Ankle Pain and……the Neck! (Part 1)

A couple of weeks ago a patient was referred to me with sinus tarsi syndrome. The sinus tarsi is a small boney canal under the talus, the bone below your two shin bones. Sinus tarsi syndrome is considered by some to be an inaccurate diagnosis in that it can be further refined (Frey et al 1999). For example the term ‘sinus tarsi syndrome’ is diagnosed on the basis of pain in the sinus tarsi. This can be further diagnosed by checking pain during movement or whether injection of an aesthetic to the sinus tarsi eliminates the symptoms. However the diagnosis essentially means ‘pain...

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