Cricket is a multi-directional sport involving running, sudden direction changes, jumping and repetitive landing, which places stress on the foot and ankle. Fast bowlers are particularly susceptible to injury due to repetitive front foot landing in the bowling action. Understanding the epidemiology of foot and ankle injuries in cricket is crucial for developing targeted prevention and management to mitigate the impact on player health and performance. A comprehensive clinical assessment of the foot and ankle in cricketers should incorporate an understanding of the biomechanical demands of their skills, detailed injury history, functional testing, including ankle range of motion, and appropriate imaging where indicated. Proper footwear is critical to injury prevention in fast bowlers and requires understanding the individual player’s biomechanics. Custom modifications can offer comfort and support but may also alter biomechanical forces. Lateral ankle ligament injuries are the most common injury to the region. Persistent instability can subsequently predispose to other injuries. The forefoot is critical to landing and propulsion movements required in various aspects of cricket. Injuries to this region can be debilitating. Stress injuries commonly affect the lower limb, and the principles of load management should again be adhered to.