Dancers, particularly those frequently performing movements requiring extreme ankle flexion, such as demi-pliés, are prone to a condition known as anterior ankle impingement. This condition is characterised by pain in the front of the ankle, resulting from the entrapment of bony and soft tissue structures during terminal dorsiflexion.
Causes
The causes of anterior ankle impingement are multifaceted and can include:
Poor biomechanics
Excessive foot pronation or improper technique and foot control, especially when landing in a demi-plié or during allegro, can contribute to the condition.
Previous ankle sprain
Scar tissue from a prior ankle injury can lead to impingement pain.
Genetics
In rare instances, a genetic predisposition can cause a bony blockage, leading to impingement.
Symptoms
The primary symptom of anterior ankle impingement is pain during movements that involve maximal dorsiflexion. Dancers may also experience a compressed or blocked sensation, resulting in reduced ankle mobility. Other signs include difficulty achieving full depth in pliés and struggling to lower heels when jumping.
Treatment
The treatment approach for anterior ankle impingement varies depending on the severity of the condition and may involve:
Activity modification
Reducing or altering activities that exacerbate the pain. A thorough history taken by your physiotherapist can help keep you active while minimising aggravating factors.
Taping
Providing support and stability to the ankle.
Joint mobilisation and manual therapy
Improving joint mobility and reducing pain.
Dance screening assessment
Identifying underlying biomechanical issues that contribute to the impingement.
Strengthening program
Implementing a targeted, progressive exercise regimen to strengthen the foot/ankle, lower limb, core, and spine.
In cases of severe or persistent pain, further investigation may be necessary. This could include imaging studies or consultation with an orthopaedic specialist.
Anterior ankle impingement can be a frustrating and debilitating condition for dancers. However, with proper diagnosis and a comprehensive treatment plan, dancers can effectively manage their symptoms, prevent further injury, and return to dancing with confidence.
If you suspect you have anterior ankle impingement or are experiencing pain in the front of your ankle, consult with a physiotherapist for an accurate diagnosis and tailored treatment plan. Your foot and ankle health are essential to your performance and overall well-being.
For more information or to schedule an appointment visit our website or contact us directly (02) 9436 2565 or reception@pranaphysio.com.au
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