Physical activity is becoming an increasingly popular lifestyle choice as people are encouraged to make healthier choices. Extreme sports, such as running marathons, have become mainstream, resulting in a higher incidence of training injuries that stem from individuals with previously low levels of activity prepping for high-intensity workouts. Primary health care providers must diagnose and manage many common lower extremity injuries and refer severe injuries to specialists. This article will focus on the evaluation, diagnosis, and management of 4 common foot and ankle injuries.