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Physiotherapy

Ankle
Pain.

Ankle injuries are the most common sports injury worldwide — yet most are undertreated, leading to chronic instability, recurrent sprains, and long-term dysfunction. Proper rehabilitation restores stability, proprioception, and confidence.

Causes & Conditions

What’s affecting
your ankle.

The ankle complex — comprising the talocrural, subtalar, and inferior tibiofibular joints — is a precision weight-bearing structure. Even a mild sprain causes damage to ligaments, joint capsule, and the proprioceptive nerve endings that protect the joint from re-injury.

Without proper rehabilitation, up to 40% of ankle sprains develop into chronic ankle instability — repeated giving way, persistent pain, and increased risk of osteoarthritis. Complete rehabilitation prevents this trajectory.

  • Lateral ankle sprain — ATFL, CFL, and PTFL ligament injuries from inversion mechanism
  • High ankle sprain (syndesmosis) — superior tibiofibular ligament disruption from external rotation
  • Achilles tendinopathy — insertional and mid-portion degeneration from overloading
  • Achilles tendon rupture — complete or partial tear requiring surgery or conservative rehab
  • Peroneal tendinopathy and subluxation — lateral ankle pain from peroneus longus/brevis pathology
  • Anterior ankle impingement — bone spurs or soft tissue catching at the front of the ankle
  • Chronic ankle instability — repeated sprains from inadequately rehabilitated ligament injuries
  • Posterior tibial tendinopathy — medial ankle pain with progressive flat foot deformity
  • Ankle fractures — distal fibula, bimalleolar, and trimalleolar fractures post-reduction
  • Osteochondral lesions of the talus — cartilage damage after ankle sprains or fractures
Our Treatment

Restore stability
and confidence.

Manual Therapy

Talocrural joint mobilization and soft tissue therapy to restore dorsiflexion and reduce chronic stiffness after sprains and fractures.

Focused Shockwave

Achilles tendinopathy — shockwave breaks down degenerative tendon tissue and stimulates the healing response.

Class IV Laser

Reduces inflammation and accelerates ligament and tendon healing in acute and chronic ankle pathologies.

Proprioception Rehabilitation

Progressive balance and neuromuscular training — the most critical component of ankle sprain rehab, yet the most frequently skipped.

Custom Orthotics

Arch support and biomechanical correction for posterior tibial tendinopathy, flat foot, and recurrent peroneal conditions.

Return-to-Sport Progression

Functional testing and sport-specific drills to ensure safe return to running, sport, and activity.

What to Expect

Full recovery,
not just rest.

Your initial assessment includes joint mobility testing, ligament stress tests, strength assessment, and a single-leg balance evaluation. For fractures, we review imaging and coordinate with your orthopaedic surgeon to ensure rehab timing aligns with healing.

Acute ankle sprains typically require 4–8 weeks of supervised rehabilitation. Achilles tendinopathy requires 12–16 weeks of progressive loading. Post-fracture rehab typically begins 6–12 weeks post-injury once bony healing is confirmed.

  • ICBC direct billing for MVA ankle injuries
  • WorkSafeBC accepted for workplace ankle injuries
  • Post-surgical protocol coordination with your orthopaedic surgeon
  • Custom orthotics assessment included for biomechanical contributors
  • No referral required in BC
  • Progressive return-to-sport testing with functional milestones

Ready to start
your recovery?

Surrey, BC · ICBC & WorkSafeBC Accepted · Direct Billing

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