ANKLE & FOOT PAIN TREATMENTS

• Tibialis Posterior Tendinopathy Plus
  The tibialis posterior is a muscle deep in your leg that moves your ankle inward and also supports your arches. Dysfunction of this muscle is the most common cause of flat feet in adults. This muscle may be injured due to repetition or trauma. You may also have pain and swelling along the medial aspect of the foot that gets worse with activity. Your therapist will help to reduce symptoms, restore foot posture and arch, and provide education about activity modification if needed. Orthotics may be a suitable option for this condition as well. Learn More
• Metatarsalgia Plus
  Metatarsalgia is pain on the bottom of the foot, usually under the first or second toe pad. Symptoms include pain and stiffness, especially during walking or weight-bearing activity. Causes include high impact activities such as running on hard surfaces or jumping with hard landings. As the padding on the bottom of your foot thins out with age, this condition may be more common as we get older. Your therapist will assess your condition and create a treatment plan to alleviate your pain and get you back to your activities. Learn More
• Ankle Arthritis Plus
  Although arthritis of the ankle is less common than the other major joints, it can occur. The most common cause is a history of trauma or chronic ankle instability. Symptoms include deep ankle pain, morning stiffness, mild swelling, and occasionally ankle “crunching and clicking” noises. Fortunately, the ankle has a lot of muscle supports that can be used to help the load on the ankle joint and often gentle activity helps sore stiff joints feel better. Your therapist will assess the status of your ankle and create a treatment plan to address your concerns. Learn More
• Peroneal Tendinopathy Plus
  The peroneal muscles are a trio of muscles located on the outer leg that contribute to the movement of your ankle outwards. This injury is seen in sports such as running, dancing, skating, skiing, and basketball but may also develop in individuals with overly tight calf muscles, flat feet, or ankle weakness. The tendons may also get injured with trauma such as an ankle sprain. Symptoms include pain on the outer leg and foot or outer heel. Soreness can occur during activity and gets better with rest. Your therapist is trained to assess the health of this group of muscles and create a treatment plan to restore function. Learn More
• Shin Splints (Medial Tibial Stress Syndrome) Plus
  Shin splints produce a sharp pain on your shin during activities such as running or jumping. Shin splints can be caused by poor running mechanics, poor footwear, or an imbalance in some of the lower leg muscles such as tibialis anterior, calf, hamstring, and quads. When left untreated, this condition can lead to stress fracture of the tibia. Your therapist is trained in identifying shin splints and creating a custom treatment plan including running mechanics, footwear advice, and a home exercise program to keep your pain at bay. Learn More
• Ankle Surgery Plus
  Following ankle surgery, your ankle may feel sore, stiff, and weak. You may also need assistance restoring your normal gait (walking pattern). Our therapists will assist you with your healing journey after surgery and create a custom treatment plan to address all of your concerns and get you back on your feet. Learn More
• Morton’s Neuroma Plus
  Morton’s neuroma is caused by injury to the nerves on the bottom of the foot. Pain is located on the bottom of the foot, most commonly between the 2nd, 3rd, and 4th toe. Pain is often described as “shooting” and happens more when walking. It may also feel like a “pebble” in your foot. Symptoms also include numbness or tingling in the same area. This injury may be insidious (no known cause) or may be caused by poor foot mechanics such as flat foot, calf tightness, poor footwear, or other foot deformities. Your therapist is trained to assess and treat this injury and provide you with a custom treatment plan to address your discomfort. Learn More
• Flat Foot (Pes Planus) Plus
  Pes planus or flat foot is a loss of arch height on the inner side of your foot. It is also known as “fallen arches”. This may be asymptomatic (not painful) but can lead to other conditions such as plantar fasciitis, tendonitis, and increased risk for injury. There are many factors that contribute to this condition including foot deformity, diabetes, obesity, poor footwear, muscle dysfunction (tibialis posterior), and more. Did you know: we are all born with flat feet and may not develop our arch until after 3 years of age! Our therapists are trained to identify pes planus and create a treatment plan to restore foot posture, flexibility, and strength. Your plan may also include the use of orthotics to initially help train the arch. Learn More
• Plantar Fasciitis (Heel Pain) Plus
  Plantar fasciitis creates pain on the bottom of your foot and into the heel. Patients often describe the worst pain in the morning with the “first few steps”. This is often an overuse injury caused by repetitive strain or new activities such as a new workout routine. Some risk factors include poor ankle mobility, flat foot, poor footwear, obesity, diabetes, and tightness of the calf. There is a lot of evidence for treating plantar fasciitis including stretching, strengthening the foot & calf, manipulation of the foot, orthotics, taping, and shockwave. Your therapist will assess your condition and create a custom treatment plan using the therapies that will best suit you. Learn More
• Achilles Ruptures Plus
  The achilles is the strong band of tissue behind your ankle that attaches your calf muscle to your heel bone. The rupture often happens during sport while running, jumping, or changing directions and is often described as a pop and sensation of “being kicked in the back of the leg”. Although not always predictable, some risk factors include aging, obesity, steroid medication, poor running mechanics, poor footwear, flat feet, or high arches. There may also be a history of achilles tendonitis or previous achilles injury. Your therapist is trained in detecting achilles rupture and creating a treatment plan to restore your function including a referral for surgical intervention if needed. Learn More
• Achilles Tendonitis Plus
  Achilles tendonitis is usually caused by repetitive use or chronic tightness of the calf muscles. Pain and tightness are coming, especially in the mornings. The tendon may have a decreased blood flow and increased inflammation. Besides repetitive use, other risk factors include obesity, diabetes, steroid medication, poor footwear, and aging. Your therapist will conduct a thorough examination of your achilles area including the calf and the foot, and create a custom treatment plan to address your symptoms. Learn More
• Tarsal Tunnel Syndrome Plus
  The tarsal tunnel is an area on your inner foot that certain structures pass through including tendons, artery, vein, and the posterior tibial nerve. This syndrome occurs when this nerve becomes irritated as it passes through the tunnel. Symptoms include pain, weakness, loss of foot muscle, and numbness/tingling on the bottom of your foot. This condition can be idiopathic (no known cause) but may have some risk factors such as foot swelling, arthritis, tendonitis, diabetes, obesity, or previous trauma. Your therapist will assess the area and complete a custom treatment plan to address your concerns. Learn More
• Sesamoiditis Plus
  The sesamoid is a small bone embedded in the tendon, one of them being located in your first toe. The sesamoid bone is supposed to provide protection and shock absorption but can become irritated and lead to pain. The pain is located in the ball of the foot of the big toe. It is often tender to touch and can be swollen. Causes can include arthritis, high heels, high arches, flat feet, running on the balls of your feet, and high impact sports. Your therapist will assess your foot and create a treatment plan to address your symptoms. Learn More
• Ankle and Foot Fractures Plus
  Ankle and foot fractures may occur from trauma such as falls or sports. Typically fractures will need to be medically stabilized and you may be wearing a cast or air boot until healed. Following cast removal, physiotherapy should commence to restore foot and ankle range of motion, strength, flexibility, balance, and return to higher levels of activity such as running and jumping. You may also need some help restoring normal gait (walking pattern). Your therapist will assess your condition and create a custom treatment plan to get you back on your feet. Learn More
• Ankle Sprains Plus
  Ankle sprains occur when one or more of the ankle ligaments are partially or completely torn. Ankle sprains are common, especially outer ankle sprains where the foot is landed on while turned inward. Poor rehabilitation leads to higher chances of future ankle sprains so it is important to restore the proper range of motion, strength, and balance of the foot. Our therapists are trained in assessing the ankle ligaments and creating a custom treatment plan to restore the function of your foot. Learn More
• Ankle & Foot Pain Plus
  Pain in the ankle and foot can happen for a variety of reasons including sprains, strains, fractures, tendonitis, tightness, trauma, neurological conditions, and weakness. There are many other factors that affect foot pain as well such as footwear, swelling, foot posture, condition of the knee/hip/low back, and various foot deformities. Our therapists are trained to assess your foot and create a custom treatment plan to address your concerns. Learn More