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Our Pain Management Services

Looking for Ankle Pain Therapist?

We offer treatments for a range conditions that can cause Ankle Pain whether they came from an injury or the pain just started for no reason.  Usually ankle pain arises from issues with the ligaments, muscles or within the joint themselves.  Our services include Manual Therapy, Muscle Release, Taping, Acupuncture, Specialised exercises and Much More.

PhysioComesToYou offers a flexible approach to our physiotherapy appointments. We understand that attending a clinic can be inconvenient so we offer a mobile service. Our expert physiotherapists can attend at your work, care home, school or home at a time to suit you. We also have appointments at the weekend and during the evening so you can be on the road to recovery as soon as possible.


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Ankle Pain

The ankle is the joint which joins the leg to the foot. The joint is surrounded by muscles, nerves, ligaments, soft tissue and blood vessels. Injury such as the typical ankle sprain and surgery will almost undoubtedly cause pain and subsequent weakness of the ankle. However the pain can also begin with no known cause.

Information on the different injuries and causes of pain can be found below. One of our experienced physiotherapists can come to you at home or work to provide a full assessment of the cause of your pain and treat appropriately. Self diagnosis can lead to wasted time trying to sort without success. This can lead to Chronic Pain. One of our experienced physios can come to you and solve the cause of the pain and fix the problem.

Overuse of the tibialis anterior muscle can lead to inflammation of the tendon connecting it to the ankle and foot bones. Symptoms may include pain, swelling, and stiffness, which tend to worsen during activities like running, walking on slopes or stairs.

Physiotherapy offers several techniques to address this condition, including manipulative therapy, guidance, massage, taping, ultrasound, assessment of your gait and running pattern, exercise routines, and acupuncture.

Osteoarthritis can affect any joint in the body and is typically the result of the gradual deterioration of cartilage that covers the bone surfaces within the joints. On the other hand, rheumatoid arthritis is an autoimmune condition where the immune system mistakenly targets the body, leading to inflammation in the lining of joints and tendons. Individuals with arthritis experience symptoms like pain, stiffness, and swelling in both cases, often more pronounced in the mornings. Additionally, as people age, the muscles supporting their joints tend to weaken, making everyday tasks more challenging.

We can arrange for a qualified physiotherapist to visit your home and work with you to effectively manage your condition. During the initial assessment, the physiotherapist will conduct a comprehensive evaluation of your muscle strength, joint mobility, posture, function, and mobility aids, such as walking aids. Following the assessment, the physiotherapist will discuss recommended treatment options with you and assist in setting goals to help you achieve your full potential at work, home, and in social situations. Treatment choices may include advice on using ice, tailored exercise programs, massage therapy, taping, acupuncture, and mobility programs.

Furthermore, we have the capability to schedule home visits from occupational therapists who specialise in helping individuals regain the ability to engage in meaningful activities and maintain or achieve optimal levels of independence. Some of the services they can offer include:

  • Home assessments including modifications such as rearranging furniture, building ramps, widening doorways, grab bars, special toilet seats etc
  • Wheelchair assessments
  • Splinting

Acute pain refers to the immediate discomfort experienced following an injury and during the subsequent healing process. On the other hand, chronic pain is characterised by persistent pain that continues even after the healing process is complete. Often, there is no apparent connection between this ongoing pain and the initial injury, which may have healed long ago. Changes in the brain and spinal cord at a molecular level redirect signals to the brain’s pain centres. As a result, everyday sensations like movement, touch, pressure, and stretching can become associated with pain. Interestingly, chronic pain can also be triggered without any physical stimuli by factors such as weather changes, mood shifts, thoughts, or even in the absence of any obvious cause.

Physiotherapy for chronic pain involves addressing multiple aspects beyond pain relief. Physiotherapists aim to help patients manage their pain by providing guidance on coping with flare-ups and negative emotions, setting goals, and implementing progressive exercise routines. Their primary objective is to facilitate a return to the level of participation in work, sports, and leisure activities that individuals enjoyed before the onset of chronic pain. Additionally, we can connect you with leading pain specialists in London.

This condition occurs when soft tissue becomes trapped between the tibia and talus as you flex your ankle. It can develop into chronic pain following an ankle sprain and is commonly seen in athletes like football players and ballet dancers. Typically, the discomfort starts off subtly and gradually worsens over time, especially during activities like sprinting, lunging, or kicking that involve the front of the ankle.

Physiotherapy offers effective methods for managing this condition, which may include advice on appropriate footwear, heel lifts, tailored exercise programs, gait analysis, taping, and manual therapy.

The calf muscles, specifically the gastrocnemius and soleus, play a significant role in activities like jumping and rising onto your toes. These muscles combine to form the Achilles tendon, which attaches to the back of the heel. Sometimes, this tendon can rupture or tear due to overexertion of the calf muscles or excessive backward flexing of the foot, which places stress on the tendon. Additionally, a deep cut to the back of the leg can result in Achilles tendon injury. Symptoms may include a sudden sensation of being kicked in the back of the leg and immediate pain. While you may still be able to bear weight on the affected leg, walking and rising onto your toes may be challenging. In such cases, your physiotherapist can conduct specific tests to diagnose the condition. If there is suspicion of an Achilles tendon injury, it’s crucial to consult with a foot and ankle specialist promptly, and we can recommend one for you. Delaying treatment may hinder the recovery process. The consultant will determine whether surgical or conservative treatment is appropriate, such as using a supportive, customised boot.

Following such an injury, physiotherapy is essential to facilitate the best possible recovery. Please refer to post-surgery physiotherapy informational materials and protocols to understand what to expect during your rehabilitation.

Physiotherapy can be highly beneficial for addressing this issue. Treatment options may include soft tissue therapy to address weak or tight muscles that could be contributing to the problem, footwear and insole recommendations, and addressing any gait or running form issues. Your physiotherapist can guide you through an effective rehabilitation program based on the one developed by Alfredson et al. in 1998. If physiotherapy does not yield the desired results, we can recommend consulting a reputable foot and ankle specialist. They can offer electro shockwave therapy, a proven and effective treatment for this condition. Alternatively, we can suggest a facility where you can receive electro shockwave therapy.

Impingement can lead to pain in the back of the heel, particularly when you repetitively engage in this movement while standing firmly on your toes. This issue can stem from a bony structure referred to as an “os trigonum” or from the presence of bone growth inside the ankle.

If this is the cause of your pain, your physiotherapist can conduct targeted assessments. Potential treatments that could be beneficial include modifying your sports technique, addressing any inflammation, and improving the mobility of other joints in the foot and ankle. If physiotherapy does not produce the desired results, we may recommend that you consult with a reputable foot and ankle consultant in London for further evaluation.

Finding a small lump of soft tissue between the Achilles tendon and the end of the tibia (leg bone) is highly unusual. If such a condition is suspected during exercise-related discomfort, your physiotherapist will recommend an evaluation by a reputable foot and ankle consultant in London.

The deltoid ligament is a relatively large ligament that can experience tearing or spraining. However, it is less susceptible to injury when compared to the ligaments on the outer side of the ankle.

Physiotherapy can play a crucial role in helping you regain full ankle strength and stability, enabling you to return to your usual activities. Your physiotherapist may recommend a combination of interventions, including advising you, using ice, applying tape, administering ultrasound therapy, and employing soft tissue treatments to address ankle issues. They will also design a personalised exercise program focused on strengthening and stabilising the ankle.

The tendon that connects the inner part of the foot to the tibialis posterior muscle can be a source of pain. This muscle is responsible for turning the inner side of the foot inward and aiding in activities like rising onto your toes. The severity of this condition can vary, and prolonged use can even lead to tendon rupture. Pain along the inner ankle tendon can worsen during weight-bearing activities, and difficulty in rising onto your toes may be experienced. While swelling is not a common symptom, if a tendon rupture is suspected, we recommend seeking evaluation from a reputable ankle consultant in London.

Physiotherapy offers several beneficial techniques for this condition, including advice, massage, acupuncture, soft tissue treatments, exercise, and taping.

The flexor hallucis longus muscle is responsible for bending the toes and assisting in toe raising. It connects to the big toe via a tendon. Tendinopathy, characterised by repetitive strain, tendon inflammation, and tears, can develop in this tendon. Activities that involve frequent toe-lifting, such as ballet, are common causes of this condition. Pain along the tendon can be experienced when rising onto your toes.

Physiotherapy offers several effective treatments for this condition, including massage, ultrasound, acupuncture, manual therapy, soft tissue treatments, and counselling.

This condition involves the trapping of the tibial nerve, which runs down the inside of the leg and ankle. It can occur suddenly due to an injury or if the foot arch is flat. Another contributing factor can be the friction of boots, especially ski boots, against the inside of the ankle. You may experience differences in sensation between your inside ankle and the sole of your foot. Typically, weight-bearing and exercise exacerbate the problem, while rest helps alleviate it. Symptoms often worsen at night, but moving or massaging the foot can provide relief. In some cases, there may be slight swelling in the sole of the foot and the inside of the ankle.

Physiotherapy can offer effective methods for managing this condition, including guidance on taping, anti-inflammatory treatments, and strategies to prevent nerve irritation.

The sinus tarsi is a tunnel located between the bones in the foot just in front of the ankle joint. This tunnel can become inflamed either following an ankle sprain or gradually due to poor foot posture. While the pain may also be felt on the inside of the ankle, the primary site of discomfort is typically on the outside of the ankle and foot. The pain is often most pronounced in the morning due to the presence of inflammation.

In this case, the lower inner leg bone (tibia), forming the joint between the leg and the foot (known as the medial malleolus), is fractured. This can be extremely painful, making it difficult to bear weight on the leg. It can sometimes be mistaken for an ankle sprain. If you suspect this type of fracture, it’s essential to seek immediate medical attention. In such a situation, we can recommend a renowned foot and ankle consultant in London. You may likely need to wear a cast or boot to immobilise the ankle joint for a period. Physiotherapy plays a crucial role in maintaining the strength of the remaining leg during this time and in restoring full ankle mobility, strength, and stability after the cast is removed.

Ankle pain and significant swelling can often result from fractures in various components of the ankle. If you suspect you may have fractured your ankle, especially if you’re experiencing severe swelling and pain and find it difficult to bear weight on your leg without significant discomfort, we strongly recommend seeking emergency medical assistance. We can connect you with leading London specialists in foot and ankle care. If you do have a fracture, it’s possible that you’ll need to wear a cast or boot to stabilise your ankle joint for a period. During this time, it’s important to maintain strength in your unaffected limb, which may require physiotherapy. After the cast or boot is removed, physiotherapy becomes crucial to help you regain full ankle mobility, strength, and stability, allowing you to return to your pre-fracture activities.

Ankle pain can also have its origins in other parts of the body, such as trigger points in other muscles, pelvic problems, lower back issues, hip conditions, or knee problems.

Ankle sprains are a common condition where the ligaments on the outside of the ankle become strained due to the ankle bending inward most of the time. This can potentially damage the inferior tibiofibular joint. Sprains can affect any of the four major ligaments on the outside of the ankle. Common symptoms include bruising, swelling, and pain on the outside of the ankle, and putting weight on the ankle may be challenging. Your physiotherapist can assess which ligaments have been affected and the extent of the damage. If the sprain is severe or if there’s a suspicion of ligament rupture, a medical evaluation will be necessary. We can recommend reputable ankle and foot specialists in London for you to consult.

Physiotherapy can be beneficial by recommending ice and other anti-inflammatory methods to aid in early healing and inflammation reduction. Ultrasound can also assist in these aspects. Additionally, physiotherapists use techniques like taping, massage, soft tissue methods, and exercise regimens to strengthen, stabilise, and restore ankle mobility, all of which are crucial for the recovery process following an ankle sprain. It’s important to note that individuals who do not undergo rehabilitation after spraining their ankle are at a higher risk of experiencing recurrent sprains in the future.

This joint connects the tibia, the main shin bone, to the lower end of the fibula, the smaller outer bone of the lower leg, via ligaments. Ankle injuries can result in a sprain of this joint, which can cause pain on the outside of the ankle. Additionally, the pain may be attributed to the fibula shifting forward rather than the strained ligaments.

Physiotherapy techniques such as guidance, exercise programs, manual therapy, acupuncture, and taping can be beneficial in addressing this condition.

The ligaments surrounding the front outside of the ankle can heal after an ankle injury. However, if the excess tissue formed during the healing process is not reabsorbed, it may develop into a meniscoid or soft tissue fragment that becomes trapped in the front outside of the ankle, leading to pain. If this is the cause of your pain, your physiotherapist can conduct tests to diagnose it. Treatment options may include a corticosteroid injection or a minor surgical procedure to remove the tissue fragment. In such cases, we can recommend that you consult with a reputable foot and ankle specialist in London.

Ankle pain can sometimes radiate to the outside of the ankle when there is soft tissue caught in the back of the ankle. If this is the cause of your discomfort, your physiotherapist can perform specific tests to diagnose it and, if necessary, recommend you to a top foot and ankle consultant in London.

Pain in the tendons of the peroneal muscles, which run along the outside of the lower leg and attach to the bases of the first and fifth metatarsals in the foot, as well as behind the bony prominence on the outside of the ankle, can result from muscle misuse or inadequate support from your shoes. Symptoms typically include swelling and pain on the outside of the heel and ankle, which improves with rest and worsens with movement. If your physiotherapist suspects this is the cause of your issues, they may conduct a comprehensive assessment and additional testing.

Physiotherapy treatment can provide guidance on reducing inflammation and recommend appropriate exercises. Soft tissue therapy and shoe advice can be beneficial. They will guide you through a rehabilitation program that includes the right stretches, strengthening, and stabilising exercises to help you return to sports. In severe cases, your physiotherapist can refer you for an evaluation with a renowned London foot and ankle specialist.

The peroneal tendons can occasionally tear or rupture due to an injury. If your physiotherapist suspects this, they will likely advise you to seek immediate medical attention. In the event of a confirmed tendon tear or rupture, we can recommend leading foot and ankle specialists in London. Following surgery, physiotherapy will be necessary to rehabilitate the ankle through an exercise regimen and manual therapy to regain movement.

The primary foot bone that connects the foot to the lower leg is called the talus. If a stress fracture occurs on the outside of this bone, it may gradually lead to pain on the outside of the ankle. This condition is more common in athletes who engage in high-impact activities and worsens with activities like jogging. If your physiotherapist suspects this condition, they may recommend that you consult with a renowned London foot and ankle consultant. Treatment may involve wearing a cast or boot to immobilise the ankle joint for several weeks. Physiotherapy is essential during this period to maintain the strength of the unaffected leg and to restore full ankle mobility, strength, and stability after the cast is removed.

Ankle pain on the outside may occur due to a stress fracture at the bottom end of the fibula bone. This condition can be diagnosed by identifying the site of the stress fracture that produces the pain. If your physiotherapist suspects this issue, they may recommend that you consult with a renowned London foot and ankle consultant. Treatment may involve wearing a cast or boot to immobilise the ankle joint for a period of time. Physiotherapy is essential during this period to maintain the strength of the unaffected leg and to restore full ankle mobility, strength, and stability after the cast is removed.

As the name suggests, this condition is intricate and often characterised by intense and persistent pain. The affected area is typically highly sensitive to touch, and even slight contact can be excruciating. Changes in the warmth and colour of the affected body part, as well as swelling and increased hair growth, may occur. This syndrome can cause pain in the ankle, which may radiate up the leg and over the foot. Its precise cause remains unknown, and it can develop spontaneously or as a result of a previous injury, such as a fracture. Research has indicated involvement of the sympathetic nervous system, which controls skin temperature and blood flow, in this condition.

Physiotherapy plays a crucial role in managing this condition by preventing the affected area from becoming stiff and promoting mobility. In certain cases, acupuncture can provide relief from discomfort, and desensitisation techniques may also be employed. Your physiotherapist may also recommend a respected pain specialist in London who can address your pain by modulating the activity of the sympathetic nervous system and prescribing appropriate medications.

The physiotherapist will take a thorough medical history and a full history of your symptoms before performing a comprehensive physical assessment. It’s critical to understand that there could be a number of underlying explanations for your symptoms, some of which may be too complex for physiotherapy and call for a medical examination or consultation with a qualified specialist or consultant. Your physiotherapist would advise you to speak with a qualified expert or your general practitioner (GP) in such circumstances. These possible causes include:

  • Cardiovascular Symptoms
  • Respiratory (breathing) Symptoms
  • Gynaecological Symptoms
  • Urinary Or Genital Symptoms
  • Digestive Symptoms
  • Immune System Symptoms
  • Lymph System Symptoms
  • Hormonal Symptoms
  • Neurological Symptoms
  • Dermatological (skin) Symptoms
  • Medication Side-Effects
  • Virus
  • Infection
  • Cancer
  • Disease Process
  • Psychological Problems i.e. Depression, Anxiety

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