What is it?

Anterior ankle impingement, as the name suggests, is where the structures at the front of the ankle joint are not able to cope with the stress that is placed on them as the leg moves forward over the foot (dorsiflexion).  The talus bone distributes weight from the shin (tibia) to the foot, and when this is weakened and unable to cope, the other structures at the front of the ankle become strained and impinged.

How does it happen?

It sometimes occurs following an ankle sprain or due to activities that require a large amount of load while in ankle dorsiflexion.

Signs and Symptoms

Typically there will be pain experienced at the front of the ankle that increases with excessive dorsiflexion or weight bearing activities such as running.

Causes

Several factors can contribute to this condition.  Joint stiffness or swelling, muscle tightness, poor foot biomechanics and inappropriate training (including footwear, technique or training surfaces) are all potential contributing factors.

Physiotherapy & Treatment

MD health will provide you with a physiotherapy program as the first line of treatment.  Initially it is important to stop any aggravating activities, and adopt the RICE regime (Rest, Ice, Compression, Elevation) which will have a good effect in the first 72 hours following injury or while inflammation is still present.  A gradual and pain free flexibility, strength and return to activity regime under direction from an MD health staff member will ensure an optimal outcome.  If physiotherapy doesn’t help, then further investigation will be needed.