Distal Tibiofibular Gapping Syndrome

Distal Tibiofibular Gapping Syndrome


Ankle pain in the distal tibiofibular area or laterally near the distal aspect of the fibula.  The most common diagnosis would be a high ankle sprain, which causes stretching of the aponeurosis between the tibia and the fibula distally.   This occurs when someone falls and the foot remains dorsiflexed and forced further into dorsiflexion.


  • Ice and rest as needed to reduce swelling.
  • Stabilize the distal tibiofibular joint for most hours of the day with tape or an external support to prevent the two bones from separating.
  • Strengthen muscles around the ankle while the bones are stabilized together.

Note – this is not an official Movement System Syndrome Diagnosis, but I have had good success with this stabilization treatment.


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