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The ankle is a hinge joint that allows the foot to move in multiple directions: away from the body as in pointing your foot (plantar flexion) and toward the body (dorsiflexion).
Below the ankle joint, the subtalar joint allows for lateral motions of the foot (inversion and eversion). Further, joints in the midfoot and forefoot allow for complex motions of the foot and ankle. Foot and ankle stability is maintained by complex ligament and tendon anatomy to support the ankle and arches of the feet.
Ankle pain could be caused by an injury like a sprain, or by a medical condition such as arthritis. Here are the most common causes of foot and ankle pain:
Ankle Sprain
An ankle sprain is one of the most common causes of ankle pain and makes up 85 percent of all ankle injuries. A sprain occurs when your ligaments tear or get overstretched.
Ligaments help stabilize joints, preventing excessive movement between bones. Most ankle sprains are lateral sprains, which occur when your foot rolls inward, causing the outside of your ankle to twist toward the ground. This action stretches or tears the ligaments and is often associated with a “popping” feeling. Immediate swelling over the area of injury often occurs and the pain can be severe. Ligament injuries range from partial to complete tears. Occasionally, a fracture of the foot occurs with a severe ankle sprain.
Tendonitis
tendonitis is inflammation of a tendon. Tendinitis of the ankle usually involves the Achilles tendon, the posterior tibial tendon located on the inside of the foot, or the peroneal tendon located on the outside of the foot.
Ankle tendonitis usually results from trauma, such as from sudden injury in sports or an overuse injury from running and jumping. It can also result from underlying inflammatory diseases. All forms of tendonitis can cause pain, swelling, and tenderness in the tendon in question. Ongoing pain in tendons is often due to tendinopathy.
Osteoarthritis (OA)
The ankle joint is subject to symptomatic arthritis at a much lower rate than the other major weight-bearing joints in the lower extremity.
Arthritis of the midfoot joints and the great toe joint can occur.
Plantar Fasciitis
Plantar fasciitis is one of the most common causes of heel pain. It involves inflammation of a thick band of tissue called the plantar fascia that runs across the bottom of your foot and connects your heel bone to your toes.
Plantar fasciitis commonly causes stabbing pain in the heel that usually occurs with your first steps in the morning or after prolonged sitting. Once you get up and move, the pain normally decreases, but it might return after long periods of standing or sitting. Plantar fasciitis is more common in runners and those who have a flattened arch in their foot. Also, people that are overweight and those who wear shoes with inadequate support have an increased risk of plantar fasciitis.
Stress Fracture
This type of fracture is often not visible on x-rays but can cause significant pain and therefore is difficult to accurately diagnose.
They are often caused by repeated stress on the foot or ankle such as excessive running or jumping especially on harder surfaces. They may occur in athletes following a sudden or large increase in training time. The pain is usually sharp and localized to a specific area.
Morton’s Neuroma
Neuroma is an enlargement or thickening of a nerve in the foot in the area between the toes — usually the third interspace between the third and fourth toes.
It most commonly occurs in women often due to poor fitting and/or high heel shoes. Other causes Morton’s neuroma may be caused by improper walking form or an unusual foot structure such as excessive pronation. Symptoms include sharp pain when walking and numbness.
Physiotherapy Treatment
Physiotherapy is proven to decrease pain, aid in recovery, and deal with both acute and chronic issues with the foot and ankle.
Orthotics can also be useful for improving an alignment of the foot and ankle. An ankle brace for both acute and chronic injuries can be helpful.
A registered physiotherapist can provide you with an assessment of your foot and ankle to determine the best treatment.
To book an appointment, Call Us today at 416-691-3943 or contact us here.
Frequently Asked Questions About Foot & Ankle Sprains
What are some foot and ankle sprains techniques?
Your physiotherapist will use rehabilitation techniques that emphasize the use of therapeutic exercise to restore joint flexibility, muscle strength, neuromuscular coordination, balance, and improve walking mechanics. In addition, manual therapy (joint mobilization) techniques, as well as soft tissue release is utilized to restore ankle joint movement for return to normal activity.
How long does it take for an ankle injury to heal?
Time for recovery from a sprained ankle depends on the severity of the sprain. Mild to moderate sprains typically last anywhere from one to six weeks. More severe ankle sprains could take several months to fully recover.
How long does it take to treat a foot injury?
That depends on the type and severity of foot injury. Mild to moderate midfoot sprains usually take 2 to 4 weeks, whereas more severe sprains may take up to 3 months.
Do ankle sprains bruise?
Yes, ankle sprains can bruise, but the amount of bruising will depend on the severity of the sprain. When your ankle ligaments are injured from a sprain, this causes swelling and inflammation as well as bleeding (which shows up as bruising) around the ankle joint.
How do you know if an ankle injury is serious?
"Signs and symptoms of a more serious ankle injury (such as a fracture or infection) include the following:
- Inability to bear weight and walk.
- Marked tenderness to the touch about the ankle bones.
- Bony misalignment causing ankle deformity or an open wound.
- Signs of infection, such as redness, warmth, swelling and tenderness in the affected area or fever.
- Severe, persistent pain and swelling that is not improving over time.
If you experience any of the above, please seek medical attention immediately."
Can you sprain the top of your foot?
Yes, a sprain can occur in any part of the foot, including the top. There are ligaments in the foot that connect between the small bones of the foot (from bone to bone) and when these ligaments are stretched or torn, they are sprained.
What does a sprain foot feel like?
There is pain and tenderness in the foot which can be felt on the bottom, top, or sides. Swelling and bruising of the foot can occur. You may have pain while walking or when active. In more severe cases, you may have difficulty putting weight on your foot.
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Deborah Levely
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Wonderful results from my treatment. Working with Jane was informative and very worthwhile as I’m feeling so much stronger and better able to move forward. Thank you Jane for your care, encouragement and support.
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Kristina Tsys
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I had a wonderful experience! Jane was incredibly supportive and attentive when I was dealing with my wrist issue. Thanks to her help, I felt back to normal in no time. I can't thank you enough, Jane—you truly are amazing!
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S Smith
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Jane was patient and helpful. Great improvement in my hip. Location is also v good.
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L H
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Had a massage with Treela, felt so nice! She took the time to review my needs. Very professional & nice location - would definitely recommend & I’ll be back!
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Mathieu Videlier
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Great team helping me recover from my back injury. The flexible schedule makes a big difference!
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Chris Purdye
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I've been to Trilogy for various physiotherapy issues (back, wrist, neck, feet... I'm old and falling apart!) and the fact that I keep returning is an indication that I'm happy with the work they do. My last ailment was a wrist injury and my physio (Jane) gave me good and achievable exercises with followup instructions on how to do them.
One thing that I do like is that they are "hands on" and will manually manipulation during the sessions. I've had physiotherapists at our other practices that don't do that.
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Belinda Galarraga
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Jane and the whole team were amazing!
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Hari Priya Krishna Kumar
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I can't thank Jane and the team at Trilogy Physiotherapy enough for their exceptional care in helping me recover from a back injury. From the moment I started my sessions, Jane was diligent, professional, and genuinely committed to my recovery. She took the time to understand my needs and tailored each treatment to help me improve quickly. Thanks to her expertise and the clinic's supportive environment, I experienced significant relief and felt better much sooner than I anticipated. I highly recommend Trilogy Physiotherapy to anyone seeking effective physiotherapy – their dedication truly made all the difference!
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