Posterior Impingement of the Ankle in Miami, FL
The Advanced Neuro and Spine Institute specializes in the diagnosis, treatment, and management of orthopedic conditions and diseases such as posterior impingement of the ankle. Our team of experts delivers the latest advances in personalized, comprehensive care to patients in our conveniently located clinics in Aventura, Kendall, Hialeah, and Fort Lauderdale.
What is a Posterior Impingement of the Ankle?
Impingement is a term used to classify a condition in which bones pinch surrounding soft tissue, causing pain and inflammation. Posterior ankle impingement refers to an impingement of the soft tissues in the back of the ankle. The bones involved in posterior ankle impingement are typically the talus, or ankle bone, and the os trigonum, one of the small bones, sitting posteriorly to the talus.
What are the Causes and Symptoms of Posterior Impingement of the Ankle?
Posterior ankle impingement is caused by the soft tissue being pinched between bony structures, usually caused by the repetitive stress of the full plantar flexion, as in the case of dancers or athletes, or by direct trauma or a blow to the heel.
Some activities involving repetitive ankle plantar flexion include ballet, gymnastics, and ice skating, all of which increase the risk for this condition, as do activities that involve trauma, while the foot is plantar flexed, such as in karate. The presence of a prior foot or ankle injury may also contribute to an increased risk of developing a posterior impingement of the ankle. Ill-fitting or unsupportive footwear is also known to contribute to this condition.
Common symptoms of posterior ankle impingement include:
- Pain, tenderness, inflammation, and bruising on the back of the ankle.
- Pain that increases when the toes are pointed, as in ballet and gymnastics.
- Pain that occurs when running, jumping, squatting, or walking down stairs.
How is a Posterior Impingement of the Ankle Treated?
The initial treatment for posterior ankle impingement involves ice applications and medications, which help reduce pain and inflammation. Immobilization of the ankle may be suggested for a period of time, allowing the damaged tissue to heal. Physical therapy, focusing on strengthening and stretching exercises, may help reduce pain and increase the range of motion in the ankle. If symptoms persist for over six months, surgery may be prescribed to remove a piece of the bone, which will alleviate pressure on the surrounding soft tissue.
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If you would like more information on treatment for posterior impingement of the ankle, please contact one of our conveniently located clinics in Aventura, Kendall, Hialeah, and Fort Lauderdale.