"The High-Performance Approach to Syndesmosis Rehab"
Syndesmosis Injury Rehabilitation in Bundoora
Expert Ankle Rehab for Athletes
Our Physios Have Been Trusted By
What Is a Syndesmosis Injury?
A syndesmosis injury, often called a “high ankle sprain,” involves damage to the ligaments that connect the tibia and fibula bones above the ankle joint. These injuries are
common in field and court sports
where twisting or external rotation forces occur — especially during tackles or awkward landings.
Common symptoms include:
Pain above the ankle (not just around the joint)
Difficulty weight-bearing, especially when walking uphill or turning
Swelling and bruising higher up the leg
Feeling like the ankle is unstable or “widening”
A slower recovery compared to a standard ankle sprain
Diagnosis may involve clinical testing assessment by a physio, and imaging like MRI or weight-bearing X-rays to assess ligament damage and joint space widening.
Our Numbers
Transforming Athletes
200+
5 STAR REVIEWS
2000+
ATHLETES RETURNED TO SPORT
10000+
ATHLETE REHAB HOURS COMPLETED
Surgical vs Non-Surgical Syndesmosis Management
Treatment depends on the severity of the injury:
Grade I–II (Stable Injuries)
These can usually be treated conservatively with progressive loading and rehab. We focus on restoring function, strength, and sport-specific capacity early while avoiding aggravation.
Grade III (Unstable or Complete Tear)
These often require surgery — commonly with:
1) Tightrope fixation (suture-button stabilisation)
2) Screw fixation between tibia and fibula
At Pivot, we work with both surgical and non-surgical cases, tailoring your program based on your surgical report, imaging, and return-to-sport goals.
01
Athlete Performance Program
High Performance Training Throughout Your Entire Season.
Why Early Syndesmosis Rehab Matters
Syndesmosis injuries take longer to recover than traditional ankle sprains — and delaying rehab can lead to:
Joint stiffness and reduced ankle mobility
The ankle joint can stiffen rapidly, especially after a period in a boot or post-op immobilisation.
Calf and peroneal muscle wasting
Prolonged unloading leads to strength loss in key stabilisers, impacting strength, speed, power and agility.
Delayed return to running and change of direction
Athletes often compensate with poor movement patterns, hesitate at a contest, or favour one side without progressive exposure to controlled drills.
Poor biomechanics and re-injury risk
Without expert guidance, movement patterns break down, increasing the chance of re-injury or secondary problems in the foot, knee or hip.
Longer time away from sport
The longer rehab is delayed, the more time it takes to rebuild muscle bulk, function, strength, and game-readiness.
Who will be looking after your rehab?
How It Works
You Play Sport, We Do The Rest
Contact Us
Contact us by phone, email, or via the contact form.
If via email, please provide any imaging or reports that you have so we can provide you with clear advice.
Tell Us Your Needs
We will discuss where you are at in your rehab over the phone prior to attending your first appointment
Initial Appointment
Assessment of your ankle to determine your injury and your rehab plan.
We may refer you to additional scans or a surgical opinion at this point.
Advanced Rehab Membership
Although it is not vital to be a member to work with us, it is highly recommended for a fast rehab and to get the best bang for your buck.
Why Choose Pivot Sports Performance?
✅ Athlete-Focused Care — No cookie-cutter protocols. Every plan is built around your sport and goals.
✅ Elite Testing & Return-to-Play — We use strength ratios, performance markers, and video analysis to determine readiness.
✅ Integrated Team Approach — Physios work closely with S&C coaches, ensuring smooth handover from rehab to performance.
✅ Private Health and Sports Insurance Rebates Available — All sessions are eligible for health fund rebates.
✅ Convenient Location in Bundoora — Modern facility with full gym access and athlete-specific equipment.
Testimonial
Here's What Our Athletes Are Saying
Meagan Kiely
M. Physiotherapy
B. Health Science
Meagan is a Physiotherapist with 5+ years experience treating sport and musculoskeletal injuries.
Meagan has a keen interest in sports injuries & has experience treating a wide range of conditions. She’s passionate about educating and inspiring her patients, and guiding them through the process of achieving their goals. She aims to keep people doing what they love, and simply modify activity where possible.
Meagan has experience playing professional sport, having recently retired from Richmond FC after 4 seasons. She is a previous VFLW captain and B&F, and has a wealth of knowledge in and around high performance sport.
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Sports Physio
Sport Specific Injury Management & Prevention
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Pricing
Your Investment
Join our Athlete Programs for success without wasted time, energy, or money. Maintain consistent effort, protect your body and brain, and build unwavering confidence in crucial moments.
Session-To-Session Pricing
$155
Initial Consultation (45 minutes)
$117
Subsequent Consult* (30 minutes)
*for the same injury *
*Following your consultation, your private health care fund will be swiped and the gap will be charged.
Subjective Assessment
Physical Examination & Diagnosis
Tailored Treatment
Action Plan
Advanced Rehab Membership
$167
PER WEEK
*Your statement will be sent to you so you can claim with your private health fund or sports insurance.
Weekly 1:1 Physiotherapy Session with Individualised Rehabilitation Program ($1261 value);
Strength & Power Performance Profiling ($780 value);
Concussion Baseline Test ($274 value);
Free Gym Membership with Unlimited S&C Coaching ($2340 value);
Speed and Agility Sessions ($1620 value);
Unlimited Access To Our Recovery Systems ($1087 value); &
Master Your Mental Skills Mini-Course ($397 value).
Ankle Syndesmosis Rehab FAQs
How long does syndesmosis rehab take?
Mild to moderate injuries can return to sport in 6–10 weeks.
Post-surgical cases often take 10–16+ weeks depending on healing and testing benchmarks.
Do I need surgery for a syndesmosis injury?
Not always. Stable injuries can often be managed conservatively. Your rehab plan will depend on imaging, severity, and whether you're involved in high-contact or high-speed sports.
When can I start running again?
Running progression typically begins once swelling subsides, range is restored, and single-leg loading capacity reaches set thresholds — usually around 4–6 weeks for mild cases.
Our No Risk
Guarantee
At the end of your initial treatment, your action plan will be discussed and a expected recovery time will be established. If you have not recovered in that time, lived up to the expectations and there have been no unforeseen events, we will continue to rehabilitate your injury without additional charge!
Bundoora Location
23 Clements Ave, Bundoora, 3083
Ringwood Location
Unit 1/7 Oban Road, Ringwood, 3134
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