leg pain athlete therapy

July 20, 2026

Whether you’re training for your first 5K, competing in basketball, playing soccer on the weekends, or skating in an ice hockey league, your feet and legs absorb thousands of impacts every day. While occasional muscle soreness is normal, persistent foot, ankle, or leg pain is often a sign that something isn’t moving or functioning properly.

At Townline Physiotherapy Abbotsford, I frequently see athletes who continue playing through pain until it begins affecting their performance, speed, and confidence. The good news is that early assessment and targeted physiotherapy can often help reduce pain, improve movement, and lower the risk of future injuries.

In this blog, I’ll share some common causes of sports-related foot and leg pain, when you should seek treatment, and how physiotherapy—including dry needling, cold laser therapy, taping, therapeutic massage, stretching, and exercise rehabilitation—can support recovery.

— Jimmy, Physiotherapist at Townline Physiotherapy Abbotsford

Why Do Athletes Develop Foot, Ankle and Leg Pain?

Running and court or field sports place repeated stress on your muscles, tendons, ligaments, joints, and bones. Every step generates forces that travel through your:
  • Foot
  • Ankle
  • Achilles tendon
  • Calf muscles
  • Knee
  • Hip
  • Lower back
If one area isn’t functioning efficiently, another area often compensates, increasing the risk of injury.

Common Causes of Foot and Leg Pain

Running Injuries

Runners commonly develop injuries due to:
  • Rapid increases in training
  • Worn-out running shoes
  • Poor running mechanics
  • Weak hip muscles
  • Tight calf muscles
  • Inadequate recovery
  • Overtraining
Common running injuries include:
  • Plantar fasciitis
  • Achilles tendinopathy
  • Shin splints
  • Calf strains
  • Stress reactions
  • Patellofemoral pain syndrome

Basketball Injuries

Basketball involves repeated jumping, sprinting, and quick changes of direction. Common injuries include:
  • Lateral ankle sprains
  • Achilles tendon injuries
  • Knee pain
  • Calf strains
  • Plantar fasciitis
  • Patellar tendinopathy
  • Foot sprains

Soccer Injuries

Soccer players place significant demands on the lower limbs through sprinting, kicking, and pivoting. Common conditions include:

Ice Hockey Injuries

The skating position places unique stress on the hips, groin, knees, ankles, and feet. Common hockey injuries include:
  • Groin strains
  • Hip flexor injuries
  • Achilles tightness
  • Foot pain
  • Ankle sprains
  • Calf strains
  • Overuse injuries from repetitive skating

Common Symptoms

You should consider a physiotherapy assessment if you experience:
  • Heel pain
  • Pain under the foot
  • Arch pain
  • Achilles pain
  • Calf tightness
  • Ankle swelling
  • Recurrent ankle sprains
  • Pain while running
  • Pain during jumping
  • Stiffness in the morning
  • Difficulty pushing off while walking or running
  • Pain that returns every time you play sports

Differential Diagnosis

Not every athlete has the same diagnosis. A thorough physiotherapy assessment helps determine the true source of your pain. Possible causes include:
  • Plantar Fasciitis
  • Achilles Tendinopathy
  • Shin Splints (Medial Tibial Stress Syndrome)
  • Stress Fractures
  • Peroneal Tendinopathy
  • Posterior Tibial Tendon Dysfunction
  • Ankle Ligament Sprains
  • Calf Muscle Strains
  • Patellar Tendinopathy
  • Meniscus Injuries
  • Hip Muscle Weakness
  • Sciatica
  • Nerve Entrapment
Accurate diagnosis ensures the right treatment and a safe return to sport.

Physio Jimmy’s Treatment Approach

At Townline Physiotherapy Abbotsford, every athlete receives an individualized treatment plan based on the underlying cause of their pain—not just the symptoms.

Comprehensive Biomechanical Assessment

We assess:
  • Walking and running mechanics
  • Foot posture
  • Ankle mobility
  • Hip strength
  • Knee alignment
  • Balance
  • Flexibility
  • Sport-specific movement patterns
This helps identify factors contributing to your injury.

Sports Massage & Foot Massage

Manual therapy and foot massage can be helpful for athletes with muscle tightness and overuse injuries. Benefits may include:
  • Reduced muscle tension
  • Improved circulation
  • Better tissue mobility
  • Relief of plantar fascia tightness
  • Faster recovery after training
  • Improved flexibility
Massage is most effective when combined with strengthening and mobility exercises rather than used as a standalone treatment.

Cold Laser Therapy

Cold laser therapy (Low-Level Laser Therapy) may help reduce pain and support tissue healing. Potential benefits include:
  • Reduced inflammation
  • Improved circulation
  • Enhanced tissue repair
  • Pain relief
  • Drug-free treatment option
It may be beneficial for conditions such as Achilles tendinopathy, plantar fasciitis, muscle strains, and ligament injuries.

Dry Needling

Dry needling targets painful trigger points and tight muscles that may contribute to altered movement patterns. It may help:
  • Reduce muscle tension
  • Improve flexibility
  • Restore normal movement
  • Relieve pain
  • Improve athletic performance during rehabilitation

Athletic Taping

Athletic taping or kinesiology taping may be recommended to:
  • Support injured tissues
  • Improve movement awareness
  • Reduce stress on healing structures
  • Assist return to activity
  • Improve confidence during sport participation
Taping should complement—not replace—an active rehabilitation program.

Stretching & Strengthening Exercises

Exercise remains one of the most important parts of recovery. Depending on your diagnosis, your physiotherapist may prescribe:
  • Calf stretches
  • Plantar fascia stretching
  • Hamstring stretches
  • Hip mobility exercises
  • Glute strengthening
  • Single-leg balance exercises
  • Foot intrinsic muscle strengthening
  • Achilles loading exercises
  • Plyometric progression
  • Running retraining
Your program will be progressed based on your sport, goals, and stage of healing.

Physio Jimmy’s Tips for Injury Prevention

  • Increase training gradually.
  • Warm up before sports.
  • Replace worn-out athletic shoes.
  • Strengthen your hips and core.
  • Stretch your calves regularly.
  • Recover properly between training sessions.
  • Don’t ignore persistent pain.
  • Seek assessment early to prevent minor issues from becoming chronic.

Why Choose Townline Physiotherapy Abbotsford?

Whether you’re a recreational athlete or competitive player, our team is committed to helping you recover and perform at your best. We offer:
  • Comprehensive sports physiotherapy assessments
  • One-on-one treatment sessions
  • Running injury rehabilitation
  • Basketball injury rehabilitation
  • Soccer injury rehabilitation
  • Ice hockey injury rehabilitation
  • Dry needling
  • Cold laser therapy
  • Athletic taping
  • Manual therapy
  • Sports massage
  • Exercise rehabilitation
  • ICBC and WorkSafeBC physiotherapy
  • Direct billing to most insurance providers

Frequently Asked Questions

Why do my feet hurt after running?
Foot pain after running may result from plantar fasciitis, Achilles tendinopathy, stress injuries, poor footwear, muscle tightness, or changes in training volume. A physiotherapy assessment can identify the underlying cause.
Is physiotherapy helpful for sports injuries?
Yes. Physiotherapy aims to identify the source of the injury, improve movement, reduce pain, restore strength, and guide a safe return to sport.
Does dry needling help plantar fasciitis?
Dry needling may help reduce muscle tightness in the calf and foot and improve movement in some patients. It is typically combined with stretching, strengthening exercises, and load management.
Can cold laser therapy help tendon injuries?
Cold laser therapy may help reduce pain and inflammation and support tissue healing when used as part of a comprehensive rehabilitation program.
Should I continue playing sports if my ankle hurts?
Playing through pain may increase the risk of further injury. If pain changes your running, jumping, or skating mechanics, it is advisable to have the injury assessed before returning to full activity.
Are stretching exercises enough to treat foot pain?
Stretching can be beneficial, but most sports injuries also require strengthening, balance training, movement correction, and gradual return-to-sport exercises for optimal recovery.

Book Your Sports Physiotherapy Assessment

If you’re experiencing foot pain, ankle pain, heel pain, Achilles pain, calf pain, or leg pain while running, playing basketball, soccer, or ice hockey, early treatment can help you recover more efficiently and reduce the risk of recurrent injuries.

At Townline Physiotherapy Abbotsford, Jimmy and the team provide personalized sports rehabilitation using dry needling, cold laser therapy, athletic taping, sports massage, manual therapy, and evidence-based exercise programs to help you return to the activities you enjoy.

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