Why so many gymnasts have ankle pain (especially when tumbling or landing)

Here's a recent conversation I had with one of my gymnastic's parents. The parent said, "We might be coming to see you. My daughter is having ankle pain when she tumbles and lands. We are hoping this will just "go away" but it doesn't seem to getting better."

In gymnastics this is called Impact-Based Ankle Pain and its a common problem that, left untreated, can cause damage to the ankle joint and surrounding structures over time. Untreated, ankle pain can lead to more serious injuries like stress fractures, ankle sprains, and Achilles problems. 

Why do so many gymnasts have this nagging ankle pain? There are multiple answers....

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