May 20th, 2020
Hi there. I’m looking for some advice on medial ankle pain/discomfort.
It started last Wednesday, initially as stiffness in both medial ankles. I often get this if I’ve done a lot of walking/running/activity, but have never thought anything of it. However, when I looked what it could be – Post Tibial Tendonitis came up, and painful foot eversion was one of my symptoms. This didn’t last long, and never does when I have it – a day at most.
I ran 5k Weds evening, cycled Thurs and Friday evening. Last week I increased my distance quite considerably (I won a family challenge!) from the previous weeks, so I suspect it’s an overuse injury, but I don’t know what of.
I was crouched down on Friday after cycling and I had a sharp pain in my right ankle into my foot arch. After that, the pain was bad on Saturday and I couldn’t walk normally, but Sunday was much better after some P.R.I.C.E. I was able to walk normally again on Monday with no pain/discomfort and I have continued PRICE treatment, as well as doing calf stretching/foam roller/trigger ball/theragun massage of my lower legs.
The pain is no longer there, however, there is some discomfort still around my medial ankle area, around the medial malleous.
It seems most aggravated/tight around my ankle/arch when my knee is bent, foot is flat on the floor and in dorsiflexion.
Do you know what could be the problem or what I’ve aggravated?
Thanks in advance for your help
May 20th, 2020
Sounds like an issue with tib post rather than your deltoid ligament that sits on the inside of your ankle – and your overuse story rings true.
You can check the length of TP and then make a call to see if it’s the right structure. Face the wall, hands on it at shoulder height then pull your ankle up (into dorsiflexion) and put it against the wall. Try and get your toes as high as possible so most of the movement has been taken out of your ankle. Now bend your knee to that wall – don’t let it roll in and try to keep your foot up. It’ll either be tight (compared to the other side) or painful.
If it’s this then you’ll need to introduce some stability and strength work.
Let me know what gives.
May 20th, 2020
Thanks for this.
This does cause some discomfort and is tighter on one side than the other..
Is there any particular stability and strengthening exercises you’d recommend?
Also, how soon do you think I’d be able to resume cycling or running?
May 21st, 2020
Try these exercises:
Give it at least another 5 days and then back into recovery mode.
Try running for 1 minute then walk for 30 seconds. Repeat x10. If it hurts, stop and if it’s OK in the morning then repeat. Try this 3 times (every other dayish) then add 50% to either time or reps and if all OK then slowly increase.
The classes are excellent and the receptionist is extremely helpful but the online booking system…
I am so happy with the service. After carpal tunnel operation service is beyond my…
The team were super friendly, Matt and Ollie showed true concern and made sure I…
Physios very helpful and good communication between physio and rehab consultants for an overall treatment
Having previously been slightly sceptical of Physiotherapy, I have been thoroughly impressed and delighted with…
Ellie Shepherd is very professional and knowledgeable and advised the best treatment plan to cure…
Physios excellent. Identify the cause quickly and develop a suitable treatment plan.
Natalia was excellent. Right diagnosis and right prognosis for return to sport. Lots of practical…
I was completely impressed with Alex and Nina with their professionalism and customer service.
After full ACL reconstruction my 16 yr old Academy Rugby playing son has under gone…
Sarah was super helpful helping me fix my back pain issue while training for my…
I worked with both Lawrence (Manual) and Ollie (Rehab), who were both highly knowledgeable and…
Easy to make appointments. Friendly staff. Very knowledgable. Nice new clinic
Very helpful and professional appointments. I was given several exercise routines to do at home…
I was very pleased with my treatment and felt very much relieved after my visit.
Bes has been really comforting and supportive with injury recovery. Very knowledgable and thorough, good…