Lower Leg Conditions

Patients with shin splints will experience pain along the front of the tibia (shin bone). Symptoms are often worse after high intensity activities and are often associated with a history of an increase or change in activities and flat feet.

Symptoms of shin splints include:

  • Generalized tenderness along the tibia
  • Worsening pain with exercise
  • Calf tightness or cramps

Conservative management may include:

To determine the most appropriate treatment for you, we recommend booking an initial consultation to discuss your concerns in more detail.

Tibialis Anterior functions to lift the foot and ankle upwards during gait. Over time the tibialis anterior tendon can undergo wear and tear and become painful along the length of the tendon. This pain is often felt at night when the foot and ankle is in a resting position with the toes pointing downwards. This puts the tendon under stretch and cause the tendon to develop tendonitis.

Conservative management may include:

To determine the most appropriate treatment for you, we recommend booking an initial consultation to discuss your concerns in more detail.

Peroneal Tendonitis is an irritation of the tendons which run past the posterior-lateral (back outside) part of the ankle. There are two tendons that are associated with Peroneal Tendonitis – peroneal brevis and peroneal longus.

These tendons are responsible for everting the foot (moving the foot away from the midline of the body), as well as preventing the ankle from rolling outwards when walking on uneven terrain. Tendonitis develops when these tendons are subject to excessive and repetitive forces during standing, walking or exercise.
Conservative management may include:

To determine the most appropriate treatment for you, we recommend booking an initial consultation to discuss your concerns in more detail.

A Drop Foot is the inability to bring the ankle up to the neutral position. The dorsiflexor muscles in the front of the leg and ankle are responsible for bringing the foot upwards. If the nerves which supply these muscles are damaged or the muscles themselves are damaged, foot drop can occur.

No matter what the cause of the footdrop, an Ankle Foot Orthosis (AFO) can be fitted to lift the toes and foot up whilst walking. There are many different types of AFO’s that can be fitted. These include:

AFO’s work extremely well in treating the symptoms of foot drop.

To determine the most appropriate treatment for you, we recommend booking an initial consultation to discuss your concerns in more detail.

Ankle Pain

There are 3 main types of arthritis seen in the ankle:

  • Osteoarthritis, which is a wear and tear type problem. The cartilage covering the bone ends is worn and frayed, resulting in inflammation and pain in the joint
  • Rheumatoid arthritis, this is an inflammatory disease which destroys the cartilage of the joints and often creates deformity within the joints
  • Post traumatic arthritis, which occurs after injury and is similar to Osteoarthritis

The most common arthritis we see is Osteoarthritis in the ankle joint. Symptoms of ankle arthritis include pain, stiffness, swelling and difficulty walking, particularly for long periods. Arthritis can be confirmed using a plain X-ray, but sometime a CT scan or MRI scan is required.

Since movement of the ankle joint causes pain, orthotic treatment aims to reduce the range of motion around the ankle joint. This may include:

To determine the most appropriate treatment for you, we recommend booking an initial consultation to discuss your concerns in more detail.

A sprained ankle is a condition characterised by damage and tearing of the soft tissues and ligaments of the ankle. The most common ligament affected is the lateral ligament on the outside of the ankle.

Ankle instability is a condition whereby the lateral (outside) ligaments of the ankle become stretched. This can lead to instability in the ankle and pre-dispose patients to frequent ankle sprains. To determine the extent of injury to the lateral ligament an MRI may be required.

Symptoms of ankle instability includes:

  • History of significant ankle sprains
  • Pain in the lateral area of the ankle
  • Swelling on the lateral part of the ankle
  • Feeling of instability in the ankle

Treatment may vary depending on the severity or grade of injury, but may include:

To determine the most appropriate treatment for you, we recommend booking an initial consultation to discuss your concerns in more detail.

Achilles Pain

Achilles Tendonitis is a common condition which causes pain along the back of the leg near the heel. The Achilles Tendon connects your calf muscle to your heel bone and is used for running, jumping and walking. This tendon can become inflamed when it has been overused thus developing Achilles Tendonitis.

There are two types of Achilles Tendonitis:

  • Non-insertional (affects the middle portion of the tendon and is more common in younger active people)
  • Insertional (affects the lower portion of the tendon where it inserts into the heel)

Common symptoms of Achilles Tendonitis include pain and stiffness in the Achilles tendon in the morning, pain in the back of the heel which worsens with activity, thickening of the tendon and swelling in the tendon.

Conservative management may include:

To determine the most appropriate treatment for you, we recommend booking an initial consultation to discuss your concerns in more detail.

The Achilles tendon is the insertion point for the two muscles of the calf and it inserts into the heel bone. When the calf muscles contract, tension is placed through the Achilles tendon. Excessive force through the tendon can result in a partial tear or complete rupture of the Achilles tendon.

An Achilles tendon rupture often presents with severe sudden pain in the back of the heel or calf area, and an inability to control the foot position. Almost all patients describe an audible ‘snap’ and the sensation of being kicked in the back of the leg at the time of injury.

Conservative management may include:

To determine the most appropriate treatment for you, we recommend booking an initial consultation to discuss your concerns in more detail.