Foot and ankle injuries cover a very wide range of conditions and for that reason we'll talk only about the general principles for treatment rather than go into detail on each condition.
A ‘High ankle sprain’ is an injury to the higher ankle ligaments, those which start just above the normal ankle joint and extend up the leg, towards the knee. High ankle sprain is generally a serious condition and more complex than a normal ankle sprain. Because of the severity and the significantly different approach needed for rehab, it also needs to be examined as separate to normal ankle injuries. Sufferers of such an injury are usually out of normal action for more than 8 weeks even with a complete rehab program. The correct term for the injury is a Syndesmosis tear, the Syndesmosis being a fibrous joint where the two leg bones are joined by ligaments or tissue and there is usually little mobility.
When your big toe pushes against the next toe, forcing the joint of the big toe to expand and protrude, the resultant bony bump is known as a Bunion. The skin over the Bunion is often red and painful. Wearing tight narrow shoes is commonly the cause of bunions, but they can also develop from a medical condition like arthritis, inherited structural defects, or other stresses on the foot.
DOMS is the commonly used abbreviation of ‘Delayed Onset Muscle Soreness’ and is the pain and stiffness felt in muscles a while after unusual or strenuous exercise.
Felt most strongly from 24 to 72 hours after exercise, it is thought to be caused by lengthening or ‘Eccentric’ exercise, which causes ‘micro-trauma’ or small-scale damage to muscle fibres. The muscle adapts rapidly after exercise, to prevent muscle damage and soreness, if the exercise is repeated.
Widespread pain to the muscles of the body, unusually high levels of fatigue, tender points in multiple areas and great sensitivity to seemingly normal things, are all indicative of someone suffering from the disorder known as Fibromyalgia.
‘Ligament sprains’ and ‘Muscle strain’ are often confused and usually written about in tandem, however they are in fact quite different. Muscle and tendon (joining muscle to bone) strains occur when there is a poor level of fitness or poor dynamic control within the muscles, whereas Ligaments join bone to bone and injuries occur when there is excessive movement forced through a joint...quite different and so we deal with them in separate articles.
Musculoskeletal pain is pain caused by injury to the bones, joints, muscles, ligaments, tendons and/or nerves. The pain can be either acute or chronic and either localised or widespread. It is basically a summary of all the types of physical pain a person could suffer from.
Overuse injuries, as the term implies, are the result of the gradual, repetitive action and overuse of certain muscles, tendons or bones, as opposed to acute injuries, like a sprained ankle, which happen instantaneously. They can happen through sports, be work related, or through constant repetition of any physical activity. As they happen over a period of time, there are generally four stages to Overuse injuries which are:
When a nerve becomes entrapped or ‘pinched’, usually because of injury to structures next to the nerve, this is referred to as a ‘Pinched nerve’, where nerve pain, damage and associated symptoms can occur. Self-diagnosed pinched nerves rarely need to be operated on and even upon MRI diagnosis, the rehabilitation of the poor biomechanics (often the cause of your dysfunction) have been found to be an effective treatment option with a significantly lower risk profile. Symptoms could be created by muscle tension, so the nerve is often unaffected, even with feeling symptoms of tingling, pins and needles and pain. But don’t underestimate it, the perception of a pinched nerve can and should be comprehensively assessed by an experienced Physiotherapist. Should there be any damage beyond that with which a Physiotherapist can assist, you will be referred to a surgeon for a second opinion.
The Plantar fascia is a thick band of fibrous connective tissue which starts at the bottom surface of the heel bone and extends along the sole of the foot towards the toes. It limits excessive flattening of the arch in the foot and when the Plantar fascia becomes painful, the condition is known as Plantar fasciitis.
Shoulder and Arm
Elbow and Forearm
Wrist and Hand
Upper Back and Chest
Hip and Thigh
Knee and Leg
Ankle and Foot
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You must not rely on the information on this site as an alternative to medical advice from your physiotherapist or other medical practitioner. If you have any specific questions about any medical matter, you should consult directly with your physiotherapist or other medical practitioner. If you think you may be suffering from any condition, you should seek immediate medical attention. You should never delay seeking medical advice, disregard medical advice or discontinue medical treatment because of information on our website.