Understanding and Managing Posterior Ankle Impingement at Acacia Foot and Ankle Surgeons

Posterior ankle impingement is a condition that can cause significant pain and limitation, particularly among athletes and active individuals.

What is Posterior Ankle Impingement?

Posterior ankle impingement can occur due to various underlying issues such as the presence of an extra bone called the os trigonum, ankle arthritis, previous ankle injuries, or problems within the subtalar joint. The condition is often characterized by pain and swelling at the back of the ankle, which is exacerbated by activities that involve pointing the toes downward.

Symptoms and Diagnosis

The primary symptom of posterior ankle impingement is pain at the back of the ankle, particularly during activities that involve pushing off the toes or pointing the foot. Diagnosis typically involves a thorough physical examination and may include imaging tests such as X-rays, MRI, or CT scans to visualize the bones and soft tissues at the back of the ankle and to identify any abnormalities like an os trigonum.

Conservative Treatment Options

At Acacia Foot and Ankle Surgeons, we begin with conservative treatments whenever possible. These include:

Orthotics: Custom-designed orthotic devices can help redistribute weight and relieve pressure on the affected area.
Physical Therapy: Tailored exercises and modalities can strengthen the surrounding muscles, improve range of motion, and reduce inflammation.
Injections: Corticosteroid injections can be effective in reducing inflammation and pain in the affected area.

Surgical Treatment Options

For patients whose symptoms do not improve with conservative measures, or in cases where the structural issues are severe, surgical options may be considered:

Removal of Os Trigonum: If an os trigonum is present and contributing to impingement, it can be surgically removed to alleviate the compression.
Arthroscopy of Ankle and Subtalar Joints: This minimally invasive surgery involves using a small camera and instruments to enter the joint, remove any inflamed tissue, and correct abnormalities that contribute to impingement.
Fusion Procedures: In severe cases, particularly where there is significant arthritis or instability, fusing the bones of the ankle or subtalar joint can provide relief from pain and improve functional stability.

Why Choose Acacia Foot and Ankle Surgeons?

Choosing the right care is crucial for managing and treating foot and ankle conditions effectively. Dr. Kaveh Panahi and our team at Acacia Foot and Ankle Surgeons are dedicated to providing state-of-the-art treatments tailored to each patient's unique needs. We are committed to using the latest technology and evidence-based practices to ensure you receive the best possible care.

If you are experiencing symptoms of posterior ankle impingement or have been diagnosed with this condition, contact us today. Our comprehensive approach aims to alleviate pain, restore function, and help you return to your favorite activities with confidence. At Acacia Foot and Ankle Surgeons, we are here to support your journey to recovery with expert care and advanced treatment options.

Schedule Your Appointment Today!

Don't let foot pain hold you back. Contact Acacia Foot and Ankle Surgeons at 623.439.2200 or use our online portal to schedule your appointment online. Take the first step towards pain-free walking with our expert team!