Local Experts In Ankle Injuries
Syndesmosis injuries, often referred to as high ankle sprains, involve tearing or stretching of the ligaments connecting the tibia and fibula. These injuries typically occur during twisting movements, heavy contact, or awkward landings — common in footy, netball, basketball, and soccer.
Pain above the ankle joint (not directly on it)
Difficulty walking or pushing off
Swelling around the lower shin
Instability or feeling of ankle “widening”
Delayed 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.
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The management of syndesmosis injuries depends on the degree of ligament damage and joint instability:
Stable injuries can often be managed with bracing and a progressive rehab plan — focusing on restoring range, loading capacity, and strength.
More severe injuries, or those with significant separation of the tibia and fibula, may require:
1) Screw fixation
2) Suture-button (Tightrope) procedure
Our team at Pivot Ringwood works with both surgical and non-surgical clients, offering prehabilitation, post-op care, and guided return-to-play testing.
High Performance Training Throughout Your Entire Season.
Persistent stiffness and poor mobility
Time in a boot or cast without proper movement leads to long-term ankle restriction.
Rapid strength loss
The calf, peroneals, and stabilising foot intrinsic muscles weaken quickly once you are injured and immobilised — reducing your endurance, power, speed, and change of direction ability.
Altered movement patterns
Limping and compensation affect foot, hip, knee, and even lower back mechanics. This can alter your movement strategies when you return to sport and add additional stress to areas.
Longer return-to-sport timelines
Athletes who delay rehab or underload the ankle often spend longer rebuilding capacity and confidence. This keeps them away from sport for longer.
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.
We will discuss where you are at in your rehab over the phone prior to attending your first 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.
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.
✅ We Train While You Rehab — Stay strong and conditioned while recovering
✅ Tailored Programs, Every Time — No off-the-shelf protocols. We match your sport, level, and goals
✅ Integrated Team — Physios, strength coaches, and performance staff working together
✅ Private Health and Sports Insurnace Rebates — All sessions are claimable under physiotherapy
✅ Modern Facility in Ringwood — Clean, athlete-focused space with rehab-specific equipment
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.
Sport Specific Injury Management & Prevention
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Initial Consultation (45 minutes)
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
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).
Mild cases may return to play in 6–8 weeks.
More serious or surgical cases may take 12–16+ weeks, depending on progress and sport demands.
Not always. Stable injuries can often be managed without surgery. However, unstable or complete tears often require surgical stabilisation. We guide you based on scan results and clinical testing.
Yes — our rehab model is designed to maintain your strength, conditioning, and sport-readiness while your ankle recovers. We adjust your gym or field training to suit your phase of recovery.
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.
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!
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