Ankle Joint Pain

Keywords; ankle joint pain, chiropractic.

The lower limb troubles can be very simple, but usually it's complex. Because it's a highly complicated organ. There are 7 ankle cum midfoot bones. The

  1. talus,
  2. calcaneus,
  3. navicular,
  4. medial cuneiform
  5. middle cuneiform
  6. lateral cuneiform and
  7. the cuboid

It really is complex. The cuboid alone, for example, articulates with six other ankle bones. Six joints to injure, and that's just one on the side of the foot.

They articulate with each other and with two leg bones: the tibia and the fibula; and the bones of the forefoot. In total there are 29 joints in each foot, and what's more the feet have to work in harmony with each other. It's complex. And feet can hurt, believe you me.

It's no coincidence that the Japanese would choose the feet when they wanted to know all your secrets!

Ankle Joint Pain

This is the joint that causes needle-sharp ankle pain when you try to walk on a sprained ankle. The subluxated talus is probably the easiest joint for your chiropractor to reduce after you have injured your ankle. It's basic Chiropractic ankle sprain treatment.

The Talo-Calcaneus Joint

= Subtalar Joint

This complex too may be subluxated in the ordinary inversion ankle sprain. If it's not reduced after injury, it often causes foot pain in the future. Actually, it's really three joints, in itself.

I treat the consequences of an unreduced subtalar joint every day; people with miserable foot pain. That subluxation changes the way they walk causing problems, not only in the ankle, but up the kinetic chain; in the knee, the hip, the sacroiliac joint and, yes, probably all the way to the atlas in the neck.

Don't underestimate the damage a limp can do to the rest of your body; that could be from a subluxated bone in the ankle, a botched knee replacement or an arthritic hip, for example.

The Cuboid bone and ankle sprain treatment


Notice how the cuboid on your reading left (actually the right foot) in this CT scan has been severely subluxated. This lady hasn't been able to put her heel on the ground for 11 years. And she's only 36 years old. Whilst any one of the tarsal bones can be injured, I find in practice that the cuboid bone is often the key to many ankle injuries. Perhaps because it articulates with the

  • calaneus
  • talus
  • navicular
  • Medial cuneiform
  • 4th metatarsal
  • 5th metatarsal

ie. with six other bones. It's often affected for example if you kick a chair or cupboard with the little or 4th toe. That drives the metatarsals forcibly up against the cuboid.

Just like any other joint, if a fixated joint is not reduced, it will lead inexorably to Immobilisation Arthritis. Within these so-called synovial joints there is fluid sloshing about carrying vital nutrients to the hyaline cartilage that lines the bones. You can see the arthritis very clearly in the CT above in the talo-navicular joint. That's what happens to fixated joints that are not reduced. IMMOBILISATION ARTHRITIS ...

This is not intended to be an exhaustive treatise on chiropractic help for ankle joint pain. Any one of the ankle joints can be injured in skiing, football, skating, just an ordinary slip and fall on the street. Each needs to be carefully examined and evaluated to prevent the onset of foot pain and chronic arthritis in the ankle. Often the services of other health professionals will be needed. Severe fractures can occur ...

But, once the surgeon has finished his/her work, and the bones have healed, get your ankle to your chiropractor, otherwise severe immobilisation arthritis is likely. Ankle and foot PAIN with a capital P.


Every chiropractor has his/her favourite techniques. The technique is not important - getting the subluxations in your foot reduced after injury is what is important.


Every chiropractor could write screeds of casefiles, but this one is little short of miraculous. Chiropractic help. ANKLE JOINT PAIN CASEFILE ...


There are probably very few chiropractors, if any, qualified to treat an ankle fracture, but once that cast comes off reduction of any other concomitant subluxations (such as in the subtalar joint), and rehab of the soft tissues to prevent "functional instability"... ANKLE FRACTURE ...



Whether you love to shop, or simply hate it, take your time when buying shoes. If you buy a shirt that ultimately doesn't suit you, it won't actually affect your health. But BUYING RUNNING SHOES will have a direct bearing on your health. So, take your time, or... stay at home!

Quite apart from foot pain, you could well have a SPRAINED ANKLE to contend with, and ANKLE SPRAIN TREATMENT doesn't come cheap. Not if the subluxated cuboid, calcaneus or talus has to be reduced and the whole ankle rehabilitated. Lots of pain too, rather spend the time buying shoes that fit you properly.


Whilst not powerful like drugs, olive oil, omega-3 fatty acids, ginger, tumeric all have anti inflammatory properties. Short term, you may decide to ignore the dangerous side effects of anti inflammatory drugs, but if you need an anti inflammatory effect long term, then it's not unrealistic to add Olive Oil benefits, or purchase yourself a small coffee grinder and sprinkle a table spoon of freshly ground Flax seed nutrition information onto your cereal every morning. It's virtually tasteless and inexpensive.

Fish oil softgels (1000mg) are also an excellent natural anti inflammatory agent.


Chiropractic Coalface

Really want to know what happens at the Chiropractic coalface? What do Chiropractors actually do? What conditions do they treat, and how? Then walk with me through my seven years working in the polders of Holland. A different view of a different and very lovely people. It's a fun read.

If you don't have a Kindle, load the free Kindle app from Amazon onto your smartphone or computer. I believe it will take longer, but just like photography has gone totally digital, so will book, given time.

The driving force ultimately will be price. Electronic books will be cheaper, far cheaper, and you can download them instantly.

Give it a try! You could have Stones in my Clog on your tablet or smartphone in a jiffy. Just $2.99. $12 for the paperback in a week's time.

Free Kindle apps …

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What Other Visitors Have Said

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Interesting challenges of the day

1. Mrs B has had one of the nastiest of conditions; vertigo caused by a disturbance in the inner ear. Falling repeatedly and vomiting she consulted her doctor but medication didn't help. After two sessions of the Epley manoeuvres she was 50 percent better. After two weeks she was 75 percent improved; no longer vomiting or falling. She's not enjoying the Brandt Daroff home exercises.

2. Mr S, a 48 year old man, has right low back pain, groin pain and a numb feeling in his lower leg when he sports. For six months he's been off football. He too has two problems; a very treatable lumbar facet syndrome and a very serious blocked artery in the groin; it's called intermittent claudication. Smokers beware.  

3. Mr S looks like the leaning tower of Pisa; he has a slipped disc at L5 making him lean towards the opposite side. It's called the postero lateral disc hernia; we'll fix it, but he has to stop for a week or two. Antalgias are serious so take them seriously. 

4. Mrs V too has two conditions; a chronic low grade sciatica giving her an ache in the right leg, and a threatening Morton's neuroma. She's glad I'm back in Holland; chiropractic fixed it before, and we'll fix it again. 

5. Mrs W is one of the lucky ones, says her doctor. I agree. He says only 40% of patients with lumbar stenosis have a successful operation. We fixed a nasty slipped disc three years ago, but it came back two years later; the surgeon did a fine job but she has a weak ankle now giving her subtalar joint pain; it's routine stuff. 

6. I myself had an acute exacerbation of a femoral nerve lesion last year. One immediate treatment of the new strain by my colleague has fixed the pain in the lower back, but there's some residual numbness in the lower leg; no soaring tomorrow alas.

7. This lady is a 86 year old woman with a 63 scoliosis. Chronic lower back has been her lot in life but she's well pleased with chiropractic and comes for chiropractic help once a month; some conditions you can never cure.

8. She is an 78 year old woman, is doing remarkably well with a bad sciatica. But over 200 pounds she is not losing weight; in fact, gaining despite my suggestions. She's high risk for a stroke. I have referred her to a dietician to crack the whip.

9. A 61 year old man with upper cervical pain yesterday; it's not severe but also not getting better of its own accord. He's afraid it may turn very acute as when I treated him three years ago. Since then it's been fine. 

10. A 64 year old woman has had scheuermanns disease; it's left her with a spinal kyphosis and chronic middorsal pain. She responds well to chiropractic treatment provides she come every six weeks or so for maintenance treatment.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mrs D, a middle aged woman with hip pain of one year duration, despite other treatment. Xrays reveal an impingement syndrome and early hip arthritis. There's much to be done.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.

Have a problem that's not getting better? Looking for a different slant on your pain? Want to pose a question?

Interesting questions from visitors

CLS writes:

Greetings, Dr B.
You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.

Your own unresolved problem. Pose a question

Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.

You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.

The quickest and most interesting way is to read one of my ebooks of anecdotes. Described by a reader as gems, both funny and healthful, from the life and work of a chiropractor, you'll love them. Priced right at $2.99, though Kindle fiddles the price without telling me.

Questions from readers