Recurrent ankle pain

Ms Wong is a 25 yrs old lady who does hiking twice a month. Each short hike would usually last 4 hours. She has been regularly training in the gymnasium for a hike up Mount Kinabalu recently and found that her left ankle gives her pain in the mornings and after her 'short' hikes. She also remembered twisting her left ankle several years ago.

Clinically, she has bilateral Anterior Talofibular ligament (ATFL) laxity (left > right). Her ankles were otherwise quite normal. She would be planned for a Plain X-ray of both ankles to rule out any fractures. Meanwhile, she was advised to continue lower limb propriorceptive exercises. She was to consider using ankle bracing or ankle taping when she is to go cross-country running or hiking. We may plan for an MRI of her left ankle if her X-rays are normal and her symptoms fail to subside.

She is due to return after testing the hikes with ankle taping.

Find out more from these links:-
Climbing Mount Kinabalu
ATFL Laxity Test
CFL Laxity test