ankle injuries occur from twisting or turning while your weight is on the foot. This causes ankle sprains which involves torn ligaments and tendons. The tear can be small or so severe it causes bleeding in the ankle joint. You need a trained eye to test all the structures and determine the damage.

Overuse injuries like a tendinitis of the tendons running around the ankle bones are very common. The tendons acts like a rope being pulled over a brick. The more the movement, the more friction between the rope & brick, the more irritation on the tendon.

When the tendons is stretched, it will feel more like a burning pain. The pain will be worst AFTER the activity, and stay for longer.

Ankle pain can be caused by any of the muscles, tendons or joints, so let’s look at the different types of structures in the ankle:

Muscle pain

The major muscle in the front of the ankle the tibialis anterior. The soleus and gastrocnemuis muscles make up the muscle group at the back. On the inside is the tibialis posterior, and on the outside of the shin a group known as the peroneal muscles.

Muscle strains are often called ‘muscle pulls’ or ‘pulled muscles’ because of the way these injuries occur, with the muscle tissue forcibly stretched until it is torn. Depending on the number of muscle fibers that are torn, muscle strains are classified as first degree (least severe), second degree (moderate severity) and third degree (most severe) strains.

Ligament

Your ankle is kept stable by a number of ligaments that can become injured when the ankle has a sudden twist, that stretches the ligaments beyond their normal limits. This means the ankle ligaments cannot withstand the force or weight that’s put on it.

The ligaments are responsible to keeping the ankle joint stable and prevent the joints from moving too far, but if the force is too much, it will tear. Ankle ligament sprains occur most often with sport where there is a quick change in direction, landing on a twisted ankle.

Nerve pain

Nerve supply to the ankle is are the branches of the sciatic nerve.

Sciatica is also a condition that can cause thigh pain at the back of the leg all the way to your toes.

Tendon pain

Tendons are cables that anchors the bone to muscle tot the bone. Every muscle has a tendon on either side of the muscle, the one at at the top called the proximal tendon and one at the bottom, called the distal tendon. Any one or multiple tendons can become irritated causing a inflamed tendon which is followed by the suffix “itis”, for example: Peroneal tendon-itis, an inflamed peroneal tendon.

Joint

The Joints can radiate pain around the ankle. Joint pain is usually more difficult to pinpoint therefore a skilled set of hands would need to determine where the pain is coming from. Joint pain may often be found with grinding sounds from the joint or restricted movements. Pain is often felt “deep inside”.[/av_textblock] [/av_three_fifth][av_two_fifth min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_image src=’https://physiopretoria.co.za/corpus/content/media/2017/08/Foot-Ankle-joint-pain-bones-Weight-bearing-phase_side-400×600.jpg’ attachment=’1278′ attachment_size=’medium_large’ align=’center’ styling=” hover=” link=” target=” caption=” font_size=” appearance=” overlay_opacity=’0.4′ overlay_color=’#000000′ overlay_text_color=’#ffffff’ animation=’no-animation’ admin_preview_bg=”][/av_image] [/av_two_fifth][av_one_full first min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_promobox button=’yes’ label=’Call us now’ link=’page,60′ link_target=” size=’large’ icon_select=’yes’ icon=’ue8ac’ font=’entypo-fontello’ box_color=’preset’ box_custom_font=’#ffffff’ box_custom_bg=’#3c6ce8′ box_custom_border=’#000000′ color=’preset’ custom_bg=’#333333′ custom_font=’#ffffff’ admin_preview_bg=”] Suffering from Ankle Pain?[/av_promobox] [/av_one_full][av_two_third first min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_heading tag=’h2′ padding=’10’ heading=’Ankle Injuries’ color=” style=” custom_font=” size=” subheading_active=” subheading_size=’15’ custom_class=” admin_preview_bg=”][/av_heading][av_textblock size=” font_color=” color=” admin_preview_bg=”]

  • Ankle Sprain – Tear or damage to the ligaments. Sprains occur when the ligaments that normally support the ankle become stretched beyond their normal range.
  • Avultion Fracture – When the ligaments that attach onto the bone break off a piece of bone.
  • Tendinitis – When the tendon fibers gets irritated and torn form repetitive overload or over use.
  • Tenosynovitis – When the sheath where the tendons glide gets inflamed.
  • Ankle Fracture – Break in the Tibia, Fibula, Talus or Calcaneus bones.
  • Stress Fractures – Crack in the ankle bones that develop due to constant overload repetitive movements.
  • Area of pain and Structures that could be injured in your ankle:

[/av_textblock] [/av_two_third][av_one_full first min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_heading heading=’Ankle Pain in the…’ tag=’h3′ style=” size=” subheading_active=” subheading_size=’15’ padding=’10’ color=” custom_font=” admin_preview_bg=”][/av_heading][av_toggle_container initial=’1′ mode=’accordion’ sort=”] [av_toggle title=’Front’ tags=”]

  • Tibialis Anterior Tendinopathy
  • Extensor Digitorum tendinitis
  • Ankle ligament sprain (ATFL)
  • Anterior impingement
  • Osteochondral lesion of the talus
  • Green stick fracture (Children)
  • Sprained/torn syndesmosis
  • Inferior tibio-fibular joint injury

[/av_toggle] [av_toggle title=’Back’ tags=”]

[/av_toggle] [av_toggle title=’Outside’ tags=”]

  • Calcanofibular Ligament Sprain
  • Lateral Ligament sprain (ATFL, CFL, PTFL)
  • Peroneal tendinitis
  • Sinus Tarsi Syndrome

[/av_toggle] [av_toggle title=’Inside’ tags=”]

  • Tendon Sheath Inflammation (Tenosynovitis)
  • Deltoid Ligament Sprain
  • Flexor Digitorum Tendinitis
  • Flexor hallucis longus Tendinopathy
  • Tibialis posterior Tendinopathy
  • Calcaneal stress fracture
  • Medial calcaneal nerve entrapment
  • Tarsal tunnel syndrome
  • Navicular stress fracture

[/av_toggle] [av_toggle title=’Inside the joint’ tags=”]

  • Osteoarthritis of the Talocrural joint
  • Osteochondral lesion of talar dome

[/av_toggle] [/av_toggle_container] [/av_one_full][av_one_fifth first min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_image src=’https://physiopretoria.co.za/corpus/content/media/2017/08/Foot-Ankle-joint-pain-bones-terminal-stance-phase-236×300.jpg’ attachment=’1275′ attachment_size=’medium’ align=’center’ styling=” hover=’av-hover-grow’ link=” target=” caption=” font_size=” appearance=” overlay_opacity=’0.4′ overlay_color=’#000000′ overlay_text_color=’#ffffff’ animation=’no-animation’ admin_preview_bg=”][/av_image] [/av_one_fifth][av_three_fifth min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_notification title=’Note’ color=’blue’ border=” custom_bg=’#444444′ custom_font=’#ffffff’ size=’large’ icon_select=’yes’ icon=’ue864′ font=’entypo-fontello’ admin_preview_bg=”] It is 70% more likely to injure the outside ligaments as compared to the inside of the ankle.[/av_notification] [/av_three_fifth][av_one_fifth min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_image src=’https://physiopretoria.co.za/corpus/content/media/2017/08/Ankle-pain-muscle-tendon-ligament-joint-pain-222×300.jpg’ attachment=’1269′ attachment_size=’medium’ align=’center’ styling=” hover=’av-hover-grow’ link=” target=” caption=” font_size=” appearance=” overlay_opacity=’0.4′ overlay_color=’#000000′ overlay_text_color=’#ffffff’ animation=’no-animation’ admin_preview_bg=”][/av_image] [/av_one_fifth][av_one_full first min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_heading tag=’h3′ padding=’10’ heading=’Causes of ankle pain’ color=” style=” custom_font=” size=” subheading_active=” subheading_size=’15’ custom_class=” admin_preview_bg=”][/av_heading][av_textblock size=” font_color=” color=” admin_preview_bg=”]

  • Achilles tendon irritation tend to be very stiff and painful in the morning, slowly easing off as the day progresses. They can develop for no obvious reason.
  • Ankle ligament tears or sprains can be painful at the time of injury, whenever walking or moving the ankle, and tend to get worse with activity if they have not properly healed. They can also lead to a feeling of instability in the ankle.
  • Pain arising from the tendons on either side of the ankle don’t have any obvious cause, and the pain tends to be more severe after they have been loaded or stressed (i.e. exercised on).
  • Problems within the joint itself can be relatively pain free after rest and with low activity, but get worse (flare up severely) with certain movements or activities.
  • Achilles tendon ruptures are not overly common, but high profile injuries in the media. Although a severe injury, full function and a return to sport can be regained with effective management.

[/av_textblock] [/av_one_full][av_two_third first min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_heading tag=’h3′ padding=’10’ heading=’Tenosynovitis’ color=” style=” custom_font=” size=” subheading_active=” subheading_size=’15’ custom_class=” admin_preview_bg=”][/av_heading][av_textblock size=” font_color=” color=” admin_preview_bg=”] A protective sheath known as the synovium covers tendons on the in and outside of the ankle. This sheath produces synovial fluid, which keeps the tendon lubricated. Injury to the tendon may result in the malfunction of the sheath. If this occurs, the sheath may fail to make synovial fluid or it may not make enough fluid. This can cause inflammation or swelling of the sheath. People who perform a variety of repetitive-movement activities.[/av_textblock] [/av_two_third][av_one_third min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_image src=’https://physiopretoria.co.za/corpus/content/media/2017/08/Ankle-injury-of-Dancer-Ankle-pain_2-200×300.jpg’ attachment=’1264′ attachment_size=’medium’ align=’center’ styling=’circle’ hover=’av-hover-grow’ link=” target=” caption=” font_size=” appearance=” overlay_opacity=’0.4′ overlay_color=’#000000′ overlay_text_color=’#ffffff’ animation=’no-animation’ admin_preview_bg=”][/av_image] [/av_one_third][av_three_fourth first min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_heading tag=’h3′ padding=’10’ heading=’Spotting Torn or Pulled Ligaments‘ color=” style=” custom_font=” size=” subheading_active=” subheading_size=’15’ custom_class=” admin_preview_bg=”][/av_heading][av_textblock size=” font_color=” color=” admin_preview_bg=”] When you twist your ankle and tear a few ligaments, the first sign of damage is that you won’t be able to walk on that ankle. The second will be swelling around the ankle joint and thirdly there will be stiffness and pain.[/av_textblock] [/av_three_fourth][av_one_full first min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_heading tag=’h3′ padding=’10’ heading=’Ankle Pain Treatment’ color=” style=” custom_font=” size=” subheading_active=” subheading_size=’15’ custom_class=” admin_preview_bg=”][/av_heading][av_textblock size=” font_color=” color=” admin_preview_bg=”]

  • Acute injury treatment
  • Ultrasound
  • Medications
  • Soft tissue massage
  • Electrotherapy treatment
  • Laser (Low Level Laser therapy)
  • Acupuncture & Dry Needling
  • Heat packs (Thermal therapy)
  • Kinesiology Tape
  • Rigid Strapping or taping
  • Neurodynamics (Nerve tissue mobilizations)
  • Dynamic Strapping
  • Strengthening exercises
  • Guided loading protocol
  • Stretches (Static, dynamic and ballistic)
  • Moon boot
  • Brace
  • Compression Bandage or Sleeve
  • Supportive strapping and taping
  • Biomechanical Analysis
  • Gait Analysis
  • TENS

[/av_textblock] [/av_one_full][av_one_full first min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”][av_promobox button=’yes’ label=’Call us’ link=’page,60′ link_target=” size=’large’ icon_select=’yes’ icon=’ue854′ font=’entypo-fontello’ box_color=’preset’ box_custom_font=’#ffffff’ box_custom_bg=’#444444′ box_custom_border=’#333333′ color=’preset’ custom_bg=’#444444′ custom_font=’#ffffff’ admin_preview_bg=”] Suffering from Ankle pain?[/av_promobox][/av_one_full][av_one_third first min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_image src=’https://physiopretoria.co.za/corpus/content/media/2017/08/Ankle-Foot-Pain-Physiotherapist-treatment-in-Pretoria_3-400×600.jpg’ attachment=’1257′ attachment_size=’medium_large’ align=’center’ styling=’circle’ hover=’av-hover-grow’ link=” target=” caption=” font_size=” appearance=” overlay_opacity=’0.4′ overlay_color=’#000000′ overlay_text_color=’#ffffff’ animation=’no-animation’ admin_preview_bg=”][/av_image] [/av_one_third][av_two_third min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_heading tag=’h3′ padding=’10’ heading=’Our professional experience with ankle pain’ color=” style=” custom_font=” size=” subheading_active=” subheading_size=’15’ custom_class=” admin_preview_bg=”][/av_heading][av_textblock size=” font_color=” color=” admin_preview_bg=”] We are constantly treating ankle sprains of the outside ligaments of the ankle. Most patients have the perception that it’s only one structure that gets injured (a tendon or ligament), but in fact, in most cases there are usually more than one structure that is injured.

The order of forces that gets absorbed by the ankle are: First the muscles, then the tendons, thirdly the ligament, then the joint capsule, the joint surface, and lastly bone. So if you think you sprained your ankle ligaments, there will definitely be injury to the muscles and tendons.

Even more so, if you fracture your ankle. There will definitely be torn ligaments, tendons and muscles as well. Although the symptoms of different ankle problems vary significantly, our years of experience with elite performance athletes means we have a management plan for you too, and it is just as effective.[/av_textblock] [/av_two_third][av_three_fifth first min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_heading tag=’h4′ padding=’10’ heading=’Common ankle injuries we treat:’ color=” style=” custom_font=” size=” subheading_active=” subheading_size=’15’ custom_class=” admin_preview_bg=”][/av_heading][av_textblock size=” font_color=” color=” admin_preview_bg=”]

  • Lateral ankle sprain (involves 3 ligaments on the outside)
  • Medial ligament ankle sprain (on the inside)
  • Tendinitis of the Tibialis Anterior tendon (in front of the shin)
  • Sprain of the peroneus tendons (Pain around the outside knob of the ankle)
  • Tendinitis of the Flexor Hallisus Longus (Pain over front)

[/av_textblock] [/av_three_fifth][av_one_third min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_image src=’https://physiopretoria.co.za/corpus/content/media/2017/08/Physiotherapist-treatment-Knee-Stability-Exercises_1-300×218.jpg’ attachment=’1123′ attachment_size=’medium’ align=’center’ styling=’circle’ hover=’av-hover-grow’ link=” target=” caption=” font_size=” appearance=” overlay_opacity=’0.4′ overlay_color=’#000000′ overlay_text_color=’#ffffff’ animation=’no-animation’ admin_preview_bg=”][/av_image] [/av_one_third][av_one_third first min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_heading tag=’h5′ padding=’10’ heading=’Mild symptoms of ankle pain’ color=” style=” custom_font=” size=” subheading_active=” subheading_size=’15’ custom_class=” admin_preview_bg=”][/av_heading][av_textblock size=” font_color=” color=” admin_preview_bg=”]

  • Swelling
  • Joint pain with movement
  • Stiffness after activity
  • Burning pain on stretch
  • Painful to put weight on foot

[/av_textblock] [/av_one_third][av_one_third min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_heading heading=’Moderate symptoms of ankle pain’ tag=’h5′ style=” size=” subheading_active=” subheading_size=’15’ padding=’10’ color=” custom_font=” admin_preview_bg=”][/av_heading][av_textblock size=” font_color=” color=” admin_preview_bg=”]

  • Severe swelling
  • Bleeding
  • Joint locks
  • Unable to move the ankle without pain
  • Stiffness when walking
  • Sharp stabbing pain
  • Unable to put weight on the foot
  • Pins & needles

[/av_textblock] [/av_one_third][av_one_third min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_heading heading=’Dangerous symptoms’ tag=’h5′ style=” size=” subheading_active=” subheading_size=’15’ padding=’10’ color=” custom_font=” admin_preview_bg=”][/av_heading][av_textblock size=” font_color=” color=” admin_preview_bg=”]

  • Discoloration of toes (blue)
  • Bleeding
  • Sharp stabbing pain
  • Visible deformity of the ankle bones

[/av_textblock] [/av_one_third][av_one_full first min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_promobox button=’yes’ label=’Call us ‘ link=’page,60′ link_target=” size=’large’ icon_select=’yes’ icon=’ue8ac’ font=’entypo-fontello’ box_color=’preset’ box_custom_font=’#ffffff’ box_custom_bg=’#3c6ce8′ box_custom_border=’#000000′ color=’preset’ custom_bg=’#333333′ custom_font=’#ffffff’ admin_preview_bg=”] Suffering from Ankle Pain?
[/av_promobox] [/av_one_full][av_one_full first min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_headline_rotator before_rotating=’We are ‘ after_rotating=” interval=’2′ animation=” tag=’h5′ size=’30’ align=’center’ custom_title=’#b02b2c’ admin_preview_bg=”] [av_rotator_item title=’the best’ link=” linktarget=” custom_title=”] [av_rotator_item title=’experts’ link=” linktarget=” custom_title=”] [av_rotator_item title=’smart’ link=” linktarget=” custom_title=”] [av_rotator_item title=’fast’ link=” linktarget=” custom_title=”] [av_rotator_item title=’Cilliers & Swart Physiotherapist’ link=” linktarget=” custom_title=”] [/av_headline_rotator] [/av_one_full][av_one_full first min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_heading heading=’Physiotherapist Treatment’ tag=’h2′ style=” size=” subheading_active=” subheading_size=’15’ padding=’10’ color=” custom_font=” admin_preview_bg=”][/av_heading][av_heading tag=’h5′ padding=’10’ heading=’PRICE protocol’ color=” style=” custom_font=” size=” subheading_active=” subheading_size=’15’ custom_class=” admin_preview_bg=”][/av_heading][av_textblock size=” font_color=” color=” admin_preview_bg=”]

Key Action
P Protect Protect the ankle by taping, splinting or using a brace to prevent pull on the injured ligaments.
R Rest Using crutches with partial weight bearing will rest the ligament and aid in the healing.

Crutches will help you to get around without putting weight on your ankle.

I Ice This reduces pain & inflammation and speeds up the healing process.

For at least the first 3 days or until the swelling goes down, apply an ice pack for 20 minutes every two hours. Always keep a towel between the ice and your skin (to prevent a clod burn), and press the ice pack firmly against all the curves of your ankle.

C Compress This can be done either with taping or tube grip bandage and helps to control swelling.

In our experience, ankle taping/ strapping is much more effective at preventing certain ankle movements compared to generic ankle braces.

E Elevate Elevation during rest periods also helps to control swelling, bruising and promote healing.

Raise your ankle above the level of your heart for 15 minute intervals during the day.

[/av_textblock] [/av_one_full][av_one_full first min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_heading heading=’When is ankle surgery necessary?’ tag=’h3′ style=” size=” subheading_active=” subheading_size=’15’ padding=’10’ color=” custom_font=” admin_preview_bg=”][/av_heading][av_textblock size=” font_color=” color=” admin_preview_bg=”] After a consultation we can assess the need and possibility of surgical intervention and will refer you to a specialist if it is in your best interest.

  • Damage to the syndesmosis membrane holding the tibia and fibula together

The type of surgery performed will determine the recovery time frames and the management strategy determined by your orthopaedic surgeon. Our extensive experience in rehabilitating shoulder injuries post-surgery means we can work to get you pain free in the shortest and safest possible time frames with a tailored, sport specific rehabilitation program to get you back to where you want to be.[/av_textblock] [/av_one_full][av_one_half first min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_heading tag=’h2′ padding=’10’ heading=’We want to hear your story: Challenge US!’ color=” style=’blockquote modern-quote modern-centered’ custom_font=” size=” subheading_active=” subheading_size=’15’ custom_class=” admin_preview_bg=”][/av_heading][av_textblock size=” font_color=” color=” admin_preview_bg=”] Each person’s case is unique and we want to address your Specific needs. If you would like us to investigate or provide some insight, we invite you to challenge us. Complete this Form and we will contact you.[/av_textblock][av_contact email=’info@physiopretoria.co.za’ title=’Tell us your story:’ button=’Submit’ on_send=” sent=’Your message has been sent!’ link=’manually,http://’ subject=’Ankle Pain – Contact Form’ autorespond=” captcha=” form_align=” color=” admin_preview_bg=”] [av_contact_field label=’Name’ type=’text’ options=” check=’is_empty’ width=” multi_select=” av_contact_preselect=”][/av_contact_field] [av_contact_field label=’Cell Number’ type=’text’ options=” check=’is_phone’ width=” multi_select=” av_contact_preselect=”][/av_contact_field] [av_contact_field label=’E-Mail’ type=’text’ check=’is_email’ options=” multi_select=” av_contact_preselect=” width=”][/av_contact_field] [av_contact_field label=’Subject’ type=’text’ options=” check=’is_empty’ width=” multi_select=” av_contact_preselect=”][/av_contact_field] [av_contact_field label=’Message’ type=’textarea’ check=’is_empty’ options=” multi_select=” av_contact_preselect=” width=”][/av_contact_field] [/av_contact] [/av_one_half][av_one_half min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_blog blog_type=’taxonomy’ categories=’1522′ link=’category,34′ blog_style=’blog-grid’ columns=’2′ contents=’excerpt’ content_length=’excerpt’ preview_mode=’auto’ image_size=’portfolio’ items=’4′ offset=’0′ paginate=’no’ conditional=’is_subpage’] [/av_one_half][av_one_half first min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’ animation=” mobile_display=”] [av_heading tag=’h3′ padding=’10’ heading=’Garsfontein Practice’ color=” style=” custom_font=” size=” subheading_active=” subheading_size=’15’ custom_class=” admin_preview_bg=”][/av_heading][av_google_map height=’3:2′ zoom=’13’ saturation=” hue=” zoom_control=’aviaTBzoom_control’] [av_gmap_location address=’526 Windsor Street’ city=’Pretoria’ country=’South Africa’ long=’28.298624000000018′ lat=’-25.799199′ marker=’366′ imagesize=’40’] Main Practice
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517 Len Brown Street

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Ankle pain

At some point, nearly everyone have ‘twisted’ their ankle. Most ankle injuries occur from twisting or turning while your weight is on the foot. This causes ankle sprainswhich involves torn ligaments and tendons. The tear can be small or so severe it causes bleeding in the ankle joint. You need a trained eye to test all the structures and determine the damage.

Overuse injuries like a tendinitis of the tendons running around the ankle bones are very common. The tendons acts like a rope being pulled over a brick. The more the movement, the more friction between the rope & brick, the more irritation on the tendon.

When the tendons is stretched, it will feel more like a burning pain. The pain will be worst AFTER the activity, and stay for longer.

Ankle pain can be caused by any of the muscles, tendons or joints, so let’s look at the different types of structures in the ankle.

Ankle sprain, Lateral Ankle Ligament Sprain & tear

Muscle pain

The major muscle in the front of the ankle the tibialis anterior. The soleus and gastrocnemuis muscles make up the muscle group at the back. On the inside is the tibialis posterior, and on the outside of the shin a group known as the peroneal muscles.

Muscle strains are often called ‘muscle pulls’ or ‘pulled muscles’ because of the way these injuries occur, with the muscle tissue forcibly stretched until it is torn. Depending on the number of muscle fibers that are torn, muscle strains are classified as first degree (least severe), second degree (moderate severity) and third degree (most severe) strains.

Shin Pain

Ligament

Your ankle is kept stable by a number of ligaments that can become injured when the ankle has a sudden twist, that stretches the ligaments beyond their normal limits. This means the ankle ligaments cannot withstand the force or weight that’s put on it.

The ligaments are responsible to keeping the ankle joint stable and prevent the joints from moving too far, but if the force is too much, it will tear. Ankle ligament sprainsoccur most often with sport where there is a quick change in direction, landing on a twisted ankle.

Ankle sprain, Lateral Ankle Ligament Sprain & tear

Nerve pain

Nerve supply to the ankle is are the branches of the sciatic nerve.
Sciatica is also a condition that can cause thigh pain at the back of the leg all the way to your toes.

Tendon pain

Tendons are cables that anchors the bone to muscle tot the bone. Every muscle has a tendon on either side of the muscle, the one at at the top called the proximal tendon and one at the bottom, called the distal tendon. Any one or multiple tendons can become irritated causing a inflamed tendon which is followed by the suffix “itis”, for example: Peroneal tendon-itis, an inflamed peroneal tendon.

Joint

The Joints can radiate pain around the ankle. Joint pain is usually more difficult to pinpoint therefore a skilled set of hands would need to determine where the pain is coming from. Joint pain may often be found with grinding sounds from the joint or restricted movements. Pain is often felt “deep inside”.

Ankle sprain, Lateral Ankle Ligament Sprain & tear