Foot & Ankle Pain

The foot and ankle are made up of a number of small bones interconnected by ligaments, muscles and fascia (a thin casing of connective tissue) all working together to give the strength, stability and flexibility that the foot and ankle need to function properly.

Common conditions of the foot and ankle include:

Acquired Flat Foot – when the inner border of the foot or inner arch starts to flatten, causing the foot to roll inwards.  This can cause injury to the ankle joint and supporting tissues leading to ankle, shin or Achilles pain (the tendon at the back your heel).  Symptoms can include pain, swelling, change of foot shape and knee pain.

Plantar Fasciitis – often presents with a sharp pain under the heel of the foot where the plantar fascia (a thin, tough band of connective tissue) attaches into the heel bone.  This pain is often worse first thing in the morning or after standing for long periods in poor footwear.

Achilles Pain – the Achilles is formed by the tendons of the two calf muscles, coming together and attaching into the back of the heel.  Tension in these muscles, repetitive stress and overuse can overload the Achilles tendon cause pain and discomfort.

Sprained Ankle – typically results from sudden twisting or “going over” on the ankle joint leading to swelling, bruising, pain and instability.  Sometimes an x-ray is required to rule out any fracture.  Rest, ice, elevation and compression can help in the first 24 to 48 hours after injury.

Your osteopath will work with you to try and understand the cause of your foot and ankle pain and will be able to provide either osteopathic treatment or guidance as to whether your condition warrants a referral to your GP or a specialist for any additional investigations (such as x-rays or scans).

Depending on diagnosis, age and fitness your osteopath will use a wide range of techniques to help i) reduce muscle tension, ii) increase blood flow and drainage to and from the foot and ankle and iii) improve mobility/flexibility of the joints.  Often muscles and joints in the entire lower limb and lower back will be looked at and treated to help the foot and ankle function better.

Specific balancing, strengthening and/or stretching exercises may also be provided along with advice on strapping, footwear, general activity and lifestyle changes that might be hindering healing.  You may also be referred to a podiatrist if appropriate.