Ankle sprain is a common injury that many of us will experience at some stage in our lifetime. Whether it is the result of playing high level sport, or just a slip in the house or garden, ankle sprain is a painful, and initially debilitating, injury. A small percentage of ankle sprains will continue to swell, cause pain and reduce normal daily function beyond the normal point of expected recovery. In this case, talar dome injury should be considered as one possible cause.
What causes a Talar Dome Injury?
Talar dome injuries affect one of the important bones in the middle of the ankle - the talus. The talus acts as a connection point between the leg and the foot to allow the foot to flex up and down. Due to its shape and location, the talus is exposed to sudden impacts during jarring and twisting movements of the ankle. On occasion, the force will be enough to damage the surface cartilage and possibly the bone underneath. Unfortunately, these small injuries can lie undetected for some time and may not even be found on x-ray,
What are the symptoms of a Talar Dome Injury?
- Chronic deep ankle pain
- Recurrent swelling
- Possible locking or catching ankle sensations and/or
- Possible giving way episodes (instability)
There is reduced function of the ankle due to these problems and returning to more demanding activities, such as sport, will be difficult.
How can our physios help you?
Diagnosis of a talar dome injury is usually confirmed by MRI scan. Whether working with lower grade injuries, or severe cases in which surgery is required, your physio can give you advice on suitable activities, and will guide you through a program designed to stimulate recovery, increase range of movement and reduce pain. Cycling, swimming and water walking may be recommended to maintain fitness.
You don’t have to live with pain. Cathy and Hugh at Cathy Doring Physiotherapy are Musculoskeletal Physiotherapists and are experts in the diagnosis and treatment of a wide range of musculoskeletal injuries and conditions, including talar dome injuries. If you are experiencing knee pain, book an appointment today.