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Ankle and Achilles

GuideChronic ankle instabilityChronic ankle instability is when an ankle keeps giving way after a sprain, often with a wobbly feeling and repeat sprains. Exercises for balance and strength are the best-supported place to start, with a brace or tape for sport. Surgery is considered if a full exercise programme hasn't worked.GuidePeroneal tendinopathyPeroneal tendinopathy is pain along the outside of the ankle from the peroneal tendons, usually after overuse or an ankle sprain. The first steps are easing the load, keeping gently active and building up gradually. A podiatrist or physiotherapist can guide exercises if it isn't settling.GuideBroken ankleA broken ankle (ankle fracture) is a break in one of the ankle bones, usually the fibula, often after a twist, a fall or a knock. Many heal in a cast or boot over about 6 weeks, while unstable breaks often need surgery.GuideAchilles tendon ruptureAn Achilles tendon rupture is a tear of the tendon that links your calf muscles to your heel, usually during sport, with a sudden pop or sharp pain. See your GP or a podiatrist the same day if you suspect one. For recent ruptures, surgery and non-surgical care with early rehabilitation can give similar results.GuideAnkle painAnkle pain is a symptom with many possible causes, most often a sprain, but also arthritis, tendon problems and overuse. Staying gently active, using real support such as a brace or tape, and building strength and balance often help. See a podiatrist or your GP if it isn't improving.GuideSprained ankleA sprained ankle is usually an injury to the ligaments on the outer side of the ankle, caused by the foot rolling inwards. Most sprains are best managed with a brace or tape and gentle exercise started early, rather than a long time in a cast, and with a gradual return to activity.GuideAchilles tendinopathyAchilles tendinopathy is pain in the tendon at the back of your heel or lower calf, often worst first thing in the morning or after rest. It usually builds up from overload. Gradual calf-strengthening exercise is the first treatment, and most people improve over a few months.

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