Houston Methodist. Leading Medicine

Ankle FAQ


I'm a punt kicker for my high school football team. I usually kick without shoes on. Lately I've been having pain in the back part of my ankle going down the inside of my foot. I really kick better without shoes but I'm wondering if this is causing the pain?


Posterior ankle pain with kicking is common with a condition called posterior ankle impingement syndrome (PAIS). This problem is also known as ankle block, nutcracker syndrome, or os trigonum syndrome.

Whether or not you wear shoes while kicking may not be as important as the kicking motion itself. PAIS occurs with forced ankle plantar flexion. This refers to a position with the toes pointed down with force or compression. Kicking a football certainly fits the description of the motion that can cause PAIS.

Before putting your shoes back on, you may want to get an X-ray or MRI. There may be a fracture, bone fragment, or soft tissue impingement to account for your symptoms. Once you know the true cause of your problem then you follow your doctor's advice.

Javier Maquirriain, MD, PhD. Posterior Ankle Impingement Syndrome. In Journal of the American Academy of Orthopaedic Surgeons. October 2005. Vol. 13. No. 6. Pp. 365-371.

*Disclaimer:* The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.
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