Ankle injury

How Does Physiotherapy Help?

Physiotherapy is helpful for restricted joint mobility and decreased muscle strength in the same areas, both before and during recovery from surgeries. A physiotherapist helps find solutions for discomfort caused by sedentary work and other musculoskeletal issues.

If possible, bring your test results with you. Exercises are easier to perform when wearing comfortable sportswear.

One of the most common ankle injuries (and one of the most frequent injuries in sports overall) is trauma to the ligaments surrounding the joint. The ankle joint can be divided into the upper and lower ankle. The ligaments of the lower ankle can be further classified as medial (inner) and lateral (outer) ligaments. Injuries most commonly occur to the ligaments on the outer side of the lower ankle. This typically happens when the foot is placed down in an inverted position (turned inward). The injury usually involves a ligament sprain caused by twisting the joint, or in more severe cases, a partial or complete ligament tear.

Symptoms

Pain, especially when bearing weight on the foot
Tenderness
Swelling
Bruising
Limited joint mobility
Feeling of instability in the foot
Audible “pop” or crackling sound at the moment of injury

Causes

Risk Factors

Sport
Higher risk is associated with activities requiring quick changes of direction and jumps. Examples include ball games, trail running, and tennis.
Uneven Surface
Previous Ankle Injury
There is a very high risk of re-injury. Approximately 40% of people experience a repeat injury, which increases the risk of chronic ankle instability.
Poor Physical Condition
Mainly insufficient strength in the jumping muscles and hip muscles, as well as impaired balance and proprioception (the ability to sense the position of the limb without looking).
Fatigue
Injuries often occur toward the end of physical activity.
Overweight
Age
Studies show that (first-time) ankle injuries occur most frequently in the age group 10–24 years.
Footwear

Prevention

Proper warm-up before physical exertion
(Sport-)specific training of lower limb and core muscles
Weight reduction if necessary
Previously injured joint should initially be supported with sports tape or orthosis/support brace, but the goal should be gradual weaning off additional support
Correct footwear choice. Shoes should primarily fit well and be comfortable to wear
Attention to psychological factors

Prevention is important both for first-time injuries and for avoiding recurrence (in many people, the injury tends to repeat and can become chronic).

Treatment is usually conservative, with surgery reserved for very severe cases. Emphasis is placed on therapeutic exercise.

References

https://www.mayoclinic.org/diseases-conditions/sprained-ankle/symptoms-causes/syc-20353225

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7745493/pdf/WJO-11-534.pdf

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6602403/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6602396/

Clients

Feedback

“On olnud vägagi tõhusad füsioteraapiaseansid. Edasiviiv arutelu ja palju soovitusi harrastussportlase targemaks vigastustevabaks treenimiseks!”

“Katrel on põhjalikud teadmised jooksuvigastustest. Minu vigastust ja selle teket analüüsides, sain häid soovitusi nii varustuse vahetamiseks, taastavateks harjutusteks, kui ka jooksutrenni järgseteks harjutusteks, mis on taganud selle, et asfaldil ka pikamaid distantse joostes (sh võisteldes), pole valu enam tagasi tulnud.”

Olen käinud seal alates aastast 2021 ja vastuvõtt on alati meeldiv olnud. Kohtasin seal enda lemmikut füsioterapeuti Anastassia Šipilovat, kelle käed teevad (ja aju) imesid. Olgu mure tingitud ülekoormusest, vigastusest või lihtsalt ennetamine, she knows the magic.✨✨ Peale õlaoperatsiooni pani ta mu käe jälle liikuma ja olen tagasi ratta seljas. 🙂 Soovitan Füsioteraapia Kliinikut väga!

“Katre on väga suurte teadmistega ning füsioterapeudina äärmiselt toetav ja põhjalik. Mulle meeldib tema suhtumine, et sporditraumadest on võimalik taastuda ning saab ja tulebki sportimisega jätkata. Lisaks traumade füüsikalistele põhjustele “kontrollib” ta alati üle ka muud baasteemad – une, koormuse, taastumise, toitumise.”

Kõik väga meeldis alustades sisse tulemisest personaal oli väga lahke ja vastutulev. Mina isiklikult käisin Anastassia Šipilova juures millega jäin väga rahule, on näha, et Anastassia läheneb väga individuaalselt ja on enda ala proff.

Käisin visiidil nädala kestnud põlvevaluga. Katre tegi kohe põhjaliku ülevaatuse (testis mobiilsust ja potentsiaalseid vigastusi) ning diagnoosis potentsiaalse probleemi. Edasi tegime erinevaid harjutusi ja määrasime paika raviplaani. Harjutused filmis ta ka üles, et oleks hiljem hea järele vaadata ning saatis mulle koheselt ka videod. Lõpetuseks kinesioteipis ta põlve (lisaks juhendas, kuidas saan seda tulevikus ise teha) ja andis kaasa ka treeningupaela harjutuste tegemiseks. Väga põhjalik, professionaalne ja meeldiv kogemus!

Põlve meniskioperatsioonist taastumine füsioterapeudi Anastassia juures oli väga efektiivne, süstemaatiline, stressivaba ja viis stabiilse eduni. Anastassia optimism, teadmised ja isiksuseomadused ei anna edasi mitte ainult usku, et taastumine on täielik ja ilma jääkpiiranguteta, vaid ka tunnet, et see nii ongi. Soovitan Anastassia juurde kindlasti pöörduda, kui teil on vaja taastuda operatsioonist, vigastusest või lihtsalt nõu saamiseks, püüdes vältida negatiivseid muutusi igapäevaelus või sportides.

About Us

Füsioteraapia Kliinik OÜ is a company established in 2011, whose specialists are recognised Estonian sports physiotherapists.

The clinic’s specialists help find solutions to various musculoskeletal system problems, whether it’s pain limiting daily activities or sports, decreased muscle performance, restricted joint mobility, or other issues.

In practice, the most common reasons for consulting a physiotherapist are muscle tension, pain in the lower back and neck area, as well as painful shoulder and knee joints.