Typical appearance of a sprained ankle

Ankle pain has a strong association with a ‘sprain’ and for many people going over on their ankle is the cause of their problem.

A sprained ankle refers to an ligament injury; the most common one is the anterior talofibular ligament which is situated below and in front of the outside ankle bone. For many people the ligament will settle with rest, ice, compression and elevation. For some people the degree of sprain is severe and the ankle pain can persist for many months.

More advanced rehabilitation is required in this situation and a programme of balance, strengthening and proprioceptive work can ensure the best outcome is achieved.

The ankle can also be affected by joint degeneration and tendon inflammation. Degeneration of joints can be made worse if they are not held in good alignment. A common problem is a foot that falls inwards. This places increased pressure on the foot and ankle bones and also makes the ligaments and tendons work harder to try and support the foot. Overuse and increased strain on tendons can cause tendinopathies, also referred to as tendonitis.

Insoles can assist in supporting the foot and injection therapy can be used to settle an inflammatory response and decrease the person's experience of pain.

The exercises shown here provide a basic introduction in what can be done to optimise the ankle joint. As with all advice it is relevant if the diagnosis is correct. If you are unsure of your diagnosis please arrange for a consultation.