Top 5 Fridays! 5 Easy Ankle Resets | Modern Manual Therapy Blog

Top 5 Fridays! 5 Easy Ankle Resets


Ankle dorsiflexion is often limited, but luckily easily reset if the main motion loss not multiplanar. Here are 5 of my favorite ways to show patients how to rapidly gain ankle mobility.

1) Repeated Ankle Plantarflexion
  • since most have a loss of dorsiflexion, a novel movement which gets to end range is plantarflexion and inversion
  • check this video here for an easy demo

2) Repeated Great Toe Flexion
  • often, the loss of ankle dorsiflexion is accompanied by excessive forefoot eversion leading to the "too many toes" sign when viewed from behind
  • if there is a loss of great toe extension, the novel direction for reset to get to end range is repeated great toe flexion
  • if it is painful, try rotating the great toe medially or laterally to make it pain free during the flexion
  • video here

3) Tibial IR Functional Mobilization
  • the above "too many toes" sign leads to excessive tibial ER, which then feeds into the knee valgus you see in closed chain activities
  • to promote both knee flexion and ankle dorsiflexion in closed chain, restoring tibial IR is paramount
  • the quick assessment is here
  • video here

4) Repeated Tibiotalar lateral glide
  • thanks to Chris Johnson for the assessment/idea
  • the chain of events of forefoot eversion, loss of great toe mobility in extension, tibial IR loss add up to the tibia taking the path of least resistance
  • when the tibia moves medially relative to the forefoot the talocrural joint often loses tibial lateral glide
  • here is an easy reset I developed based on Chris Johnson's assessment and mobilization for this

5) Sciatic Neurodynamic/posterior chain mobility
  • making sure you have enough mobility in your posterior chain also helps or in other words lower limb neurodynamic mobility
  • here are videos on the my favorite ways to improve this here (treatment) and here (reset)

You do not have to try all of these, one may be enough. These are my favorites to improve this often limited, but easily regained motion.

Keeping it Eclectic....


6 comments:

  1. Dr E. These daily emails from both the manualtherapist and the physio answers have generally good to great info, but you're emailing too often :( Make it a weekly update that you send once a week to links to all the articles. The daily emails are too frequent.

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  2. It's because I blog daily! I'll reduce the mailings to weekly thanks

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  3. no way!!!...keep 'em coming daily Dr E. they are the perfect way to fill a few minutes of downtime at work each day.

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  4. I'll still post daily, but the email updates will come weekly. Don't worry!

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  5. I like that version of the Hip corkscrew. I saw Brian Mulligan perform a similar mob, but without the active component. Good stuff!

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  6. Thanks! There are many ways to skin a cat. Look for an upcoming video to show how to enhance it with an EDGE Mobility Band.

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