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Sinus Tarsi Syndrome


Sinus Tarsi Syndrome is a condition in which pain and inflammation is present on the outside of the ankle between the talus and calcaneal bone. These symptoms normally involve fluid around the tissues in the location of the tarsi. The condition normally commences following overuse training or can be associated with previous ankle sprains.

Causes: Sinus tarsi syndrome commonly occurs in running and in other sports that involve repetitive stress on the outside of the ankle and foot complex. It is exacerbated by sustained stress, overuse and the repetitive rolling inwards of the foot during activity (pronation). Those with a history of ankle sprains may be predisposed to the onset of the problem.

Symptoms & Diagnosis: Common symptoms normally involve pain and swelling around the lateral aspect of the foot and ankle (the entrance to the sinus tarsi). Symptoms are typically worse in the morning and may present as pain and stiffness that slowly improves as the patient warms up. Symptoms may also be aggravated during walking or running especially on slopes or uneven surfaces.

Management: A skilled physiotherapist will correctly diagnose the problem and provide physiotherapy to control the symptoms. Rehabilitation will allow a swift return to full function and sport. A biomechanical assessment may be indicated to investigate whether any underlying lower limb problems may have contributed to the injury.

Please feel free to contact the G4 Clinic to speak to a member of the team for any questions that you may have.

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