Ankle Impingement
What is it?
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There are many causes for ankle impingement which can include bony of soft tissue changes. It can be present at the front or the back of the ankle.
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It is more common in people who place repetitive load through their ankles such as footballers and dancers.
Typical Symptoms/features:
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Dull ache at the front or back of the ankle, which can become sharp with excessive movement or weight-bearing.
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Tender to press around the front or back of the joint.
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Stiffness when bringing your toes towards the body.
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Swelling of the ankle.
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Pain worse with running, jumping and deep squats.
Management:
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Activity modification
- When you first start noticing ankle pain, it may help to reduce your activity for a short amount of time to allow the pain to settle.
- However, there is strong evidence that says keeping active and slowly returning to your normal levels of activity can actually help the pain to settle quicker.
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Ice or heat
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Pain relief
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Orthotics.
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Physiotherapy including range of movement exercises and a graded strengthening programme.
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In cases with severe and/or prolonged symptoms, an orthopaedic opinion may be beneficial.
Do I need imaging?
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Imaging (X-rays or scans) is rarely required to diagnose ankle impingement.
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X-rays and scans are most appropriately used after a serious injury .
