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Chronic Ankle Pain

This presentation by Dr. David B. Glover, DPM, FACFAS, explores the complexities of chronic ankle pain, including its causes, such as soft tissue issues like tendonitis and ligament injuries, and bone-related problems like anterior ankle impingement. It details symptoms, treatment approaches like physical therapy and injections, and the importance of recognizing various anatomical structures. No commercial content is included in this presentation, ensuring an unbiased educational experience aimed at enhancing understanding of chronic ankle pain.

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Chronic Ankle Pain

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  1. Chronic Ankle Pain David B. Glover DPM, FACFAS

  2. Chronic Ankle Pain • This presentation has no commercial content, promotes no commercial vendor and is not supported financially by any commercial vendor. I receive no financial remuneration from any commercial vendor related to this presentation.

  3. Chronic Ankle Pain • Soft Tissue • Capsulitis/ligaments • Tenosynovitis • Peroneal tendons • Posterior tibial tendon • Achilles Tendon

  4. Capsulitis • Previous ankle injury • Prolonged immobilization • Painful, limited ROM without crepitus • X-rays generally not helpful • PT, Injections, Arthroscopy

  5. Tendonitis • Lateral • Peroneals • Subluxing • Tear • Os Peroneum

  6. Tendonitis • Medial • Tom, Dick, very nervous Harry • Isolotation testing • Posterior tibial tendon • Flexer digitorm longus • Flexer hallucis longus

  7. Tendonitis • Achilles Tendon • Hanglunds deformityl • Tendonopathy • Posterior calcaneal spur • Equinus • Bursitis

  8. Know Your Anatomy

  9. Know Your Anatomy

  10. Know Your Anatomy

  11. Know Your Anatomy

  12. Chronic Ankle Pain • Bone • Anterior Ankle Impingement • Os Trigonum Syndrome • Tibiofibular diastasis • Osteochondral defects

  13. Osteochondral defect

  14. Osteochondral defect

  15. Os Trigonum

  16. Anterior Ankle Impingement

  17. Chronic Ankle Pain • Mechanical • Sinus Tarsi Syndrome • Chronic Ankle Instability • Calcaneal varus • Plantarflexed 1st ray

  18. Sinus Tarsi

  19. Sinus Tarsi

  20. Any questions?

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