The swelling is typically indicative of abnormal stresses on the ankle joint. This can be due to a muscle imbalance about the ankle joint or higher up the chain at the hip and knee. When your hip or knee are unstable or weak, the ankle will be overworked, often in poor alignment, resulting in inflammation. Your first goal is to have a thorough musculoskeletal exam, typically by a PT, to identify which muscles are weak and where you may have muscle or joint stiffness. Again, this should include the ankle, knee, hip, and core. An appropriate exercise program can be developed to build base strength and include appropriate stretches and joint mobilizations if needed. Once a solid base strength and proper joint mobility is achieved, a return to sport program can be implemented. You can begin with basic squats, single leg balance, and lunges with an emphasis on excellent mechanics to minimize the stress on the ankle joint. Proper mechanics can be taught by your PT. You will progress from there to more dynamic exercises such as hops, jumps, running, and basic soccer drills such as Coervers. Always the emphasis must be on good lower extremity mechanics including the ankle, knee, core, and hip. Best to you!

So glad you found these tips helpful! Best to you as you get out there and run!

You might begin by asking friends and coworkers if they have worked with a PT. You could also check the national association website at http://www.APTA.org and click on “Find a PT,” which is at the top of the page. Also, visit http://www.naiomt.com. Click on About Us and hit “Find Certified PTs.” In these searches, you can put in your zip code and see find a PT near you. Best to you as you search out a top notched PT!

I’m 35 years old and normally in good health. I am not too familiar with finding a new doctor or therapist, and would appreciate any advice or referrals.