- Can be anterior or posterior impingement.
- Bone spurs can form on the end of the tibia, on the talus, or both.
Ankle Impingement
General information
Symptoms and signs
- Local pain, usually following repetitive microtrauma, infection.
- Locking, giving way or catching at the ankle.
Primary Care management
- Analgesia and NSAIDs as appropriate.
- Weight loss.
- Steroid injection if appropriately trained.
Primary Care diagnostics
Ankle AP standing and lateral views, blood tests if inflammatory arthropathy suspected.
Who to refer
Refer to Tayside Orthopaedic Foot & Ankle Service if no improvement 3 months
How to refer
SCI Gateway/Orthopaedics/Foot and Ankle.
Referral will be vetted by AHP and directed to most appropriate healthcare professional.
lnformation to include:
Referral will be vetted by AHP and directed to most appropriate healthcare professional.
lnformation to include:
- Duration and any cause of symptoms
- BMI
- Indicate site/spread of pain and if pain constant or intermittent, and/or waking at night
- Indicate ROM and episodes of locking, effect on walking, running
- Include treatment to date (injections/ physiotherapy/podiatry/orthotics)
- XR results