Ankle Pain

Ankle Sprains
occur when sudden ankle rolling causes the ligaments that support and stabilise your ankle to be abnormally and excessively stressed, resulting in damage and tears to these ligaments most commonly on the outside of your ankle (inversion sprain), though sometimes on the inside of the ankle (eversion sprain).  Depending on the severity of the sprain, the damaged ligaments become inflamed, can bruise, are painful to touch and walk on, and if a ligament has torn you may not be able to bear any weight on that foot initially. Proper care and treatment is very important because improper healing may lead to chronic pain and ankle instability that increases your likelihood of repeated ankle sprains and injury.


Peroneal Tendinopathy (tendinosis/tendinitis)
describes damage to the peroneal tendons (Peroneus Longus and Peroneus Brevis). These tendons travel down your lower leg to the outside of the base of the long 5th toe bone and to the underside of your foot. Peroneal tendinopathy is caused by overusing these peroneal muscles, which often happens with repetitive physical activities such as running where they can be repeatedly overloaded and strained to the point of damage. This can be attributed to by abnormalities in foot biomechanics that pushes the tissue above what it can functionally sustain, as well as faulty muscle firing post-injury. Pain can be either sharp or a dull ache and will be felt along the tendons or around the lateral malleolus (bony bump on the outside of your ankle), especially with running. Because muscular injury on the outside of the lower leg and ankle occur less frequently than injury to the inside of the ankle, a lot of prefabricated off-the-shelf devices are unsuitable in managing peroneal tendinopathy and instead may aggravate the pain, so professional diagnosis and management is very important.

Inner ankle pain 

Posterior Tibial Tendon Dysfunction (PTTD)
describes damage to your posterior tibial tendon - a tendon that moves down your inner leg to the inside of your ankle and attaches to multiple areas underneath your foot. It is essential in being able to stabilise and support your foot and without it, you wouldn’t be able to stand on your toes - try standing on one foot at a time while holding onto the wall and see if you feel any pain or weakness. PTTD is often caused by increases in activity that overload the tendon, especially high impact sports, as well as faulty foot biomechanics, traumatic injuries such as falls, increases in weight, improper footwear and hormonal changes in woman as they age. Pain is often felt on the inside of the ankle, inner lower leg and sometimes arch. Over time you may notice your arch is appearing flatter. PTTD is progressive and worsens over time when care and treatment isn’t sought so early intervention is key.