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  • Writer's pictureTom Ruane

Staying on Your Feet: Managing Foot and Ankle Issues in an Active World

Common Foot and Ankle Ailments in Athletes:

Preventative Tips for Peak Performance

I have had the privilege of working with numerous athletes who push their bodies to the limit day in and day out. Among the most prevalent issues I encounter are foot and ankle ailments, which can significantly impact an athlete's performance and overall well-being. In this article, I will shed light on some of the common foot and ankle problems athletes face and provide valuable insights into preventative measures that can keep these issues at bay.


1.Plantar Fasciitis: A Thorn in the Heel One of the most frequent complaints I hear from patients is the sharp, stabbing pain in the bottom of the foot, particularly around the heel area. This condition, known as plantar fasciitis, occurs due to inflammation of the plantar fascia, a thick band of tissue that connects the heel bone to the toes. Repetitive strain, improper footwear, and overpronation are often culprits. To prevent plantar fasciitis:

- Choose Appropriate Footwear: Invest in shoes that offer adequate arch support, cushioning, and stability. Avoid worn-out shoes as they no longer provide the necessary support.

- Warm-Up and Stretch: Before any workout or sports activity, perform dynamic stretches that target the calf muscles and plantar fascia. This can help improve flexibility and reduce the risk of strain.

- Gradual Progression: Avoid sudden increases in training intensity. Gradually build up the duration and intensity of your workouts to give your feet and ankles time to adapt.


2. Ankle Sprains: Tread Carefully Ankle sprains are the bread and butter of sports-related injuries. They occur when the ligaments that support the ankle joint are stretched or torn, often due to a sudden twist or turn. Athletes engaging in activities that involve quick changes in direction, like basketball or soccer, are especially prone. Preventative measures include:

- Balance and Proprioception Training: Incorporate exercises that challenge your balance and proprioception, helping to strengthen the muscles around the ankle and improve stability.

- Proper Warm-Up: A thorough warm-up that includes ankle circles, calf raises, and mobility drills can enhance blood flow and prepare the ankle for the demands of physical activity.

- Supportive Taping or Bracing: For those with a history of ankle sprains or inherent instability, using ankle taping or braces can offer extra support during sports.


3. Achilles Tendinitis: Guarding the Achilles The Achilles tendon, the largest tendon in the body, connects the calf muscles to the heel bone. Achilles tendinitis, characterized by pain and stiffness in the back of the heel, often arises from overuse, improper footwear, or inadequate warm-up. Prevention strategies include:

- Gradual Intensity Increase: Just like with any other exercise, avoid rapid increases in intensity, especially for activities that heavily engage the calf muscles.

- Eccentric Exercises: Incorporate eccentric strengthening exercises for the calf muscles. These exercises involve the lengthening of the muscle under tension, which can help to improve tendon strength and resilience.

- Foot Biomechanics Assessment: Seek guidance from a physical therapist to evaluate your foot biomechanics. Custom orthotics or shoe inserts might be recommended to correct any gait abnormalities.


4. Stress Fractures: The Warning Whispers An active person engaged in repetitive high-impact activities, such as running and jumping, is susceptible to stress fractures. These tiny cracks in the bone develop over time due to the cumulative stress placed on them. To help avoid stress fractures:

- Gradual Training Progression: Once again, gradual progression is key. Avoid overtraining and ensure you're allowing enough time for recovery between intense workouts.

- Nutrition and Bone Health: Maintain a diet rich in calcium and vitamin D, essential for strong bones. Adequate nutrition plays a significant role in preventing stress fractures.

- Cross-Training: Incorporate low-impact activities like swimming or cycling into your routine. This provides a break from the repetitive stress on your feet and ankles.


As you strive for peak performance, it's crucial to prioritize the health and well-being of your feet and ankles. By incorporating these preventative tips into your training regimen, you can significantly reduce the risk of common foot and ankle ailments.

Remember, seeking guidance from a qualified physical therapist or healthcare professional can provide personalized advice tailored to your individual needs. Healthy feet and ankles not only lead to better athletic performance but also ensure a higher quality of life both on and off the field.

At Shore Physical Therapy, we know how foot and ankle pain can make it difficult to participate in your favorite activities. Contact us today, at (732)708-6400, to see how we can get you back to living your best life.

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