Ankle Impingement and Limited ROM

[ash422]

Movement of Ankle is fine. Initially there was clicking and pain, but that has subsided considerably.

On occasion, there is a dull pain between tibia/talus...especially when active or walking. Yesterday I was not even active, and bottom of tibia and fibula area was painful.

On dorsiflexion, I am not able to pull my toes up fully. There is a difference of 5 or 10 degrees comparing to right foot.

[kosh]

Hi
I have a client with similar problem. Try 2 things: 1st , if you or ask someone to stabilize your distal Tib-Fib jt , anteriorly and then try gently bring your calcaneus anteriorly (basically P>A, AS IF YOU ARE DOING ANT DRAWER Test) during that you can either do some active Dorsifexion or ask the 2nd person to do it passively for you.
2nd. Try or ask someone , to create some compression between distal Fibula and Tibia (Interosseous lig. instab.) and during that, again Passive or active Dorsiflexion.
Be very gentle and careful with all above.
Let me know how it goes

[ash422]

Tried the procedure:
There is no pain in ANT Draw Test. When I attempt dorsi-flexion during the exercise (active + passive), there is an obstruction and I cannot pull as far back as uninjured ankle.

I felt some discomfort walking next day.

I will persist with the exercise daily. In your experience, what time frame would you expect an improvement in range of motion typically?