A MMT Blog reader recently asked if he could/should mobilize a patient with history of ankle sprain and suspected possible ligament tear. In the least, the patient is lax. The patient has pain with end range plantarflexion and dorsiflexion, and that is the key to answering this in general. The answer to this would be the same for mobilizing or performing any manual therapy on a hypermobile patient. You aren't changing tissues, you are providing input. Just because someone is hypermobile doesn't mean they couldn't use a little novel input via TLC/manual therapy.
Should/Could I Mobilize a Lax Ankle?
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Keeping it Eclectic...