Therapeutic goals
Reduction of lateral ankle pain and inflammatory processes.
Improved ankle mobility.
Strengthening of the peroneal tendons and the lateral ankle stabilisers.
Improved lateral ankle stability.
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 lateral compartment of the leg. Soft-tissue mobilisation of the peroneal tendons.
Ankle joint mobilisation (talocrural and subtalar). Stretching of the triceps surae. Stretching of the tibialis posterior if needed. Overall ankle mobility work.
Progressive strengthening of the stabilising muscles: peroneals (longus and brevis), tibialis posterior, tibialis anterior, triceps surae and intrinsic muscles. Eccentric work of the peroneals, controlling inversion.
Single-leg balance exercises. Work on wobble boards, balance cushions or a balance board. Lateral ankle stability work during functional movements.
Gradual retraining for walking, then running. Work on foot-contact control and stability during changes of direction. Advice on load adjustment.
Exercise programme
- Foot eversion against a resistance band (peroneals)
- Controlled foot inversion with a resistance band
- Calf raises on both legs, then on one leg
- Walking on tiptoe
- Single-leg balance exercises
- Eccentric work of the peroneals
- Short foot exercise
Protocol details
Injury related to this protocol
Ce protocole de rééducation est spécifiquement conçu pour la prise en charge de peroneal (fibularis) tendinopathy.
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