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Anterior Tibial Tendonitis: Front of My Ankle Pain

Pain along the front of the ankle that travels down towards the top of the arch is often attributed to inflammation of the the anterior tibial tendon.  This tendon's main function is to help stabilize and pull your foot up off the ground when you walk.  It is often easily seen if you pull your foot up towards your ankle then turn it towards your other foot. 

It can become inflamed with overuse activities or minor trauma like spraining your ankle.  Often, over doing it on the incline of a treadmill or walking a hill for extended periods of time will cause irritation of the tendon because it is in a contracted position for too long.  Tripping over your vacuum cleaner or a curb can cause over extension of the tendon, leaving it very sore with normal walking. 

Pain is often described as sharp, shoot along the front of the ankle or top of the foot, aching or dull.  Most of the time the area is swollen and may be bruised depending on the injury.  The pain will be worse when the foot has to bend up or dorsiflex like it does when you are walking.  Complete tear of the tendon can cause what is known as "slap foot gait".  This is where the foot cannot lift up when walking and just slaps the ground instead.

If it is just inflammation of the tendon, then rest, ice and compression often relieves your symptoms.  But don't forget to wear good shoes as well.  If this does not resolve your pain, immobilization with a brace or boot and physical therapy may be necessary.  If you  actually ruptured the tendon, surgery is necessary to prevent long term gait problems.

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Business Team

Welcome to the Business Team at Foot and Ankle Associates of North Texas. Our appointment schedulers and billing department work in tandem to assist you and your family during your FAANT experience.
Our scheduling team will complete a short appointment questionnaire that will allow us the opportunity to contact your plan prior to your visit. We will find out what type of Podiatry benefits you should expect, including your coverage limits, which we will then review with you before you are seen.
If you are a new patient, we ask that you complete our online patient forms. We also update paperwork for established patients at least once a year or upon any changes. Having the most accurate information on you and your family will help us better treat your medical conditions, and it will also allow us to process your insurance claims more efficiently.
Thank you for helping us to be more prepared for your visit. Please download our online patient forms and fax them to our confidential fax at least 48 hours prior to your visit at 817-886-3612. We ask that you arrive 20 minutes prior to your visit with your insurance and identification cards; we will scan each card to validate your electronic health record. Please allow for ample time to check in with our team in order to help prevent your appointment being delayed or even rescheduled.
We invite you to bring your socks and athletic/dress shoes along with a list of prepared questions. For a list of sample questions visit http://www.ahrq.gov/questionsaretheanswer/ You may also visit our business office library, where you can view frequently asked questions, insurance contract list and become even more familiar with our office.