Through a thorough history, physical examination of the ankle and appropriate diagnostic tests such as MSK ultrasound scanning, The Centre aims to rapidly diagnose the exact cause of your ankle pain. Often, this is the more straightforward part of the assessment and the greater challenge lies (in cases where there has not been an acute injury such as a sprain) in finding the underlying cause. More often than not an in-depth gait assessment will reveal why the condition has occurred, so providing for the creation of a tailored treatment approach. One of the common causes of pain around the ankle is a lack of upward motion (dorsiflexion), reflected during gait analysis by such compensations as an early heel lift, abnormal pronation and a “toe out” gait. Once the method of compensation has been identified and the reason for the restriction ascertained, the patient may recover. In more extreme cases surgery may be required to address the restriction.