Experiencing pain at the front of the ankle? Learn about anterior ankle impingement and its recovery with Restore Physiotherapy.
Anterior Ankle impingement, also known as footballer's ankle, is characterised by pain or inflammation at the front of the ankle resulting from compression of the soft tissues. Although the condition of the ankle often starts as swelling and pain, it can lead to bone formation (osteophytes) and limitation of ankle range of movement if left untreated.
This condition is highly prevalent among AFL, soccer, and basketball players after a lateral ligament sprain. Athletes who use their feet, legs, and ankles will also risk excessive loading of the area, particularly if they are fatigued or have calf muscle weakness. This can compress the front of the ankle joint, causing the issue.
If you’re experiencing any of the following symptoms, please make an appointment with one of our friendly physiotherapists today.
Reduced ankle mobility can be discouraging for an active person. At Restore Physiotherapy, we have a team of experienced physical therapists who can accurately diagnose, treat and prevent ankle injuries. Here’s how we can assess and treat anterior ankle impingement.
Scenario
An athlete recovering from a lateral ligament ankle sprain began experiencing pain at the front of the ankle around 4 to 6 weeks into his rehabilitation program. This discomfort was diagnosed as anterior ankle impingement, which can happen when the player’s ability to bend the ankle upwards hasn't been restored.
Solution
We began treatment by first reducing inflammation with a short period of rest and targeted anti-inflammatories. This was followed by 2 to 3 physiotherapy sessions over 10 days with precise, hands-on mobilisation of the ankle and foot joints to restore movement.
Our team also prescribed home exercise programs to be completed twice daily, and training was modified to avoid aggravating activities.
Results
With consistent treatment and a personalised rehab plan, the athlete was able to regain full ankle mobility and recover from the impingement symptoms. He successfully returned to full sports participation within 3 to 4 weeks.
Better mobility starts here. Book an appointment online or contact Restore Physiotherapy to speak to our care team.
We will start with a comprehensive clinical assessment that includes tests for ankle and foot range of motion, functional strength, endurance, balance, and proprioception. This helps us pinpoint the source of discomfort, and we pay close attention to limitations in ankle movement and calf muscle endurance, which are common contributors to anterior ankle impingement.
In rare cases where the condition is severe, we will provide a referral for an MRI scan and may refer you to an orthopaedic specialist.
Our treatment is always tailored to your unique condition. Often, it involves reducing inflammation with strategies such as rest, icing, and topical anti-inflammatories. If your range of motion is restricted, we use hands-on joint mobilisations, progressive strength and balance work, and targeted home exercises.
If the pain is more persistent or complex, we may advise or refer you for corticosteroid injections or surgical review.
Yes, when appropriate. Taping can be helpful in supporting the joint and reducing stress on inflamed tissues. We may also recommend compression therapy, ice baths, or topical anti-inflammatory products.
We usually encourage patients to continue participating in sports and making small adjustments that reduce the load on the ankle. While managing symptoms is important, our team believes in addressing the root causes with targeted rehab. We will also gradually increase training intensity as your function improves and symptoms settle.
Unfortunately yes! Persistent impingement and inflammation can lead to bone dysfunction, which is more difficult to manage. By visiting a physio early, you can prevent this progression and reduce the risk of further complications.
Many people dismiss the pain as “just stiffness” or ignore lingering tightness after an ankle sprain. However, even mild symptoms (i.e. morning stiffness) can contribute to further problems like Achilles tendinopathy, calf strains, or even stress fractures. It’s important that you seek early treatment to prevent long-term setbacks.