Ankle & Foot Pain

There are many causes of ankle and foot pain. Most usually occur as a result of sporting injuries or a fall, however, it is not uncommon to see overuse injuries as well.

Common Conditions:

Ankle Sprains

Ankle sprains are an extremely common injury and source of ankle pain. They usually occur on the outside of the ankle where the ATFL ligament is ruptured and are likely to be the result of a twisting injury. Ligament injuries are graded from I to III, ranging from partial to complete tears. Partial tears retain some ankle stability, whereas complete tears lose stability. X-rays can determine whether there is an accompanying break.

Treatment will depend on the severity of the rupture, however most cases of ankle sprains are usually no more than a grade I.

It is important you come in and see us early to help reduce swelling and joint stiffness. We will usually commence strengthening, stretching and balance exercises (proprioception) as soon as able. These are critical for complete rehabilitation and prevention of further ankle sprains.

Ankle Tendonitis

Ankle tendonitis can occur both in the inside or outside part of the ankle. Tendonitis is inflammation of a tendon. A tendon is a group of cord-like fibers that attach a muscle to a bone. Tendons can become irritated either thorough overuse or trauma. Ankle tendonitis usually occurs from returning to sporting activities too fast and too vigorously. Alternatively, it may occur from excessive overuse such as too much running or jumping. Trauma can also cause tendonitis. If the ankle is hit or struck, the tendons become irritated and tendonitis may result.


  • The pain will be located on the inside or outside part of the ankle
  • Pain usually begins slowly and increases over several weeks.
  • The discomfort is commonly described as hot or burning and the areas may actually feel warm or be red.
  • Swelling may also be present.
  • Activities that may be problematic include walking, running or going up and down stairs.


As with other types of tendon inflammations, rest from aggravating activities is a primary consideration. In the early stages of treatment therapeutic modalities such as ultrasound, electrical stimulation, heat or ice may decrease pain and inflammation.

Massage and therapeutic exercises / stretches will speed recovery and return you to pain-free function. It is important to follow the guidelines for the rest and exercise, because tendonitis can become re-inflamed very easily. If you have had multiple episodes of tendonitis in the same area over several years, you may find it takes longer to heal.

Our Physiotherapists will work with you to determine the severity of your condition and develop a treatment plan accordingly to get you back in form as soon as possible.

Calf Injuries

Shin Splints

Tibialis Posterior Tendinopathy

Plantar Fasciitis

Plantar fasciitis is a condition that affects the bottom or sole of the foot. The plantar fascia consists of several broad bands of thick, tough tissue, which start at the bottom of the heel bone (called the calcaneous). Some of the bands attach to the underside of the bones of the forefoot. The others attach to the bottom of the foot at the ball of the foot (called the metatarsal heads). Since these bands are very similar and close together they are generally just called the plantar fascia.

The plantar fascia provides a structural reinforcement for the foot and helps maintain the arch of the foot. When the plantar fascia becomes irritated and inflamed it is called plantar fasciitis. This inflammation can have many causes such as overuse (too much running, walking or standing) or trauma (stepping on a stone, falling on the heel, etc.). Another cause may be a heel spur, which is a bony spur on the bottom of the heel usually located where the plantar fascia attaches. In some rare cases, it may be caused by a general inflammatory disease.

The main symptom is pain located on the sole of the foot. The pain may be very local, in one precise spot, or it may be generalized. Most often, it seems to be at the base of the heel bone or middle of the arch. The problem may be in one or both feet. Pain usually is present or worsens with weight-bearing activities such as walking or standing.

At Fine Form Physiotherapy, we achieve excellent results in the management of Plantar Fasciitis. Treatment will usually involve soft tissue massage, ice, stretching and strengthening exercises and strapping to raise the arch. In certain cases, you may require orthotics or biomechanical correction to help correct the underlying cause.

Heel Spur

We provide highly effective treatment for ankle and foot pain and our physiotherapist ensures the highest standard of patient care. We look after your needs. Give our office a call and one of our friendly staff will gladly assist you.