Os Trigonum Syndrome Treatment

Os Trigonum Syndrome Treatment

Os Trigonum Syndrome is a condition causing pain at the back of the ankle that originates from an extra bone that sometimes develops from the posterior talus.

Reduce Pain

Reduce Swelling

Increase Ankle ROM

About the condition

What is Os Trigonum Syndrome?

The Os Trigonum is an accessory ossicle or extra bone in the posterior to the ankle joint, present in 5-15% of the population. Os Trigonum Syndrome refers to pain in the posterior talus and reduced plantarflexion ( ability to point your toes)  caused by the “nutcracker-phenomenon”. The “nutcracker phenomenon” is where the os trigonum is crushed between the talus and calcaneus bones. This leads to inflammation and pain of the involved structures.

Causes

What are the causes?

The simple presence of an ossicle does not cause the syndrome. Os Trigonum Syndrome is usually caused by an injury to the area, such as an ankle sprain. The condition can also be caused by repeated downward pointing of the toes, in activities such as ballet or soccer.

Symptoms

What are the symptoms?

  • Aching pain in the posterior ankle when pushing off your big toe or pointing your toes downward
  • Tenderness when touched
  • Swelling in the back of the ankle
Treatment

Treatment for Os Trigonum Syndrome

In the case of a fracture, your physiotherapist may recommend a CAM boot.

  • Soft tissue massage
  • Tailored exercise program
  • TECAR therapy
  • Shockwave Therapy
  • Joint Mobilisation
  • Taping
Self care

What can I do at home?

There are several things that you can do from home to help relieve your pain.

They include:

  • Resting the foot and limiting physical activity
  • Ice the foot every 2-3 hours for 15 minutes
  • Wearing loose fitting, low-heeled shoes

Need Help?

Are you suffering from achilles tendinopathy? Contact Vitalis Physiotherapy now. Call our friendly team on 0410 559 856.