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Ankle, Foot & Toe Injuries

Ankle Injuries

Degenerative Conditions

  • Ankle Arthritis
  • Heel Pain
  • Heel Spur
  • Retrocalcaneal Bursitis

Systemic Conditions

  • Fibromyalgia
  • Lupus
  • Rheumatoid Arthritis
  • Psoriatic Arthritis

Bone Injuries

  • Ankle Fracture (Broken Ankle)
  • Stress Fracture
  • Severs Disease
  • Shin Splints

Neural Injuries

  • Tarsal Tunnel Syndrome
  • Sciatica
  • Pinched Nerve
  • Restless Leg Syndrome

Traumatic Ankle Ligament Injuries

  • Sprained Ankle
  • High Ankle Sprain
 

Tendinopathies/
Fasciopathies

  • Achilles Tendon Rupture
  • Achilles/ Flexor Hallus Longus/ Peroneal/ Tibialis Posterior Tendinopathy
  • Plantar Fasciitis

Biomechanical Conditions

  • Anterior Ankle Impingement
  • Posterior Ankle Impingement
  • Pes Planus (Flat Feet)

Muscle Injuries

  • Muscle Tears
  • Muscle Strain

When is an Ankle X-ray required?

Ankle X-rays are required when pain is felt in two locations:

Firstly if there is pain located near the malleolus (outside of ankle bony prominence) and there is one or more of the following:

1. Bone tenderness along the distal 6 cm of the posterior edge of the tibia or tip of the medial malleolus
2. Bone tenderness along the distal 6 cm of the posterior edge of the fibula or tip of the lateral malleolus
3. Inability to bear weight for 4 steps, both immediately after the injury and in the emergency department

Or, secondly if there is pain located at the midfoot and one or more of the following:

1. Bone tenderness at the base of the fifth metatarsal
2. Bone tenderness at the Navicular bone (inside border of the foot)
3. Inability to bear weight for 4 steps, both immediately after the injury and in the emergency department

When to Xray an ankle sprain.
Ankle Xray indicating fracture to the Distal Fibula

Foot Injuries

Bone Injuries

  • Stress Fracture most common are of the navicular, and fifth metatarsal
  • Heel Spurs
  • Fracture of the Fifth Metatarsal either avulsion, Jones or mid shaft fracture
  • Sever's Disease
  • Lisfrank or Midfoot Injury

Joint Injuries

  • Bunions

Neural Injuries

  • Cuboid Syndrome
  • Metatarsalgia
  • Morton's Neuroma

Ligament Injuries

  • Ankle Sprains
    either medial or lateral or both

Tendon Injuries

  • Achilles Tendonosis
  • Turf Toe hyperextension injury to the big toe
  • Peroneal Tendonitis
  • Extensor Tendinitis
  • Ganglion Cyst
  • Tibialis Posterior Tendinopath

Other Soft Tissue Injuries

  • Plantar Fasciiosis
  • Retrocalcaneal Bursitis
 
Therapeutic Exercise Prescription

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