The Posture Perfect Physiotherapy Clinic logo
The Posture Perfect Physiotherapy Clinic logo

Bones, joints & muscles

Ankle Pain.

Ankle pain often follows a twist or a sprain, but it can also build up from stiffness, overuse or old injuries that never fully settled. At our Opera House clinic we assess the ankle and the leg above it, then plan care that restores movement, strength and balance.

  • Assessment-led care
  • Opera House, Mumbai
  • Personalised plans
  • With Dr. Akshay Bandekar
Rehabilitation practitioner supporting a clothed patient’s leg mobility exercise

What is Ankle Pain?

The ankle is a hinge joint held by strong ligaments, with tendons running past it to move the foot. Pain may come from ligament sprains, tendon irritation, joint stiffness or wear, or from the foot and lower leg.

Sprains are the most common injury. Most are mild or moderate and recover well, but if the ankle is not rehabilitated properly it can stay stiff, weak or prone to rolling again.

Good ankle care covers more than pain. Balance, strength and the way you walk and land all matter for preventing repeat injuries.

Symptoms & causes

Common symptoms

  • Pain, swelling or bruising around the ankle after a twist
  • Stiffness, especially after rest or first thing in the morning
  • Pain on walking, running or on uneven ground
  • A feeling that the ankle is weak or gives way
  • Aching or tenderness behind or beside the ankle bones
  • Difficulty rising onto the toes or balancing on one leg

Common causes

  • A twisting injury that sprains the ligaments
  • A previous sprain that was not fully rehabilitated
  • Overuse of the tendons, as in running or dance
  • Reduced ankle movement or weak calf and foot muscles
  • Wear-related changes in the joint
  • Footwear, flat feet or training on uneven or hard surfaces

How we assess it

We ask how the pain began, what you were doing and whether it has happened before. We also ask about swelling, ability to bear weight and activity goals. Then we examine your ankle, foot, calf and knee.

  • Swelling, bruising and tenderness around the ankle
  • Ankle and foot movement compared with the other side
  • Ligament stability tests
  • Calf, foot and hip strength
  • Single-leg balance and control
  • Walking pattern and footwear

Our treatment approach

Early care focuses on settling pain and protecting the ankle. Later, we rebuild strength, balance and confidence.

  • Early protection and guidance

    Advice on rest, support, swelling control and how much weight to take, depending on how irritable the ankle is.

  • Hands-on therapy

    Joint mobilisation and soft-tissue techniques to restore movement in the ankle, foot and calf, within your comfort.

  • Strengthening and balance training

    Progressive exercises for the calf, foot and ankle muscles, with balance work to reduce the chance of rolling again.

  • Fascial Manipulation, where it fits

    If fascial restrictions in the leg or foot are limiting movement, it may be used as one part of your plan.

    Read about this technique
  • Gait and footwear advice

    Looking at how you walk and what you wear, with simple changes or supports where they help.

  • Return to sport and activity

    A staged return to running, sport or long walking, with clear markers to move on.

Benefits of treatment

  • Easing pain and swelling so walking is comfortable again
  • Regaining ankle movement and strength
  • Better balance and fewer repeat sprains
  • Clear advice on footwear and supports
  • Confidence to return to your usual activities

Who it’s for & when to see a doctor first

Physiotherapy suits people recovering from ankle sprains, those with lingering stiffness or weakness, and those with overuse pain or recurring giving way. We make no promises of cure, and we will tell you if you need an X-ray or doctor’s review first.

See a doctor first if you notice

  • After an ankle injury, inability to take four steps, or pain over the bony part of the ankle, foot or lower leg, needs a medical assessment to rule out a fracture.
  • Obvious deformity or severe swelling after an injury needs urgent medical care.
  • A hot, red, swollen ankle with fever needs prompt medical assessment.
  • A swollen, tender or warm calf, especially after long travel or rest, can be a blood clot and needs urgent medical care.
  • Numbness, pale or cold foot, or severe pain that is not settling needs urgent medical attention.

Frequently asked questions

Do I need an X-ray after twisting my ankle?

Not always. If you cannot take weight, or have pain over the bony parts of the ankle or foot, a doctor should check for a fracture. We will advise at assessment.

How soon can I walk on a sprained ankle?

Often as soon as it is comfortable, with support if needed. We guide you based on how irritable the ankle is, since too little movement can slow recovery.

Why does my ankle keep rolling?

Weak muscles, reduced balance control and stretched ligaments can all play a part. Strength and balance training help the ankle respond faster.

Should I use a brace or tape?

Short-term support can help in the early phase or for sport. We can advise whether one might suit you.

Can ankle pain come from the foot or knee?

Yes. The foot, calf and knee all influence the ankle, which is why we examine them too.

Is ice or heat better?

In the early days after a sprain, many people find cooling helps with swelling and pain. Later, warmth can ease stiffness. We will advise by stage.

Is surgery ever needed?

Most ankle sprains recover with rehabilitation. Surgery is rarely needed and is a decision for a surgeon. We will refer you if your findings suggest it.

Your physiotherapist

Meet Dr. Akshay Bandekar

Dr. Akshay Bandekar is the founder of The Posture Perfect Physiotherapy Clinic.

Qualifications: BPTh, MIAP, COMT

Advanced training: Visceral Manipulation (USA), Fascial Manipulation (Italy), Craniosacral Therapy (USA)

Meet the team

Visit the clinic

Address
26, Murad Mansion, 2nd Floor, SVP Road, Opera House, Mumbai – 400004
Next to Marwadi Vidyalaya
Timings
7:30 AM – 7:30 PM
Open all seven days
Open in Google Maps(opens in a new tab)

Ready to move comfortably?

Book an assessment at our Opera House clinic and we will plan your care together.

References

This website provides general information, not a diagnosis or personal medical advice. A qualified healthcare professional should assess your symptoms and advise on suitable care. Seek urgent medical attention for sudden weakness, loss of bladder or bowel control, chest pain, or other severe new symptoms.

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