Snowboarder’s Ankle

Symptoms, missed fractures, and expert ankle care in London

Ankle pain after a snowboarding trip often gets labelled as a sprain. You are told to rest, ice the area, and give it time. Days turn into weeks. The swelling eases slightly, but the pain never fully settles. Walking feels uncomfortable. Turning on uneven ground feels unreliable. Confidence drops.

For many snowboarders, this pattern points to a specific injury that is still widely missed. Snowboarder’s Ankle.

At Perfect Balance Clinic, we regularly assess people who return from the slopes with ankle pain that has not followed a normal recovery path. Commonly, the ankle pain is linked to a small joint fracture rather than ligament injury, which should have been identified early.

If your ankle pain has not settled after snowboarding, seeking early clarity can change the outcome. Book an ankle assessment with our team and avoid unnecessary delays in recovery.

What Is Snowboarder’s Ankle

Snowboarder’s Ankle is a fracture of the lateral process of the talus. The talus is essential for connecting the lower leg to the foot and supporting smooth ankle and subtalar joint movement.

The lateral process sits on the outer side of this bone. When it fractures, the injury affects joint surfaces rather than just soft tissue. This changes how force travels through the ankle during walking, turning, and load bearing.

This injury was uncommon before snowboarding became popular. It is now recognised as one of the most frequent ankle fractures linked specifically to the sport.

What makes it challenging is how closely it mimics a sprain during early stages.

Why Snowboarding Places High Stress on the Ankle

Snowboarding places the ankle under forces that are different from those seen in skiing or field sports.

Several factors play a role:

• Rigid boots that restrict natural ankle movement

• Fixed bindings that prevent the foot from releasing during falls

• A sideways stance that alters load direction

• Falls that drive the foot upward with rotation

When the foot is forced upward and rolled inward or outward, the talus becomes wedged between surrounding bones. Because the boot absorbs little movement, force transfers directly into the lateral process.

This explains how injury can occur even when the fall seems low impact.

What Is a Common Ankle Injury From Snowboarding

There are multiple ankle injuries linked to snowboarding, but their risks vary.

Common injuries include:

• Lateral talar process fractures

• High ankle sprains

• Osteochondral injuries of the talus

• Distal fibula fractures

Among these, the lateral talar process fracture has the highest rate of delayed diagnosis. Many people are initially told they have a sprain, only to discover later that bone injury was present from the start.

Snowboarder’s Ankle Symptoms

The similarity of symptoms to ligament injuries adds to the difficulty in recognition.

Typical features include:

• Pain on the outer side of the ankle

• Swelling around the ankle joint

• Pain that increases with walking or standing

• Discomfort during twisting or uneven ground

• Reduced ankle movement

• A deep ache that does not improve week to week

Many people can still walk, particularly in the early phase. Discomfort frequently becomes clearer when activity levels go up again.

Continued ankle pain beyond one to two weeks after snowboarding should be assessed.

Snowboarder’s Ankle Fracture vs Ankle Sprain

Telling the difference between these two injuries is essential.

Ankle sprains

• Involve ligament stretch or tearing

• Often show steady improvement with guided movement

• Rarely involve joint surface damage

Snowboarder’s Ankle fractures

• Involve bone within the joint

• May worsen with early loading

• Carry a higher risk of stiffness and joint wear

Treating a fracture as if it were a sprain can slow healing and increase long term problems.

Why This Injury Is Frequently Missed

Several factors contribute to misdiagnosis.

• Standard ankle X-rays may not clearly show the fracture

• Swelling can hide precise pain location

• Pain patterns resemble ligament injury

• Early advice often focuses on rest alone

The lateral process sits in a position that can be difficult to visualise on routine imaging. When improvement does not occur as expected, further investigation is required.

Advanced imaging techniques such as CT or MRI provide clearer joint surface and fracture assessment.

Understanding the Injury in More Detail

This condition involves more than one joint within the ankle region. The lateral process forms part of both the ankle and subtalar joints, which work together to allow the foot to adapt to uneven surfaces.

Damage in this area can:

• Alter how load passes through the ankle

• Reduce joint smoothness

• Affect balance on slopes or uneven ground

In some situations, cartilage damage is present alongside the fracture. This increases the chance of stiffness and lingering discomfort if the injury is not addressed properly.

Injury Patterns Seen During Assessment

Clinical examination often reveals features that differ from routine sprains.

Common findings include:

• Deep tenderness at the outer ankle rather than along ligaments

• Pain reproduced with subtalar joint movement

• Swelling that sits lower around the ankle

• Pain during combined ankle and foot rotation

These signs help guide decisions around imaging and management.

What Happens If Snowboarder’s Ankle Is Left Untreated

Symptoms may return during activity when appropriate care is lacking.

Possible consequences include:

• Ongoing ankle pain

• Reduced subtalar joint movement

• Loss of balance confidence

• Difficulty on uneven terrain

• Early joint wear

Even when pain settles, subtle movement restrictions may remain. Over time, these can affect walking efficiency and load tolerance.

How We Assess Snowboarder’s Ankle at Perfect Balance Clinic

At Perfect Balance Clinic Moorgate, assessment goes beyond a quick check.

Your appointment includes:

• A detailed discussion of how the injury occurred

• Hands-on examination of the ankle and foot

• Assessment of movement, strength, and load tolerance

• Gait analysis to assess walking mechanics

• Review of footwear and activity demands

When clinical findings raise concern, we guide you through appropriate imaging pathways to gain clarity.

If a fracture is confirmed, care is coordinated with orthopaedic specialists when required.

How Treatment Supports Proper Healing

Management depends on fracture size, position, and symptom behaviour.

Early Care Phase

Early care may involve:

• Activity modification to protect the joint

• Temporary immobilisation when appropriate

• Swelling control strategies

• Safe movement to limit stiffness

This phase protects healing tissue while avoiding unnecessary joint restriction.

Rehabilitation Phase

As healing allows, care shifts toward restoring normal movement and strength.

Rehabilitation focuses on:

• Ankle and subtalar joint mobility

• Calf and foot strength

• Balance and joint control

• Gradual exposure to walking and stairs

Progression is guided by symptoms and function rather than fixed timelines.

Return to Snow and Sport

Snowboarding places high demands on the ankle. Preparation matters.

Later stages include:

• Controlled impact loading

• Direction change drills

• Strength work matched to boot demands

• Guidance on return to slopes

This reduces reinjury risk and supports long term ankle health.

Is Surgery Ever Required

Not all Snowboarder’s Ankle fractures need surgery.

Surgical input may be considered when:

• The fracture fragment is displaced

• Joint alignment is affected

• Symptoms persist despite conservative care

Early diagnosis increases the chance of avoiding surgery. When surgery is required, structured rehabilitation remains essential.

Why Early Expert Care Makes a Difference

Outcomes improve when Snowboarder’s Ankle is recognised early.

Early care supports

• Faster pain reduction

• Better joint movement

• Lower risk of stiffness

• Safer return to activity

Delaying assessment or pushing through pain increases long term risk.

Why Choose Perfect Balance Clinic

Snowboard-related ankle injuries need careful assessment and planning.

At Perfect Balance Clinic, we provide

• Experienced clinicians in ankle and foot injuries

• Clear care pathways based on injury severity

• Access to imaging and specialist input

• Structured rehabilitation focused on movement confidence

Our goal is not only pain relief, but lasting joint health.

Book Your Appointment

Let’s help you recover properly and return to the activity you enjoy. Fill in the form below and one of our team members will reach out shortly to arrange your assessment.

What Our Patients Say

Choosing the right clinic after an ankle injury often comes down to trust. Many people we see arrive after weeks of uncertainty, unsure why their ankle has not improved as expected. Hearing from others who have faced similar challenges can provide reassurance.

Patients often comment on the clarity of our assessments, the time taken to explain findings, and the steady progress they feel during recovery.

Moving Forward With Confidence

Snowboarder’s Ankle often sits in a grey area between a sprain and a fracture that feels serious enough to stop activity. That is where problems begin.

Persistent ankle pain after snowboarding should not be ignored. When assessed early, this injury is manageable and recovery is often straightforward. When overlooked, it can quietly limit movement and confidence for years.

If your ankle has not recovered as expected, booking an assessment is a sensible next step. At Perfect Balance Clinic, we are here to support you from your first appointment through to confident movement again.

Finding Us in Moorgate

Perfect Balance Clinic - Moorgate Centrally located near Moorgate and Liverpool Street stations, our clinic is easy to reach by Underground, bus, or train.

Please note: There is no on-site parking at the Moorgate clinic. We recommend nearby public car parks, including:

• Finsbury Square Car Park

• London Wall Car Park

We offer early morning and evening appointments to suit your schedule, making it easier to fit your recovery around work, training, or daily commitments.

Book a Consultation Today

Perfect Balance Clinic at Moorgate