Posterior ankle impingement

Posterior Ankle impingement syndrome

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Know more about Posterior Ankle Impingement


What is Posterior Ankle Impingement?

Posterior Ankle Impingement is a condition where an individual experiences pain at the back of the ankle due to compression of the bone or soft tissue structures during activities that involve maximal ankle plantarflexion motion. It is commonly seen in dancers who spend extended time with toes pointed maximally, as well as in gymnasts, ballet, kicking sports and fast bowlers in cricket.

It can also be known as:

  • Ankle Impingement
  • Posterior Impingement Syndrome
  • Posterior Impingement of the Ankle
  • Os Trigonum Syndrome 🦴

Further, this often occurs due to inadequate rehabilitation following an acute ankle injury. In some cases, an individual may also have an anatomical variant in their talus bone, known as an os trigonum, which is quite normal. However, it may have an increased likelihood of developing this condition, particularly in the very active.

What are the Symptoms of Posterior Ankle Impingement?

Individuals that suffer from this condition have symptoms such as:

  1. Sharp pain at the back of the ankle joint. Especially during activities that require maximal plantar flexion (pointing)
  2. Ache at rest or following provocative activities

Examples of provocative actions include:

  • Kicking a ball
  • Pointe work (dancing)
  • Walking or running (especially downhills)
  • Jumping or hopping
  • Activities on ‘tippy-toes.’

In addition, this condition will not affect day to day activities in which pain will only be present when in loaded plantarflexion. Also, it is important to avoid having your ankle in forced plantar flexion (toes pointed) to ensure the irritation and pain are reducing to allow a slow progression into your normal activities.

Do you have pain or discomfort in your ankle? 🦶 One of  our podiatrist can assist and give the right treatment for your condition.
Schedule an appointment here or you may call us at 44 (0) 207 101 4000. 📞



We hope you have a feetastic day! 👣☀️

-The Chelsea Clinic and Team


Read our article about footballers’ ankle here

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