Ankle sprain, Lateral Ankle Ligament Sprain & tear

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.

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 contact us by clicking the link below.

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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.

Ankle sprain, Lateral Ankle Ligament Sprain & tear


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 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.

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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.


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

Why is your ankle pain lasting longer than expected?

  • You believed the pain would go away over time (on its own) but it didn’t

  • You went to the Doctor who told you to rest and take painkillers. The painkillers helped to relieve the immediate pain but didn’t help your injured ankle. As soon as the painkillers wore off, the ankle pain returned

  • A family member (or friend) told you that “Everybody experiences ankle pain as they grow older,” and that you should just accepted it

  • In the past you went to other Healthcare Professionals (or a Physiotherapist) but nothing they said or did seemed to help

  • YouTube exercises and home remedies didn’t help relieve the pain, or in some cases made the ankle pain ten times worse

  • You thought it would be a good idea to rest because your ankle was so sore. However, afterwards your ankle felt even worse than before

  • You went for massages, hoping they would relieve the pain. The massages felt pleasant and relaxing, but didn’t do anything to fix your ankle pain in the long term

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Experiencing these situations or applying similar advice and not getting results is a good thing. Why? Because these experiences help you know what doesn’t work for you. It means that you are closer to finding out what does work for you!

We invite you to book an appointment with a Physiotherapist (at our Pretoria practice). During an appointment we assess your symptoms, diagnose the cause, educate you about what is happening in your body and then start treatment. See our FAQ for more in depth information about what to expect from a physiotherapy session.

Alternatively, click the link below to book a FREE phone call. The phone call is complimentary and there is no obligation to book any appointments with us after the call is over. This is an opportunity to get an expert’s advice about your situation. Our goal is to help you make an informed decision about what to do next concerning your muscle pain.

Still unsure? Just fill in our online form & we’ll call you back

Choose a Cilliers & Swart Physiotherapist to aid you in getting rid of your ankle pain

What can we do for you?

  • We quickly put an end to pain and stiffness – often within a couple of sessions

  • We help you find out what is going on in your body and help you understand the root cause of your ankle pain

  • Pain can rob you of sleep or rest. We make it easier for you to return to your normal sleeping patterns and positions so that your energy and potential for recovery increases

  • Cilliers & Swart Physiotherapists closely manage and treat your problem. We also provide you with related exercises to speed up your recovery

  • Using painkillers in the long-term can be harmful to your health. We help you lower or completely stop your need for painkillers to manage pain

  • Our physiotherapists safeguard you against dangerous and costly surgeries and painful injections

  • We reduce visits to specialists or doctors who only order you to take more pills

  • Ankle pain can limit the activities you enjoy with your family and friends. Our experts help you get back to spending quality time on the activities you (and your loved ones) like

  • We can get you to sit comfortably and walk longer than 15 minutes, in both cases without feeling that your ankle is weak, in pain or about to collapse

In short, we help you get back to living life free from ankle pain. For information about costs and availability, click the button below:

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4 steps to get rid of ankle pain quickly.

  • Decide to get help.
    Many people put off going for treatment, that by the time they receive treatment the injury has worsened over time or caused other problems. Don’t think that ankle pain will ‘just go away with time’. It might sound brave to ‘put up with pain’ over an extended period of time, but the lack of treatment could end up costing you more in terms of time (for recovery) and resources (money) the longer you wait.

  • Do the RIGHT exercises.
    One of the best things to help ease your ankle pain is an appropriate series of progressed exercises (as advised by your Physiotherapist or Health Professional). The right kind of activities can reduce your pain and increase your range of movement. Above all, exercises ensure that problems don’t come back. However, the wrong kind of exercises have the potential to increase the pain in your ankle even more.

  • Avoid sitting still for long periods.
    Ever tried to get up from the sofa after resting for a while, but you struggle? That’s because one of the worst things you can do is to ‘rest’ in a sitting position for too long. As a safety measure we recommend specific strengthening exercises for better posture. We can help you get active by combining these exercises with our Physiotherapists’ hands-on treatment.

  • Get hands-on Physiotherapy treatment.
    Physiotherapy is proven to improve the lives of people suffering from ankle pain. Ankle pain could be affecting your physical performance in a professional or private capacity. It could even threaten your independence or get in the way of spending quality time with family and friends. Physiotherapy can enable you to live the life you desire as quickly as possible.

If you would like to know how the Physiotherapy team at Cilliers & Swart can help you, we invite you to book a FREE, no-obligation, risk-freeCall me backphone call.

Note: This Free Call is a service we offer to people who are nervous or unsure. You might not know if Physiotherapy is the right treatment for you. If you are unsure, please fill out our online form. We will contact you to find out what is wrong and how we can help. There is no financial obligation or risk on your part. You have nothing to lose except your pain.

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