Ankle Conditions
Talocrural Joint
The Ankle / Talocrural Joint
Ankle pain often develops from ligament sprains, tendon overload, joint irritation, or sudden injuries such as rolling the ankle, and may also result from instability, arthritis, or repetitive strain during sport and daily activities. At Movement Perfected, we provide expert ankle pain physiotherapy in Moorgate and ankle pain physiotherapy in Marylebone, helping you identify and address the underlying cause of your symptoms rather than simply managing the pain. Common conditions include ankle sprains, Achilles tendon issues, instability, and joint-related problems, all of which we treat using tailored, evidence-based rehabilitation programmes designed to reduce pain, restore stability and mobility, and prevent recurrence.
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Common ankle Conditions:
• Ankle sprains (acute and recurrent)
• Chronic ankle instability
• Achilles tendinopathy
• Posterior tibial tendon dysfunction
• Sinus tarsi syndrome
• Ankle osteoarthritis
• Post-fracture ankle rehabilitation
• Running- and sport-related ankle pain
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Ankle Sprains (Acute and Recurrent)
Ankle sprains result from overstretched or torn ligaments, typically caused by twisting or rolling injuries. Symptoms include pain, swelling, stiffness, and decreased confidence in the ankle. Without full recovery of strength and control, sprains may recur. Recovery generally progresses through several phases: an initial period of protection and reduction of swelling (0-72 hours), followed by gradual restoration of movement and early weight-bearing (3-14 days), with strengthening and balance retraining continuing through 1-6 weeks or longer as needed. Physiotherapy aims to restore movement, strength, and stability throughout these phases to reduce pain and prevent further injury.
Chronic Ankle Instability
Chronic ankle instability occurs when the ankle remains weak, unstable, or prone to giving way after previous sprains. This condition can impact walking, running, and sports. Physiotherapy at Movement Perfected focuses on improving strength, balance, and neuromuscular control to restore confidence and long-term stability. Key exercises, such as single-leg stance with reach, resisted band walks, and balance board drills, are used to help rebuild ankle stability and support a return to normal activity.
Achilles Tendinopathy
Achilles tendinopathy is caused by irritation or overload of the Achilles tendon. You can think of the tendon like a rope that can start to fray with repeated overuse. Pain typically worsens with walking, running, or after rest. Physiotherapy at Movement Perfected manages tendon load, improves calf strength, and supports a gradual return to activity.
Posterior Tibial Tendon Dysfunction
Posterior tibial tendon dysfunction affects the tendon supporting the foot’s arch and ankle stability. Symptoms include pain along the inner ankle, arch flattening, and difficulty with prolonged walking. Physiotherapy targets strengthening, load management, and improved foot and ankle control. As a self-management step, try performing 10 single-leg heel raises on each leg twice daily, focusing on slow, controlled movement. This daily habit can help reinforce strength and support recovery.
Sinus Tarsi Syndrome
Sinus tarsi syndrome causes pain on the outside of the ankle, often after a sprain or repeated instability. Symptoms include aching, swelling, or discomfort on uneven surfaces. Physiotherapy at Movement Perfected restores ankle mobility, improves stability, and reduces joint irritation.
Ankle Osteoarthritis
Ankle osteoarthritis results from joint surface wear, often after previous injury. Symptoms include stiffness, swelling, and pain during weight-bearing activities. Physiotherapy improves movement, strength, and load tolerance to support ongoing mobility. The goal is to help you continue daily activities that matter most to you, such as maintaining morning walks with fewer flare-ups and enjoying more comfortable, active days.
Post-Fracture Ankle Rehabilitation
After an ankle fracture, stiffness, weakness, and reduced confidence are common once immobilisation ends. At Movement Perfected, rehabilitation focuses on restoring movement, strength, balance, and function. Physiotherapy supports a safe, gradual return to walking, work, and sport.
Running and Sport-Related Ankle Pain
Running- and sport-related ankle pain often results from repetitive loading, poor movement control, or sudden training changes. Symptoms can affect performance or recovery. Physiotherapy uses a sport-specific approach to address strength, mobility, and load management for pain-free activity