Ankle pain can develop gradually because of tendon problems, arthritis, repetitive loading or footwear that places pressure on the joint. Persistent or worsening pain should be assessed to determine the cause.
An ankle sprain usually follows a twisting injury and may cause swelling, bruising and pain around the ligaments. Ankle arthritis can cause ongoing stiffness and pain during weight-bearing activities, sometimes following an earlier injury. The symptoms can overlap, so an assessment may be needed.
Pain beneath the heel or arch that is worse during the first steps after rest may be associated with plantar fasciitis. Pain at the back of the heel may involve the Achilles tendon. Persistent symptoms deserve assessment because treatment differs according to the underlying condition.
Many cases are managed without surgery through activity modification and a progressive rehabilitation programme. The right approach depends on the severity of symptoms and whether there is evidence of a significant tendon tear. Sudden pain with a popping sensation or sudden loss of push-off strength needs prompt medical assessment.
Not always. Some conditions can be diagnosed through your medical history and physical examination. Imaging may be appropriate where a fracture, tendon injury, ligament problem or another condition is suspected, or where the findings would affect treatment decisions.
Shockwave therapy may be considered for selected persistent tendon conditions or heel pain. It is not appropriate for every diagnosis, and the likely benefits and alternatives should be discussed before treatment.
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Dr Rogers has had a rich and illustrious career so far, which is continuing to grow and develop. Everything Ralph has been involved in since qualifying has added value to his knowledge and experience, but there have been some impressive highlights to note:
2018 – Present Founder Medical Director: Rogers Regenerative Medical Group (RRMG)
2012 – 2024 Medical Advisor – National Basketball Association
2008 – 2018 Medical Director: The London Sports Injury Clinic London
2010-2011 First Team Doctor, Chelsea Football Club
2007- 2010 The Football Association (Team Physician for England under 19 and development squads)
2005-2006 Medical Advisor: Trinidad & Tobago World Cup Football Team
2002 – 2008 Club Doctor: Walsall Football Club, West Midlands England
1998 – 2009 Medical Director: Medical & Orthopaedic Sports Therapy,
2000 – 2005 Sports Physician: Warwickshire County Cricket Club, Birmingham
