Ankle Impingement

Ankle impingement is a condition characterized by pain and limited motion in the ankle due to the pinching or compression of soft tissues or bone. This can lead to significant discomfort, especially during activities that involve repetitive ankle movements. Whether you’re an athlete, an active individual, or someone experiencing unexplained ankle pain, understanding ankle impingement is essential for managing and treating the condition effectively.

If you’re dealing with persistent ankle pain, Orthopedic Foot & Ankle Center in Greater Columbus is here to help. Our team of specialists is dedicated to diagnosing and treating ankle impingement, offering personalized care to help you get back on your feet pain-free. Contact us today!

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Visiting an orthopedic surgeon doesn’t mean that surgery is necessary. Our orthopedic doctors always prefer to use non-surgical procedures to treat injuries.

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What is Ankle Impingement Syndrome?

Ankle impingement occurs when the bones or soft tissues around the ankle joint are compressed, leading to pain and restricted movement.

There are two types of ankle impingement syndromes. Anterior impingement syndrome affects the front part of the ankle and can occur in two places: anterolateral and anteromedial. Posterior impingement syndrome affects the back of the ankle.

Ankle impingement can significantly impact daily activities, making it difficult to walk, run, or participate in sports without experiencing discomfort. Athletes, particularly those involved in sports that require frequent ankle movements, such as soccer, basketball, and dancing, are at higher risk.

Signs and Symptoms of Ankle Impingement

The signs and symptoms of ankle impingement can vary but commonly include:

  • Persistent pain in the front or back of the ankle
  • Swelling around the ankle joint
  • Limited range of motion
  • A feeling of instability in the ankle
  • Pain that worsens with activities involving ankle movement, such as walking or running
 

These symptoms can interfere with both everyday activities and athletic performance, making timely diagnosis and treatment crucial.

A doctor treating a patient with ankle pain in Columbus.

Risk Factors and Possible Causes

Ankle impingement can occur during repetitive and forced ankle movements. Anterior impingement can occur when your foot is forced upwards (dorsiflexion), and posterior impingement occurs during forced downward movements (plantar flexion).

Several risk factors and causes contribute to the development of ankle impingement. Common factors include:

  • Previous ankle injuries: Ankle sprains, fractures, or other injuries can lead to scar tissue formation, which can cause impingement.
  • Repetitive ankle movements: Sports or activities that require frequent and repetitive ankle movements can increase the risk.
  • Structural abnormalities: Bone spurs or abnormal bone growth can lead to impingement.
  • Inflammatory conditions: Conditions like arthritis can cause swelling and impingement in the ankle joint.
  • Improper footwear: Wearing shoes that do not provide adequate support can contribute to the development of ankle problems.

How is Ankle Impingement Identified?

Identifying ankle impingement typically involves a combination of a thorough clinical examination and imaging studies. During the examination, a healthcare provider will assess the range of motion, pain, and stability of the ankle. They may also inquire about any previous injuries or activities that could contribute to the condition.

Imaging techniques such as X-rays, MRI, or CT scans are often used in diagnosis to pinpoint the exact location and cause of the impingement. X-rays can help visualize bony impingement, whereas MRI scans are needed to visualize soft tissue impingement.

Treating and Managing Ankle Impingement

The treatment and management of ankle impingement aim to relieve pain, improve function, and prevent further injury. Your doctor will use similar methods to treat anterior ankle impingement as posterior ankle impingement. Common treatment approaches include:

  • Rest and activity modification: Avoiding activities that exacerbate the pain can help reduce symptoms.
  • Physical therapy: Exercises to strengthen the muscles around the ankle and improve flexibility can be beneficial.
  • Medication: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation.
  • Orthotic devices: Custom orthotics or ankle braces can provide support and alleviate pressure on the ankle.
  • Injections: Corticosteroid injections may be used to reduce inflammation and pain.
  • Surgery: In severe cases, surgical intervention may be necessary to remove bone spurs or repair damaged tissues.
 

Early intervention is key to managing ankle impingement effectively. At OFAC, our specialists utilize a comprehensive approach to treatment, tailoring interventions to each patient’s unique needs. From conservative management to advanced surgical techniques, we strive to provide the highest level of care to help you regain mobility and live pain-free.

Schedule Your Appointment Today

By understanding the nature of ankle impingement and seeking prompt treatment, individuals can significantly improve their quality of life and return to their favorite activities. If you’re experiencing symptoms of ankle impingement, don’t hesitate to contact us at Orthopedic Foot & Ankle Center in Greater Columbus for expert evaluation and personalized care!

Medically reviewed by Roberto A. Brandão, DPM

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