Therapeutic goals
Reduction of posterior ankle pain and inflammatory processes.
Improved ankle joint mobility.
Reduction of stress in plantar flexion.
Strengthening of the ankle stabilising muscles.
Improved neuromuscular control and proprioception.
Prevention of recurrence and a gradual return to sporting activities.
Techniques used
Pain-relieving physical therapy as indicated. Massage therapy and myofascial release of the posterior compartment of the leg. Release of the triceps surae and the periarticular tissues.
Ankle joint mobilisation (talocrural and subtalar). Overall mobility work, avoiding excessive stress in plantar flexion in the initial phase. Progressive stretching of the triceps surae and the posterior chain.
Progressive strengthening of the stabilising muscles: tibialis posterior, peroneals, tibialis anterior, triceps surae and the intrinsic foot muscles.
Single-leg balance exercises. Work on wobble boards, balance cushions or a balance board. Dynamic ankle stability exercises.
Gradual retraining for walking, then running, according to tolerance. Work on foot-contact control and stability during dynamic activities. Advice on load adjustment and prevention.
Exercise programme
- Ankle dorsiflexion against elastic band resistance
- Foot inversion and eversion with an elastic band
- Double-leg, then single-leg heel raises (progressive)
- Eccentric triceps surae work
- Controlled squat with ankle mobility work
- Step-up / step-down for functional work
Protocol details
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