The ankle may commonly be injured during normal daily activities, and often secondary to athletic endeavors.   In the United States it is estimated that 25,000 ankle sprains occur every day.(1) Overuse injuries of the muscle-tendon unit, resulting from daily activities, sports and military training are a major problem. They account for approximately 30% to 50% of all sports injuries. (2),( 3),

 Injuries around the ankle provide an excellent example of how a clinician can integrate the examination and treatment approaches developed by James Cyriax and Brian Mulligan.  The clinician should keep in mind that a biomechanical assessment is also necessary when examining a patient with an insidious onset of ankle and foot pain.  Details of this assessment are not within the scope of this presentation; however, the role that abnormal foot mechanics plays in the treatment of selected soft tissue lesions at the ankle will be addressed.

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