Strained Ankle Tendon & Ligaments [Causes & Best Treatment 2021!]

Strained Ankle Tendon vs Sprained Ankle Ligaments:

• Tendons: are muscular attachments to the bone.
• Tendons experience strains.

• Ligaments: are the attachments between bone and bone.
• Ligaments experience sprains.

Strained Ankle Tendon & Ligaments:

Tendons In Ankle:

There are 2 major tendons that can be strained in the lateral ankle.

• These are the peroneus brevis & the peroneus longus muscles.

There are ligaments on the medial & lateral ankle which are commonly damaged.

• 5 major medial ankle ligaments.
• 3 major lateral ankle ligaments.
• The lateral ankle ligaments are most commonly damaged.

There are 5 (Deltoid) medial & 3 lateral ankle ligaments:

3 Lateral Ankle Ligaments:

1. Anterior talofibular ligament.
2. Calcaneofibular ligament
3. Posterior talofibular ligament.

5 (Deltoid) Medial Ankle Ligaments:

• 1-2) Superficial & deep tibiotalar ligaments.
• 3) Tibiocalcaneal ligament
• 4-5) superficial & deep tibionavicular ligaments.

Lateral Ankle Ligaments:

3 Major Lateral Ankle Ligaments:

1) The Anterior Talofibular Ligament.

• The anterior talofibular ligament is the most commonly damaged ligament in ankle sprains.
• This ligament protects against inversion & plantarflexion.
• If any ligaments are damaged during an inversion ankle sprain, this one is usually included!

2)The Calcaneofibular Ligament.

• This is the second most common ligament damaged in any ankle injury.
• This ligament protects against inversion & dorsiflexion.
• If the calcaneofibular ligament is damaged, then the anterior talofibular ligament is also damaged.

3)The Posterior Talofibular Ligament.

• The posterior talofibular ligament is rarely ruptured.
• Both the calcaneofibular ligament & talofibular ligament will be damaged.

5 Major Medial Ankle Ligaments:

There are 5 medial ankle tendons:

• 1)Superficial tibiotalar ligament.
• 2)Deep tibiotalar ligament.
• 3)Tibiocalcaneal ligament.
• 4)Superficial tibionavicular ligament.
• 5)Deep tibionavicular ligament.

2 Major Tendons In Ankle:

There  2 major lateral ankle tendons:

• The Peroneus Brevis Muscle Tendon.
• The Peroneus Longus Muscle Tendon.

1) The Peroneus Brevis.

• The peroneus brevis muscle tendon.
  • This muscle is involved in eversion & dorsiflexion of the foot.
  • This muscle originates at the top of the outside leg.
  • It inserts at the base of the 5th metatarsal bone.
  • It can frequently avulse the base of the 5th metatarsal.
  • This avulsion fracture is known as a Jones fracture.

2) The Peroneus Longus.

• The peroneus longus muscle tendon.
  • This muscle is involved in eversion & plantarflexion of the foot.
  • This muscle originates at the middle outside of the leg.
  • It runs to underneath the foot and inserts to the base of the 1st metatarsal.
  • This muscle can have an accessory bone.
  • This accessory bone is called an os peroneum.
  • This accessory bone can cause irritate on the bottom of the outside of the foot.

Home Treatment Guide For Outside of the Ankle Pain:

If your  pain is through the ankle and it is a biomechanical injury, consider these treatment options!

The best choices of full-length orthotics:

• These are cost effective over-the-counter orthotics.
• We strongly recommend full-length orthotics, should it a couple that more room, but the results are worth!
• If you have a tennis shoe or a boot, make sure you get the full-length orthotics.
• The more support you can get the better your results will be.

Best Medium to Heavy Duty Heel Pain Orthotics:

Best Overall Orthotic For Everything (Medium Thick Fit)

Best Heavy Duty Orthotic (Thickest Fit)

Best SOFTER Choice For Sensitive Feet (Medium Thick Fit)

Best Women’s Orthotics

Price:

$36.49

$49.95

Price not available

$59.00

Overview:

These work best in shoes with laces and running shoes. Not good for dress shoes or women’s cute shoes.

Biggest and most corrective option. Only use for running shoes or work boots. Not cute shoes.

These are full length inserts, but softer. Great if you can’t tolerate the firmer ones. Best for very sore and sensitive feet.

Great Support & Better Fit

Pros:

Pretty much guaranteed to help you if it fits in your shoes and you give it 2 weeks to get used to. 5,000+ amazon reviews, great track record.

My personal favorite, but not for everyone. Amazing reviews over 3,500. But not for everyone. Only for bigger shoes that can fit them

They are softer and the initial break in time is AMAZING. But longer term benefits are less. >500 Almost 5 star amazon rating.

Sleek, supportive and have a better fit than the orthotics above.

Cons:

Do not wear these in cute or dress shoes!

Bigger and bulkier than all the other ones. You will be dissappointed if you have a cute women’s shoe or dress shoe. This is meant for running shoes and boots.

Great to start with, but don’t correct long term as much as the other ones.

A little bit more expensive.

Crucial Tips:

Ease in to these, 1-2hrs a day. They are like braces for your teeth, they suck at the beginning! But they will make your feet pain free as 1-2 weeks go by. Don’t give up on them after 1 or 2 days. Everyone feels off at the beginning!

This has the most correction, but hardest break in time! IF SENSITIVE, USE A SOFTER PAIR FIRST! But if you get these, you must break them in. Give it 1-2 hours a day, but then you will start to have excellent results. The bad reviews are all people who couldn’t fit it into their shoes and gave up too quickly. You have been WARNED!

If you are very sore, TRY THESE FIRST! These are easiest to break in with initially. If you are very sore and rigid, don’t use the heavy duty ones to start with.

These will have a harder time fitting in flats and pointed shoes.

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Best Medium to Heavy Duty Heel Pain Orthotics:

Best Overall Orthotic For Everything (Medium Thick Fit)

Price:

$36.49

Overview:

These work best in shoes with laces and running shoes. Not good for dress shoes or women’s cute shoes.

Pros:

Pretty much guaranteed to help you if it fits in your shoes and you give it 2 weeks to get used to. 5,000+ amazon reviews, great track record.

Cons:

Do not wear these in cute or dress shoes!

Crucial Tips:

Ease in to these, 1-2hrs a day. They are like braces for your teeth, they suck at the beginning! But they will make your feet pain free as 1-2 weeks go by. Don’t give up on them after 1 or 2 days. Everyone feels off at the beginning!

Affiliate Link (Buying through these links will connect you to Amazon):

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Best Medium to Heavy Duty Heel Pain Orthotics:

Best Heavy Duty Orthotic (Thickest Fit)

Price:

$49.95

Overview:

Biggest and most corrective option. Only use for running shoes or work boots. Not cute shoes.

Pros:

My personal favorite, but not for everyone. Amazing reviews over 3,500. But not for everyone. Only for bigger shoes that can fit them

Cons:

Bigger and bulkier than all the other ones. You will be dissappointed if you have a cute women’s shoe or dress shoe. This is meant for running shoes and boots.

Crucial Tips:

This has the most correction, but hardest break in time! IF SENSITIVE, USE A SOFTER PAIR FIRST! But if you get these, you must break them in. Give it 1-2 hours a day, but then you will start to have excellent results. The bad reviews are all people who couldn’t fit it into their shoes and gave up too quickly. You have been WARNED!

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Best Medium to Heavy Duty Heel Pain Orthotics:

Best SOFTER Choice For Sensitive Feet (Medium Thick Fit)

Price:

Price not available

Overview:

These are full length inserts, but softer. Great if you can’t tolerate the firmer ones. Best for very sore and sensitive feet.

Pros:

They are softer and the initial break in time is AMAZING. But longer term benefits are less. >500 Almost 5 star amazon rating.

Cons:

Great to start with, but don’t correct long term as much as the other ones.

Crucial Tips:

If you are very sore, TRY THESE FIRST! These are easiest to break in with initially. If you are very sore and rigid, don’t use the heavy duty ones to start with.

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Best Medium to Heavy Duty Heel Pain Orthotics:

Best Women’s Orthotics

Price:

$59.00

Overview:

Great Support & Better Fit

Pros:

Sleek, supportive and have a better fit than the orthotics above.

Cons:

A little bit more expensive.

Crucial Tips:

These will have a harder time fitting in flats and pointed shoes.

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The best choices for dress shoe orthotics:

• Sure full-length orthotic is a little bit better, but make sure it fits in your shoe.
• If you wear dress shoes. This is the way to go.
• These are recommended options.

Best Dress Shoe Orthotics:

Best Fitting Dress Shoe Orthotic (3/4″)

Best Full Length Dress Orthotic.

Great Heavy Duty Insole for Men

Price:

Price not available

Price not available

$34.90

Overview:

This is my top choice due to best fit. It is a little less supportive than full length, but fit is the key in dress shoes!

Best option if you can fit a full length orthotic. This does give you most control.

Great price and heavy duty insole for Oxford shoes.

Pros:

Excellent overall fit. This will fit in almost every dress shoe. Excellent reviews and reasonable cost overall. Can’t go wrong in most cases.

Great color dress option. Not the most corrective, but very color and dress appropriate. Great Reviews. Better correction and relief than the 3/4″ length.

These fit in most shoes and have really good predictable results

Cons:

Less correction than full length and heavy duty orthotics.

These can have a poor fit in in some shoes. If you have tight shoes, DO NOT BUY the full length orthotic! You have been warned.

They are not full length and thus do not provide as much support

Crucial Tips:

If you haven’t used dress orthotics before, get this one and avoid poor fit. If you wear dress shoes every day with room, the full length might give you more support.

This is will work great in most men’s shoes that are not pointy. If you have a rounded toe box, this will probably work well. If a tight shoe go with the 3/4″ length.

Get these for Oxford and pointed shoes. This will provide best results.

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Best Dress Shoe Orthotics:

Best Fitting Dress Shoe Orthotic (3/4″)

Price:

Price not available

Overview:

This is my top choice due to best fit. It is a little less supportive than full length, but fit is the key in dress shoes!

Pros:

Excellent overall fit. This will fit in almost every dress shoe. Excellent reviews and reasonable cost overall. Can’t go wrong in most cases.

Cons:

Less correction than full length and heavy duty orthotics.

Crucial Tips:

If you haven’t used dress orthotics before, get this one and avoid poor fit. If you wear dress shoes every day with room, the full length might give you more support.

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Best Dress Shoe Orthotics:

Best Full Length Dress Orthotic.

Price:

Price not available

Overview:

Best option if you can fit a full length orthotic. This does give you most control.

Pros:

Great color dress option. Not the most corrective, but very color and dress appropriate. Great Reviews. Better correction and relief than the 3/4″ length.

Cons:

These can have a poor fit in in some shoes. If you have tight shoes, DO NOT BUY the full length orthotic! You have been warned.

Crucial Tips:

This is will work great in most men’s shoes that are not pointy. If you have a rounded toe box, this will probably work well. If a tight shoe go with the 3/4″ length.

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Best Dress Shoe Orthotics:

Great Heavy Duty Insole for Men

Price:

$34.90

Overview:

Great price and heavy duty insole for Oxford shoes.

Pros:

These fit in most shoes and have really good predictable results

Cons:

They are not full length and thus do not provide as much support

Crucial Tips:

Get these for Oxford and pointed shoes. This will provide best results.

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The best lightweight orthotics:

• These are recommended choices for woman’s dress shoes, and or flats.
• They don’t give you the most support, but if you do need to wear nice shoes, They are your best bet:

Best Flat Shoe (Non-Lace Up) Orthotics:

Best Choice For Tight Women’s Shoes or High Heels..

Price:

Price not available

Overview:

These are the best fitting for the most narrow shoes. Some but not great correction.

Pros:

They will fit in even the tightest shoes! Guaranteed to make you feel better, but you know what you are getting in a tight shoes. Great reviews and price.

Cons:

At the end of the day high heels and slender orthotics help, but never cure all your pain. Make the best of a painful shoe!

Crucial Tips:

**WARNING***: If your shoe almost just barely fits onto your foot, this WILL NOT FIT! Be aware, it still needs a small amount of space to fit.

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Best Flat Shoe (Non-Lace Up) Orthotics:

Best Choice For Tight Women’s Shoes or High Heels..

Price:

Price not available

Overview:

These are the best fitting for the most narrow shoes. Some but not great correction.

Pros:

They will fit in even the tightest shoes! Guaranteed to make you feel better, but you know what you are getting in a tight shoes. Great reviews and price.

Cons:

At the end of the day high heels and slender orthotics help, but never cure all your pain. Make the best of a painful shoe!

Crucial Tips:

**WARNING***: If your shoe almost just barely fits onto your foot, this WILL NOT FIT! Be aware, it still needs a small amount of space to fit.

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The best stability ankle braces:

• These braces focus on protection and stability.
• If you have a pretty significant injury with a decent amount of pain, these are the way to go.

Best Ankle Stability Braces (Not for Compression):

The Best Overall Brace For Fit & Support.

Most Supportive Premium Brace.

Best Budge Supportive Brace.

Price:

$54.99

Price not available

$29.97

Overview:

Amazing brace, best fit and support combination: If you can afford it.

This is the best brace for pure support, but it can’t fit in more snug shoes.

Outstanding brace for the price point. This is a figure 8 strap with laces, soft interface.

Pros:

Amazing brace. Best reviews and best fit. This is the Ferrari of braces if you can afford it.

This is a very highly rated, great reviewed brace. The support and stability is top notch for athletics. Very durable and does it’s job.

Amazing reviews with proven track record. This is very soft and supportive in your shoe.

Cons:

The only downside besides cost, is complexity. This brace must be left or right. Not interchangeable. It is also for post-injury situations and good support. Not for compression!

The brace may be a little too big for a more snug shoe. This requires some room to fit and would be the main complaint. Hard interface along the padding.

The main downside is the durability and the ability for the material to give out. Great at first but maybe 3-4 months of continuous use prior to failure.

Important Tips:

Make sure to choose left vs. right. This is a high level brace mean specifically for injury support. This is not for compression or non-injury situations. It will be too tight.

This is a fantastic and supportive brace. Just make sure that your shoe will have some room for it to fit. Most good running shoes should let it fit.

This is an excellent starter brace if you have never had a brace before. It is a little longer to put with the straps and laces.

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Best Ankle Stability Braces (Not for Compression):

The Best Overall Brace For Fit & Support.

Price:

$54.99

Overview:

Amazing brace, best fit and support combination: If you can afford it.

Pros:

Amazing brace. Best reviews and best fit. This is the Ferrari of braces if you can afford it.

Cons:

The only downside besides cost, is complexity. This brace must be left or right. Not interchangeable. It is also for post-injury situations and good support. Not for compression!

Important Tips:

Make sure to choose left vs. right. This is a high level brace mean specifically for injury support. This is not for compression or non-injury situations. It will be too tight.

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Best Ankle Stability Braces (Not for Compression):

Most Supportive Premium Brace.

Price:

Price not available

Overview:

This is the best brace for pure support, but it can’t fit in more snug shoes.

Pros:

This is a very highly rated, great reviewed brace. The support and stability is top notch for athletics. Very durable and does it’s job.

Cons:

The brace may be a little too big for a more snug shoe. This requires some room to fit and would be the main complaint. Hard interface along the padding.

Important Tips:

This is a fantastic and supportive brace. Just make sure that your shoe will have some room for it to fit. Most good running shoes should let it fit.

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Buy on Amazon

Compare Stores:

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Best Ankle Stability Braces (Not for Compression):

Best Budge Supportive Brace.

Price:

$29.97

Overview:

Outstanding brace for the price point. This is a figure 8 strap with laces, soft interface.

Pros:

Amazing reviews with proven track record. This is very soft and supportive in your shoe.

Cons:

The main downside is the durability and the ability for the material to give out. Great at first but maybe 3-4 months of continuous use prior to failure.

Important Tips:

This is an excellent starter brace if you have never had a brace before. It is a little longer to put with the straps and laces.

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The best ankle compression braces:

• If you’re pain is not excruciating, and your injury is not that severe, these can work with.
• These focus most on compression rather than support.
• They will fit better than ankle stability breaks into supportive shoes.
• Team these up with orthotic for best results:

Best Heel & Ankle Compression Braces:

Best Premium Brace (Support & Compression)

Budget Brace With Some Compression & Some Support.

Price:

Price not available

$22.49

Overview:

This is The Top Level Brace – Does Compression, Support & Great Fit.

This brace attempts mild compression and mild support.

Pros:

Excellent brace: Best overall mix of compression & support, and it still fits in most shoes! If you have a chronic injury and need to wear normal shoes => This is the BEST CHOICE.

Good rating at 4.3 with 2,000 reviews. It is cost effective and gives some support with some compression. Does both ok, but excellent when price is factored in.

Cons:

Expensive. It doesn’t do any single thing the best. There are cheaper and more supportive braces, there are cheaper and more compressive braces. But no braces combine the two and still fit in a shoe.

Does not really do anything well. Weak support and not the best compression. Meant as an assist for chronic pain and low activity. Not for an acute injury.

Important Tips:

This is a high durability brace for everyday use. If you have chronic arthritis or pain with a high need for activity, this is your brace to use! **Gel inside seems to deteriorate after daily washing at about 1 year old**

This is mean for lower activity and better fit than a true supportive brace. Don’t use this for an acute sprain or injury.

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Best Heel & Ankle Compression Braces:

Best Premium Brace (Support & Compression)

Price:

Price not available

Overview:

This is The Top Level Brace – Does Compression, Support & Great Fit.

Pros:

Excellent brace: Best overall mix of compression & support, and it still fits in most shoes! If you have a chronic injury and need to wear normal shoes => This is the BEST CHOICE.

Cons:

Expensive. It doesn’t do any single thing the best. There are cheaper and more supportive braces, there are cheaper and more compressive braces. But no braces combine the two and still fit in a shoe.

Important Tips:

This is a high durability brace for everyday use. If you have chronic arthritis or pain with a high need for activity, this is your brace to use! **Gel inside seems to deteriorate after daily washing at about 1 year old**

Affiliate Link (Buying through these links will connect you to Amazon):

Buy on Amazon

Best Heel & Ankle Compression Braces:

Budget Brace With Some Compression & Some Support.

Price:

$22.49

Overview:

This brace attempts mild compression and mild support.

Pros:

Good rating at 4.3 with 2,000 reviews. It is cost effective and gives some support with some compression. Does both ok, but excellent when price is factored in.

Cons:

Does not really do anything well. Weak support and not the best compression. Meant as an assist for chronic pain and low activity. Not for an acute injury.

Important Tips:

This is mean for lower activity and better fit than a true supportive brace. Don’t use this for an acute sprain or injury.

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The best leg massage sticks:

• If your muscle is tight, especially for the peroneal tendons, these massage stakes are the way to go.
• This can also work great for a tight calf muscles.

Leg & Calf Muscle Massage Roller Sticks:

Best Overall Muscle Massage Stick

Best Cost Effective Massage Roller.

Best & Most Affordable Foot Massage Unit

Price:

$39.95

Price not available

Price not available

Overview:

This is a great option because hair or skin never gets pinched between the wheels. Softer interface.

Great option for an amazing cost. Not as sturdy and comfortable as the tiger tail.

A well reviewed foot massage unit.

Pros:

Best reviews. Hair and skin cannot get pinched. Almost instantly makes you less tender and more flexible. This is a professional grade massage roller.

Amazing reviews for the price point. It essentially does the same job. Muscles feel great afterward. Same overall benefit.

Amazing reviews averaging almost 5 stars. Reasonable price compared to most other units. Relieves swelling and inflammation in your feet naturally.

Cons:

If truly injured (break or tear) this won’t fix your pain. But no real downsides as far as what a massage roller does. Reviews are near perfect.

Wheels and handles can come loose. As a result it can gap and pinch skin and leg hairs. Not as durable as the other roller recommended here.

A more expensive version of manual and ice massage. The extra $ is basically to remove the manual labor yourself if you are OK with that!

Important Tips:

Studies show how effective massage rollers are: Use for 30-60 seconds to loosen up tight muscles, and then you can stretch further short term(1-2 hrs). Great for calf, hamstring, thight and IT band muscle stretching.

Same as for the more expensive one. Studies show the real benefits appear in 30-60 seconds per muscle => less sore and more flexible. That is the time to take advantage and play sports/stay loose. Very proven results.

This can actually help loosen up your calf muscles and foot muscles for a better stretch. So take advantage! You will be less sore and more flexible, but the results disappear after 1-2 hours or so!

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Leg & Calf Muscle Massage Roller Sticks:

Best Overall Muscle Massage Stick

Price:

$39.95

Overview:

This is a great option because hair or skin never gets pinched between the wheels. Softer interface.

Pros:

Best reviews. Hair and skin cannot get pinched. Almost instantly makes you less tender and more flexible. This is a professional grade massage roller.

Cons:

If truly injured (break or tear) this won’t fix your pain. But no real downsides as far as what a massage roller does. Reviews are near perfect.

Important Tips:

Studies show how effective massage rollers are: Use for 30-60 seconds to loosen up tight muscles, and then you can stretch further short term(1-2 hrs). Great for calf, hamstring, thight and IT band muscle stretching.

Affiliate Link (Buying through these links will connect you to Amazon):

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Leg & Calf Muscle Massage Roller Sticks:

Best Cost Effective Massage Roller.

Price:

Price not available

Overview:

Great option for an amazing cost. Not as sturdy and comfortable as the tiger tail.

Pros:

Amazing reviews for the price point. It essentially does the same job. Muscles feel great afterward. Same overall benefit.

Cons:

Wheels and handles can come loose. As a result it can gap and pinch skin and leg hairs. Not as durable as the other roller recommended here.

Important Tips:

Same as for the more expensive one. Studies show the real benefits appear in 30-60 seconds per muscle => less sore and more flexible. That is the time to take advantage and play sports/stay loose. Very proven results.

Affiliate Link (Buying through these links will connect you to Amazon):

Buy on Amazon

Leg & Calf Muscle Massage Roller Sticks:

Best & Most Affordable Foot Massage Unit

Price:

Price not available

Overview:

A well reviewed foot massage unit.

Pros:

Amazing reviews averaging almost 5 stars. Reasonable price compared to most other units. Relieves swelling and inflammation in your feet naturally.

Cons:

A more expensive version of manual and ice massage. The extra $ is basically to remove the manual labor yourself if you are OK with that!

Important Tips:

This can actually help loosen up your calf muscles and foot muscles for a better stretch. So take advantage! You will be less sore and more flexible, but the results disappear after 1-2 hours or so!

Affiliate Link (Buying through these links will connect you to Amazon):

Buy on Amazon