Foot and Ankle Pain Conditions

Plantar fasciitis is a painful condition affecting the sole of the forefoot and can be treated with Physiotherapy and exercises. In persistent cases, this condition is treated with shockwaves therapy or injections (see under). 

Morton’s neurons and metatarsal bursitis are related conditions affecting the foot web spaces. They often occur due to discrepancies between foot and shoe size. It can also relate to the patient’s weight overloading the foot arches. The painful conditions can be treated with injections and in-house referral to a foot specialist.

A painful big toe often relates to some common conditions such as gout, osteoarthritis, a rigid joint (hallux rigidus) and bunion formation. Some patients complain of pain under the toe due to inflammation or fracture of accessory bones called the sesamoids. Most of these presenting conditions can be managed conservatively.

Midfoot pain in runners often is as a result of a bony stress reaction/stress fracture. This can be easily with a full recovery made wearing an Aircast boot fitted to size.

Ankle Sprains

Most ankle sprains recover well after four to six weeks but more serious sprains need longer to recover as the joints can become swollen as well requiring a guided steroid injection into the joint. In in some circumstances the ankle bones can become injured or swollen from within and this further prolongs the recovery period. Offloading the ankle with an Aircast boot is necessary. Some ankle sprains result in ligament instability and can be treated with ligament strengthening injections (see under Prolotherapy treatment).

Ankle Tendon inflammation

The most common ankle tendons run on the inside and outside of the ankle and can become inflamed as a result of a sprain or overtraining. These conditions recover well conservativel

Ankle impingement

This term relates to pain in the front or back of the ankle commonly seen in recreational football players, runners, and ballerinas. The cause of the impingement can be confirmed with imaging with treatment accordingly. Rarely does this lead to surgery.

Sinus tarsi syndrome

This relates to a chronic painful condition of the sinus located deep in the outer ankle. It is a result of a bad sprain that has not healed well. The condition is treated conservatively mostly facilitated by physiotherapy but some requiring a guided steroid injection into the sinus.