Syndesmosis
When most people think of an ankle sprain, they picture a fairly minor injury that will settle with a bit of rest and time. But a syndesmosis injury — often called a high ankle sprain — is quite different. It is a more significant problem that can affect stability, recovery, and return to activity, which is why it deserves proper attention from the outset.
What is Syndesmosis?
The syndesmosis is a group of strong ligaments that hold the two lower leg bones, the tibia and fibula, together just above the ankle. These ligaments play an essential role in keeping the ankle stable during walking, running, and changes of direction. Injury usually happens when the foot is forced upward and twisted outward, which is common in sports such as football, netball, and basketball, or during an awkward fall.
Unlike a typical rolled ankle, pain is often felt above the ankle joint, especially when walking, twisting, or pushing off the foot. Swelling and bruising can be minimal, which is why many people assume it is “just a mild sprain”. However, recovery for a syndesmosis injury is usually slower and often requires a more careful approach.
Because this ligament complex helps manage load through the ankle, returning to sport or high-impact activity too early can lead to ongoing pain and long-term instability. That is why proper rehabilitation is so important.
How a physiotherapist can help with Syndesmosis
Physiotherapy plays an important role in recovery from a syndesmosis injury. A physio will help protect the ankle in the early stages while guiding a safe, steady return to normal activity. Rather than relying solely on rest, treatment focuses on addressing the specific demands this injury places on the joint and supporting each stage of recovery.
Physiotherapy focuses on:
- Settling pain and protecting the joint
- Restoring ankle movement and calf strength
- Rebuilding balance and stability
- Gradually returning to running, jumping, and sport
The key message is that this injury needs time and a structured rehab plan – not just rest.
Make an appointment with a Hoppers Physio
If your ankle injury feels slow to improve, is painful above the joint, or still hurts with twisting and running after a few weeks, it is worth getting assessed.
With the right management, most people make a full return to their normal activities. However, getting there often takes patience and guided loading along the way.
To make an appointment with an experienced physiotherapist, please contact our friendly reception team on (03) 9749 5110 or book online.