Therapeutic goals
Reduction of pain and inflammation.
Full recovery of ankle joint mobility.
Strengthening of the lateral stabilising ligaments and muscles.
Improved proprioception and neuromuscular control.
Prevention of recurrence and a gradual return to sporting activities.
Techniques used
Pain-relieving physical therapy as indicated (cryotherapy, electrotherapy). Massage therapy and myofascial release of the lateral compartment of the ankle and the triceps surae. Gentle mobilisation of the talocrural and subtalar joints.
Passive and active ankle mobilisation to restore dorsiflexion, plantar flexion, inversion and eversion. Stretching of the triceps surae, tibialis anterior and peroneals.
Progressive strengthening of the stabilising muscles: peroneals, tibialis anterior and posterior, triceps surae and the intrinsic foot muscles. Eccentric work of the peroneals for lateral stabilisation.
Single-leg and double-leg balance exercises. Work on an unstable platform, a balance cushion or a wobble board. Control of the ankle and of hip-knee-foot alignment during functional movements.
Gradual reconditioning, first to walking and then to running. Work on foot-contact control and lateral stability. Education on load management and preventing recurrence.
Exercise programme
- Foot eversion and inversion against a resistance band
- Dorsiflexion and plantar flexion with a resistance band
- Calf raises on both legs, then on one leg
- Walking on the heels and on tiptoe
- Single-leg balance exercises on a stable, then unstable surface
- Short foot exercise
- Eccentric work of the peroneals for lateral stabilisation
Protocol details
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