Sinus Tarsi

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INJURY TITLE

Sinus Tarsi

 

INJURY OVERVIEW

An injury to a small joint in the ankle.  It usually arises from over use of the joint, particularly if someone has poor foot biomechanics.  It can also arise from a simple acute ankle sprain.

 

INJURY IN-DEPTH INFORMATION

The Sinus Tarsi is a small canal running through the ankle joint and it contains blood vessels, ligaments, and other connective tissue.  All of these structures have a nerve supply and if they become over used (if there is too much movement in this canal), they will give you pain.

 

COMMON SIGNS & SYMPTOMS

  • Pain is often reported just in front of the outside ankle bone (the one you can feel) (show this)
  • Pain can be more severe in the morning, and eases with exercise
  • Running on bends can make the pain worse
  • Often accompanied by ankle stiffness through range and occasional weakness.

 

HOW IS IT ASSESSED

  • Forced passive movements of one of the ankle joints (subtalar – show this)
  • Use of an injection of painkiller can relieve the symptoms elicited by clinical testing.  If this happens then a firm diagnosis can be made.

 

GENERAL TREATMENT

  • Relative rest
  • Ice and non steroidal anti-inflammatories
  • Manual therapy to encourage controlled movements of the ankle joints
  • Biomechanical correction with an orthotic may be indicated
  • Strengthening exercises
  • Balance and proprioception exercises.

 

Exercise Videos: i.e.

  • Rotator cuff strengthening
  • Pec stretch
  • etc

 

WHICH HEALTH PROFESSIONAL TO CONSULT

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.

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