Foot & Ankle Sports Injuries & Trauma

Foot & Ankle Sports Injuries & Trauma

The pattern of injury varies with the sport — runners get stress fractures and Achilles trouble, footballers get ligament injuries and ankle sprains, climbers get talar dome lesions, dancers get posterior impingement.

Royal College British Orthopaedic AO Trauma Churchill Limb Recon Specialist Reg.
27
Years of practice
94
Publications
3
Sub-specialty areas
3
Central London clinics

Foot & Ankle · Professor Nima Heidari

Foot & Ankle Sports Injuries & Trauma

The pattern of injury varies with the sport — runners get stress fractures and Achilles trouble, footballers get ligament injuries and ankle sprains, climbers get talar dome lesions, dancers get posterior impingement.

Sporting injuries are common and generally occur as the result of accidents or collisions, failing to warm up or stretch sufficiently. Not using protective equipment, using it incorrectly or a lack of proper training can also cause injury. For a keen sports person, an injury can be both painful and frustrating, sometimes leading to a protracted period of enforced rest and a loss of fitness and condition. Among the most common sporting injuries that affect the foot and ankle are:

In the foot and ankle, the commonest sporting injuries are ligament sprains, tendon strains and tears, stress fractures from repetitive overload, and cartilage (osteochondral) injuries inside the joint. Many settle with rest, rehabilitation and a graded return to sport; others — a high ankle sprain, an Achilles rupture, an unstable fracture — need more structured treatment to avoid lasting problems.

The priority is an accurate diagnosis early, because the injuries that look minor are sometimes the ones that cause trouble if missed. Assessment combines a careful examination with imaging where needed — X-ray, ultrasound or MRI — to establish exactly what is injured and how badly.

Treatment is then matched to the injury and to the demands of your sport. For most athletes the aim is not simply to heal the tissue but to restore confidence, strength and proprioception so the injury does not recur, with a return-to-play plan built around your goals.

Return to sport isn’t a date on the calendar — it is a series of milestones. Skipping them is what causes re-injury.

Professor Heidari

Clinical approach

How Professor Heidari typically approaches it

Define the structural injury

MRI for soft-tissue injuries, weight-bearing x-rays and CT for bony injuries. Imaging is matched to the clinical question, not ordered by reflex.

Treat surgically only when surgery wins

Most sports injuries do not need an operation. Where they do — an unstable Lisfranc, a navicular stress fracture, a Jones fracture in an athlete — the operation is targeted and the rehab is structured.

Run a criteria-based return-to-sport pathway

Specific milestones for range of motion, strength, balance and sport-specific function. We work with your existing physio or set you up with one.

Treatments considered

The options

Sports injuries and trauma

Treatments vary according to the type and extent of the injury. Many conditions can get better on their own with painkillers, anti-inflammatories and rest.

Common questions

What patients ask first

Do I need an MRI for every ankle sprain?
No. A focused clinical examination separates straightforward sprains from injuries needing imaging. MRI is reserved for sprains that are not following the expected trajectory or where examination raises a red flag.
Why are stress fractures a problem in runners?
They sit on a continuum from bone stress reaction to complete fracture. Caught early most settle with rest and a graded return; missed they can become non-unions that need surgery.
How early can I start cross-training after an injury?
Often immediately, with the right activity. Cycling and pool running keep cardiovascular fitness while a foot or ankle injury settles — we set out what is safe at each stage.
Are there injuries that always need surgery?
Few are absolute. Displaced unstable Lisfranc injuries, displaced navicular stress fractures and certain Jones fractures in competitive athletes have a strong case for surgery; others are decision-by-decision.
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Signed off on 30 July 2026