Ankle pain is often due to an ankle sprain but can also be caused by ankle instability, arthritis, gout, tendonitis, fracture, nerve compression (tarsal tunnel syndrome), infection and poor structural alignment of the leg or foot. Ankle injuries are mostly caused by a sudden traumatic event where someone might ‘go over’ on their ankle, also known as an ankle sprain. This usually occurs on the outside (lateral side) of the ankle. Other type of pain can often be identified as posterior tibialis tendon dysfunction.PTTD refers to the loss of strength in the tibialis posterior tendon which can be sudden or progressive.
Physiotherapist will take a proper assessment of the ankle pain together with special tests and watching how your ankle generally moves to diagnose the pain. Then a proper treatment plan is made according to the condition which includes Rice protocol, Soft tissue release Stretching the calf muscles ,Strengthening to restore muscle function, weight bearing to increase proprioception. Even guidance for the proper fitting shoes can be given for the various conditions like plantar Fascitis.