The foot is meant to roll in a bit when it hits the ground (pronation) and come back up to push off (supination). Too much either way and the ankle, shin and knee pick up the bill.
We don’t guess from the shoe wear alone. We watch you walk, test how the foot actually moves, and build an ankle that can take load again.
This page is for sprains, unstable ankles, shin splints and general foot pain. Heel-first-step morning pain has its own page: plantar fasciitis.
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Rolled ankle that still feels weak, stiff or “about to go”
Repeat sprains on the same side
Shin splints from running, walking or work on hard floors
Flat or collapsing feet that ache by afternoon
High, rigid arches that don’t absorb shock
Pain in the ankle, midfoot, outside edge of the foot, or up the shin
WorkCover, CTP or DVA (no gap where covered)
Springfield Central, Springfield Lakes, Augustine Heights, Brookwater, Ripley, Ipswich corridor — clinic or mobile
Red flags first: can’t take any weight after a roll, obvious deformity, numbness that isn’t settling, hot red joint with fever. Get imaged / medically cleared before physio.
Pronation = the foot rolls in and the arch drops as you land. A bit of this is normal. It lets the foot absorb shock.
Supination = the foot rolls out and the arch lifts as you push off. That turns the foot into a lever so you can go forward.
Problems start when one of those is stuck:
Too much pronation — arch collapses and stays down. Ankle rolls in, shin and knee twist, inside-ankle or arch fatigue, some shin pain.
Too much supination — foot stays rigid and lands on the outside edge. Poor shock absorption, easy to roll the ankle, outside-foot and shin pain.
Most “you overpronate, buy this orthotic” advice skips the test that matters: what does your foot do when you walk, squat and push off — and can the hip and ankle keep up?
That’s the assessment here.
How the foot strikes and rolls through a step
Whether the ankle can bend and the heel can stack
Arch that drops and returns, vs one that dumps and stays dumped
Hip and knee control so the foot isn’t doing everyone’s job
Old sprain stiffness or leftover laxity
Training or work volume on hard surfaces
Footwear that either does nothing or does so much the foot got weaker
Then the plan matches the finding. Collapse gets control and strength. Rigid high-arch gets mobility and a safer landing. Wobbly post-sprain ankle gets stability and range, not just a tubigrip and “see how you go”.
Lateral ankle sprain (the classic roll) and the weak ankle after it
Repeat ankle sprains
Shin splints (pain along the inner or front shin)
General foot and ankle pain with walking or running
Midfoot ache, outside-ankle pinch, “tired feet” by 3pm
Not the main page for classic first-step heel pain — use plantar fasciitis.
Gait and foot mechanics first. That’s the specialty.
We explain what your foot is doing in one sentence you can remember, then load it so the tissue adapts. Tape, bracing or a temporary insole only as a bridge while capacity comes back.
Same clinic rule: a plan you can run. Not endless “ankle wobble board Friday”.
Initial session
How it started, what still gives way or aches, footwear, work and sport load, walk and single-leg tests, pronation/supination through stance. Clear driver.
Plan
Settle the current flare if it’s hot. Then the missing piece: range, strength, balance, walking or running volume. Short home work.
Progress
Trust on uneven ground, shin pain after a walk or run, how long you can stand, whether the ankle still feels like it will roll.
Clinic: TotalFusion Lions Springfield, 16 Eden Station Drive, Springfield Central.
Mobile if travel is the problem.
Initial $200. 45-min follow-up $155. 30-min $105. WorkCover / DVA / CTP / NDIS no gap where eligible.
Do I need orthotics?
Sometimes as a short bridge. They don’t replace a foot that can control itself. We won’t open with a custom insole pitch.
Should I keep the ankle strapped forever?
No. Strap while it’s vulnerable. Then rebuild the thing the tape was doing.
Can I run with shin splints?
Often at a reduced dose if next-morning pain isn’t climbing. Total rest then a sudden return is how they restart.
Is this just “weak ankles”?
After a sprain, the ligaments can be lax and the foot can be stiff in the wrong place. We test both.
Scan?
After a bad roll if you can’t weight-bear, or if it’s not matching a simple sprain. Ottawa-style rules — we’ll send you back to the GP/ED if it looks like a fracture.
WorkCover / CTP?
Yes. Reports included. No gap when accepted.
Book a foot and ankle assessment at TotalFusion Lions Springfield or request mobile.


As a physiotherapist, I provide personalised treatment for pain, injury, and post-surgery recovery, offering both clinic and mobile services to help you move better, feel stronger, and return to the activities you love.
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