Ankle/Foot Disorders

Even though your pain may be in your ankle or foot, we examine your entire body including mechanics of walking and/or running. The way you move is influenced by your trunk, lower back, hips, knees, ankles, and feet. Muscle weakness, decreased flexibility or decreased mobility of a joint can impact surrounding joints.

The ankle is made up of:

• The shin bone (tibia)
• The thinner bone running next to the shin bone (fibula)
• A foot bone that sits above the heel bone (talus) The foot is made up of:

• The forefoot contains the five toes (phalanges) and the five longer bones (metatarsals)
• The midfoot is a pyramid-like collection of bones that form the arches of the feet. These include the three cuneiform bones, the cuboid bone, and the navicular bone
• The hindfoot forms the heel and ankle. The talus bone supports the leg bones (tibia and fibula), forming the ankle. The calcaneus (heel bone) is the largest bone in the foot

Commonly seen lower leg/ankle/foot disorders include (but are not limited to):

• Medial tibial stress syndrome or “shin splints”
• Compartment syndrome – compression of the nerves, blood vessels and muscles within the shin
• Muscle strains
• Ligament sprains "Ankle sprains"
• Tendonitis/tendonosis/tendonopathy; example Achilles, Posterior Tibial, Peroneal tendons
• Plantar fasciitis
• Hallux rigidus
• Hallux valgus
• Metatarsalgia/Morton’s neuroma
• Stress fractures of the Metatarsals
• Tarsal Tunnel Syndrome

We are also trained to treat all post-surgical conditions following appropriate tissue healing parameters and the referring physician’s rehabilitation guidelines. Common diagnoses are:

• Bunionectomy
• Correction of Hallux Rigidus
• Correction of Hallux Valgus
• Repaired Achilles Tendon tear
• Removal of Morton’s neuroma
• Total Ankle Replacement

Depending on your individual needs, your treatment plan may include a wide variety of interventions such as: joint mobilizations of ankle or foot, soft tissue mobilizations, modalities (electrical stimulation, ultrasound or iontophoresis if indicated), exercises for strengthening and/or stretching, orthotic and shoe wear recommendations and gait or running training. CPTC makes custom and semi-custom orthotics in the clinic in addition to physical therapy treatments (Please refer to the Orthotic section for more details.)

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Comprehensive Physical Therapy Center · 100 Timberhill Place, Suite #115 · Chapel Hill, NC 27514
Phone: (919) 967-5959 · Fax: (919) 968-1478 · Email: cptc@bellsouth.net
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