Hello I've had pain (tension/heavy ache) in both of my ankles for the last year, mostly caused by impact, started just as a problem running and now walking for more than 20 minutes starts the pain. I've seen a GP, a physio at my GP surgery and been seen in a musculoskeletal clinic. After lots of possible diagnoses I've been told my ankle joints are hypermobile - they do noticeably tip inwards when I relax or stand on 1 leg. I've been referred for more physio & podiatry but have been waiting months for appts. I'm keen to have some private physio but wondered how many appointments I might need & if this is the right thing to do. I work on Harley St so it would be convenient for me.  

Hi Eve Impossible (alas!) to tell you how many appointments would be needed without having a squizz at you or your ankles. However, there are some really simple, safe things that you can be cracking on with. Firstly get a pair of decent off the shelf orthotics that help hold your foot into a neutral position - or wear some decent trainers that support your foot. This will help control any excessive movement that’s causing the pain. Think of it as you’ve got a bruised joint - the move you poke and load the joint/bruise the longer the pain will last. Secondly improve your balance - standing on 1 leg for 30 seconds at a time 5/6 times a day. Stand tall, make your foot work and control. This will again help limit the excessive motion inn you foot/ankle. If anything (orthotic or balance) makes you worse - then stop, toot sweet. I can say, though, the longer you leave it and do nowt, the longer you’ll feel your symptoms for.. Get balancing! The Guru Six Physio