Foot, ankle and lower-limb pain can have different causes. Understanding which tissues may be involved, how they are being loaded and what factors may be contributing to your symptoms is an important part of recovery.
Pain in the same area does not always mean the same problem.Heel pain, ankle pain, forefoot pain and big toe pain can involve different tissues and may have different contributing factors. Understanding which structures may be involved is an important part of deciding how to manage the problem.
We consider the location and behaviour of your symptoms alongside clinical findings, movement, loading and tissue capacity to build a clearer picture of what may be contributing to your pain.
Achilles tendinopathy and other causes of pain around the back of the heel and ankle.
Metatarsalgia, Morton’s neuroma and other causes of pain beneath the forefoot.
Joint degeneration, hallux valgus and other causes of pain around the big toe.
Tibialis posterior problems and other causes of pain around the inside of the ankle.
Ankle sprains, peroneal tendon problems and other causes of pain around the outside of the ankle.
Medial tibial stress syndrome and other causes of exercise-related shin pain.
Understanding your symptoms, movement, loading and physical capacity.
Bringing the findings together to understand which factors may be contributing to your symptoms.
Using those findings to create an individualised strategy, which may include rehabilitation, load modification, footwear or orthoses where appropriate.
The aim is not to correct every movement or pressure finding. It is to identify the factors most relevant to your problem and determine what needs to change to support recovery.
An assessment may be useful if: