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.
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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.
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.
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.
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.
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”.