- Talocrural (ankle) impingement is a pinching-type injury that occurs around the ankle joint
- It is most commonly seen after ankle sprain but can occur in isolation as well
- Compressing the injured site causes a sharp pain, or pinch, with a residual ache, while stretching the injury causes an intense localised pain
- As the condition has an inflammatory component, it responds well to anti inflammatory meds, either orally or topical (cream/gel)
- There are two main types of Talocrural impingement
- Soft tissue impingement – occurring at the anterolateral (front outside corner) or posteromedial (back inside corner) aspect of the ankle
- Bony impingement – occurring at the anteromedial (front inside corner) or posterolateral (back outside corner) aspect of the ankle
- Once confirmed, a cortisone injection will give rapid relief and resolve most impingement conditions (especially injuries without a bony cause or chronic inflammatory changes)
- Pushing range and stretching the joint are both counterproductive and make the condition worse
- You don’t have to wear “sensible” shoes! In fact, for an anterior impingement, wearing a pair of heels will actually help by reducing the risk of ongoing pinching. For posterior impingement, flat shoes are best for reducing symptoms
- Stability exercises in the early phase of recovery can often aggravate the condition and make the reaction worse
WHAT ELSE COULD IT BE?
- If there’s a deep ache and swelling but no sharp pain, it could be a Talar dome lesion
- If there’s a constant ache and you have difficulty walking, it could be a Fibula fracture
- If it persists despite anti inflammatory meds, it could be a Bone bruise/oedema
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