Football is a physically demanding sport that places significant stress on the lower limbs, especially the feet and ankles. Quick changes in direction, sudden stops, and high-impact tackles mean injuries are common, with the foot and ankle among the most frequently affected areas. Understanding these injuries can help with prevention, prompt recognition, and effective treatment.

Common Ankle Injuries

The most prevalent injury is the ankle sprain, particularly involving the lateral (outer) ligaments. These occur when the foot rolls inwards during a tackle or awkward landing, stretching or tearing the ligaments. Symptoms include swelling, bruising, pain, and difficulty bearing weight. Mild sprains may require just rest and rehabilitation, while more severe cases might need immobilisation or even surgery.

  • High ankle sprains, involving the ligaments above the ankle joint, are less common but often more severe. They can side-line players for longer periods due to the involvement of the syndesmosis—the fibrous tissue connecting the tibia and fibula—which plays a vital role in ankle stability.
  • Fractures are also a risk, especially in contact situations. A broken ankle or foot bone can result from a direct blow or twisting force. Metatarsal fractures—like the infamous fifth metatarsal break—are common, particularly among players who perform repetitive running and cutting movements.

Foot Injuries

Football boots provide limited protection to the foot, which makes it vulnerable to contusions (bruises) from studs or the ball.

Turf toe, a sprain of the big toe joint caused by hyperextension, is another frequent injury, especially on artificial turf. It may seem minor but can severely impact performance.

Stress fractures, particularly in the metatarsals or navicular bone, can develop over time due to overuse and insufficient recovery. These injuries often begin with subtle discomfort that worsens with activity, making early diagnosis crucial to prevent worsening.

Prevention and Recovery

Preventing foot and ankle injuries in football starts with appropriate warm-ups, strengthening of the lower limbs, proper footwear, and attention to playing surfaces. Balance and proprioceptive training are also effective in reducing the risk of ankle sprains.

When injuries do occur, early diagnosis and management are key. RICE (rest, ice, compression, elevation), physiotherapy, and in some cases, specialist input from a podiatrist or orthopaedic surgeon may be necessary.

Ultimately, understanding these common injuries can help players, coaches, and healthcare providers keep athletes on the pitch and performing at their best.

Are you experiencing foot pain or discomfort when playing football or any form of sport?

Get in touch with your local Sports & Spinal Podiatrist today to learn more oh how they can help you!