WHAT IS IT? POSTERIOR IMPINGEMENT SYNDROME

  • The back part of the ankle can become pinched or impinged by the overlying tibia (shin bone).  This typically occurs with the foot in a plantarflexed or toes pointing downward position.

  • Posterior impingement tends to appear in athletes who maximally plantarflex their feet such as ballet dancers, sprinters and football players.

  • In some instances the posterior part of the talus can sometimes form a bony prominence called an os trigonum.  This bony growth takes up space in the back of the ankle which in turn affects movement and has the potential to cause pain with plantarflexion.

Signs & Symptoms

What Causes It?

How to Self Manage

Rest from aggravating activities involving forced plantar flexion, and if not contraindicated anti-inflammatory medication or gels can be useful.

Prognosis

General posterior ankle impingement should improve with conservative physiotherapy management.  If pain persists, a cortisone injection to the area is an option.  The presence of an os trigonum may require arthroscopic removal.

How Physio Helps

  • Joint mobilisation of the ankle, subtalar and foot joints.

  • Electrotherapeutic modalities.

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OPENING HOURS

Monday-Friday: 8:00am - 8:00pm

​Saturday: 8:00am - 12:00pm

Sunday: By Appointment​

 

ADDRESS

Sammy Margo Physiotherapy

444 Finchley Road

London

NW2 2HY

Email: physiophysio@hotmail.com

Tel: ​020 7435 4910​​​
Fax: 020 7435 0461

Web: sammymargophysiotherapy.com

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Disclaimer: Information made available by AskPhysio (Sammy Margo Physiotherapy) is provided for guidance only and should not be considered as medical recommendations or advice.  AskPhysio is not responsible for errors or omissions in the information. Please consider what the best options for your healthcare are, based on the urgency of your condition and nature of your condition. Please consult a GP or Healthcare Specialist to discuss any specific concerns that exist prior to using the information provided.