Problematic Ankle

[physiobob]

Thanks for all the nicely laid out presentation. Seems you are on the right track. I would not necessarily say she has a chronic sprain but maybe just another acute one given her lack of proprioceptive retaining in the past. This is typical of people in the dance arena (I look after a classical co. in London).

Anyway you might find that anterior and posterior glides of the talocrural (ankle) joint in various dorsiflexion ranges might assist the dorsiflexion. Make not on an AP of the tibia on the talus for any reflexive activity in the calf/achilles as this will indicate that this is slight more irritable and is adding to the reduced DF and possible anterior joint line impingment.

Best of luck but you are right on track

She just needs to understand some of the reasons why she reinjured and this time perhaps a little worse.

[linbin]

hi friend
i feel you should also check for the mobility of inferior tibiofibular joint.check the pain response with these movements,try out giving superior gliding of distal fibula.rule out sinus tarsi,release the trigger points.anterior ankle pain if present with dorsiflexion reflects reduced mobility of ankle joint