Ankle and foot pain

We are committed to helping you understand what is causing your discomfort or pain

Ankle and foot pain can vary from sharp to dull aches and may include swelling, stiffness, or difficulty bearing weight. Common causes include sprains, fractures, plantar fasciitis, arthritis, or overuse. Identifying the underlying issue is key to finding the right treatment.

Below is general information about some common problems in this area. It isn’t a full list. If you’re not sure whether we can help, get in touch and we’ll talk it through.

You don’t need a referral to see an osteopath. You can book an assessment with us directly. At your first visit we’ll examine you, explain what we find and talk through your options. If osteopathy isn’t the right fit for you, we’ll tell you and suggest who can help.

Some problems do need your GP, for example if you need blood tests, scans or medication, or if your symptoms suggest an inflammatory condition such as rheumatoid arthritis. If we find this, we’ll refer you to your GP or another healthcare professional.

Tarsal Tunnel Syndrome

Tarsal Tunnel Syndrome occurs when the posterior tibial nerve is compressed within the tarsal tunnel, located on the inner side of the ankle. This compression can lead to symptoms such as tingling, pain, or numbness in the foot.

Common causes of Tarsal Tunnel Syndrome include:

  • Flat feet or dropped arches

  • Swelling from an ankle sprain

  • Diabetes and arthritis

In addition to the nerve, the tarsal tunnel also contains an artery, a vein, and several tendons. Inflammation of these tendons can further irritate the posterior tibial nerve.

  • Mobilising the surrounding joints

  • Improving circulation

  • Reducing muscle tone in the lower leg

This approach may help ease your symptoms and reduce irritation to the nerve.

Ankle Sprain

An ankle sprain is a common sports-related injury that typically happens after a sudden, forceful twist or movement, which stretches the ligaments in the ankle beyond their normal range. This can result in swelling, pain, stiffness, and possibly bruising around the joint.

Ankle sprains often occur during activities that involve quick direction changes or sudden movements, such as running, jumping, or sports like basketball or football.

If you sprain your ankle, it's important to seek treatment early. Please feel free to contact us, and one of our osteopaths can guide you through the best initial management for an acute injury. Proper care in the early stages can significantly help with your recovery.

Achilles Tendonitis

The Achilles tendon connects your calf muscles to your heel, and Achilles tendinitis occurs when this tendon becomes overused or overstretched, causing pain at the back of the calf or ankle, particularly when walking or running.

Common causes of Achilles tendinitis include:

  • Repetitive strain from activities like running, jumping, or sudden starts.

  • Age-related deterioration of the tendon, making it more prone to injury.

  • Inappropriate or poorly fitting footwear.

  • Failure to warm up properly before physical activity.

  • Rapid increases in exercise intensity, particularly in athletes.

Stress Fracture

Stress fractures are tiny cracks in bones, often occurring in the metatarsal bones of the foot. They are caused by repetitive activities like running long distances, frequent jumping, or wearing poorly fitted footwear, which place constant pressure on the bones.

Key symptoms of stress fractures include:

  • Pain that typically worsens with activity, especially when weight-bearing.

  • Swelling and bruising around the affected area.

  • Difficulty bearing weight on the injured foot.

  • Diagnosis is usually confirmed through an X-ray.

The primary treatment for stress fractures is rest to allow the bone to heal. Continuing to put weight on the foot can lead to more severe or long-term pain.

If we suspect a stress fracture, we’ll refer you to your GP or an urgent treatment centre for an X-ray.

Arthritis

Osteoarthritis is a common condition that causes pain and inflammation in the joints, often referred to as "wear and tear." While it can affect individuals of any age, it is most commonly seen in people over the age of 45. This condition happens when the cartilage in the joint becomes thinner, leading to more friction between bones.

While osteoarthritis can be a normal part of ageing and many individuals may not experience symptoms, those who do often complain of:

  • Stiffness in the joint.

  • Reduced range of movement.

  • Pain during activity.

Although there is no cure for osteoarthritis, osteopathy alongside exercise may help ease arthritic pain and stiffness. For those awaiting joint replacement surgery, pre-hab can be offered to help improve strength and mobility in preparation for the procedure.

Another type of arthritis is rheumatoid arthritis, which affects multiple joints simultaneously. If our osteopaths suspect this condition, they will refer you to your GP for a blood test to confirm the diagnosis. While rheumatoid arthritis is more complex and may require a combined treatment approach with your GP, osteopathic treatment can still offer symptom relief by addressing pain, stiffness, and improving movement.

Runner holding his lower leg

Book or leave a message

Book online any time. We may not be able to answer the phone during appointments, so send us a message, call or WhatsApp and we’ll get back to you as soon as we can.

Please don’t include medical details. We’ll discuss these with you in person.

Book or leave a message

Book online any time. We may not be able to answer the phone during appointments, so send us a message, call or WhatsApp and we’ll get back to you as soon as we can.

Please don’t include medical details. We’ll discuss these with you in person.