Specialists

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Morton’s Neuroma

WHAT IS MORTON’S NEUROMA?

Morton’s Neuroma is a benign soft tissue mass that forms on the nerve which runs between the metatarsals and the ball of the foot. When the two metatarsal bones rub together, they squeeze the nerve that runs between them. This repeated squeezing, or repeated injury to the nerve, causes the nerve […]

Tibialis Posterior Syndrome

SYMPTOMS

Gradually increasing exercise-induced pain around the posterior medial part of the ankle joint, often after previous sprain. It is common in middle-aged or elderly athletes.

AETIOLOGY

This is a tenosynovitis and or partial rupture of the posterior tibial tendon. If the tendon ruptures completely, a fairly discrete acquired flat foot can result after a […]

Tarsal Tunnel Syndrome

SYMPTOMS

There is aching or sharp pain around the medial part of the foot and ankle joint, often radiating along the medial or the lateral part of the foot, or towards the plantar fascia insertion.

AETIOLOGY

This syndrome is caused by trapping of the posterior tibia nerve or any of its branches in the tarsal […]

Posterior Inpingement of the Ankle

SYMPTOMS

There is a gradually increasing stiffness of the ankle and exercise-induced pain around the posterior part of the ankle joint, sometimes after previous sprain. This injury often affects footballers and ballet dancers.

AETIOLOGY

Impingement syndrome is not a diagnosis but a symptom and may be caused by repetitive injury to the posterior ankle […]

Peroneus Tendon Rupture

SYMPTOMS

The patient presents with a history of sharp pain over the lateral posterior part of the ankle joint, often mistaken for a sprain. Sometimes the athlete refers to a ‘pop’ when the tendon ruptures or dislocates. Two snaps are typical for dislocationrepositioning.

AETIOLOGY

Peroneus tendon rupture is uncommon in young athletes but can […]

Lateral Ankle Ligament Ruptures

SYMPTOMS

The patient refers to a sudden sharp tearing pain around the lateral aspect of the ankle joint after an acute inversion sprain or, on occasions, of recurrent instability after previous sprains.

AETIOLOGY

The anterior talo-fibular (ATF) and fibulo-calcanear (FC) ligaments are the most commonly damaged structures in uncomplicated inversion-plantar flexion ankle sprain. Most […]

Anterior Impingement Syndrome

SYMPTOMS

There is a gradually increasing stiffness of the ankle and exercise-induced pain around the anterior part of the ankle joint, often after previous sprain.

AETIOLOGY

Impingement syndrome is not a diagnosis but a symptom and may be caused by repetitive trauma to the anterior ankle joint, for example from striking footballs, recurrent sprains causing […]

Tarsal Coalition

SYMPTOMS

There is diffuse exercise-induced aching pain around the sub-talar joint, sometimes after previous sprain.

AETIOLOGY

The aetiology is unclear. Sub-talar structures fuse over time by fibrosis or callus formation.

CLINICAL FINDINGS

There is tenderness on palpation over the sub-talar joint (sinus tarsi), decreased mobility and swelling.

INVESTIGATIONS

X-ray may show talo-navicular coalition; talo-calcaneal coalition […]

Sub-Talar Instability and Pain

SYMPTOMS

There is increasing stiffness or sense of instability combined with diffuse aching pain around and below the talo-tibial ankle joint, often occurring after previous sprain.

AETIOLOGY

The aetiology is unclear but the trauma may have caused structural damage to the region that can be missed.

CLINICAL FINDINGS

There is tenderness on palpation over the […]

Stress Fractures of the Foot

SYMPTOMS

There is increasing localised pain over a bony prominence, often with no direct preceding trauma. The start of symptoms can be acute. There is often a history of suddenly increased training intensity or jumping or running on hard surfaces. A number of famous footballers’ metatarsal stress fractures have figured in the media over the […]