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Joe asked...

I am pretty sure that I have posterior ankle impingement.

Hi there, I am pretty sure that I have posterior ankle impingement, I have looked up the symptoms and what I feel seem to match. I play football regularly and I feel pain behind the ankle when I strike a football and also when I point my foot in a downward movement. Is there any strapping or ideas you have to reduce the pain? Or any tips to help get my ankle back to normal? Thank you in advance

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The answer

It’s possible that you have posterior ankle impingement, but pain behind the ankle and on pointing your foot could also be down to inflammation of your Achilles tendon. Achilles tendonitis can cause pain at the back of your heel, and it is contraction of the Achilles tendon which causes your foot to point down. It can be caused by overuse, including from playing a lot of sport, or from wearing the wrong footwear for training or having a poor running technique. If this is the cause, rest, painkillers, ice packs (in the early stages for 10-30 minutes at a time and with ice never applied directly to the skin) and possibly specialist shoe inserts called orthotics can help. Exercises to stretch your Achilles tendon can also be very helpful both in relieving your symptoms and in reducing the chances of them coming back in the future. However, first you need to get a diagnosis and I would suggest you make an appointment with your GP or a private physiotherapist if you have access to one.

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