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INJURY TITLE
| Ankle Impingement |
INJURY OVERVIEW
| Often thought to be responsible for the ongoing pain after an ankle sprain. It can occur at the front of the ankle, the back and at the side. Impingement is common in footballers and dancers due to the extremes of movement that their ankles move through. This injury can follow a sprain and ankle sprains are very common amongst this population of athletes. |
INJURY IN-DEPTH INFORMATION
| Anterior (at the front):’footballers ankle’
Spurs (bony growths) can develop between the bones at the front of the ankle. As they become larger they can impinge on other tissues causing pain.
Posterior (at the back): A growth on the back of the ankle bone (talus) is a normal anatomical variant seen in approx. 10% of the population. This can cause pain because it occupies space in the back of the ankle joint and when the pressure is increased in that area it will cause pain.
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COMMON SIGNS & SYMPTOMS
Anterior
Posterior
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HOW IS IT ASSESSED
| Anterior:
A maximal lunge forward with your heel remaining on the floor will reproduce your pain. An X-Ray can help with the diagnostic process.
Posterior: Found with a clinical test of passive placing the ankle in to a pointed position (show this). If, following an injection of a small amount of steroid, this can be completed without pain – this is considered to be a positive test. |
GENERAL TREATMENT
Anterior:
Posterior:
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Exercise Videos: i.e.
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WHICH HEALTH PROFESSIONAL TO CONSULT
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PHYSIO X |
MEDIC X |
PODIATRY X |
Put an ‘X’ next to each health professional that most commonly deals with this injury.
i.e. tennis elbow would be Physio and Medic as injections are common, whereas for muscular LBP it would be Physio and not Medic as they would just refer them to a Physio.