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Sprained Ankle Treatment: Before and After(Massive Improvement in 9 minutes!)

How to Heal a Sprained Ankle FAST!

Almost everyone has experienced a sprained ankle at least once right?

Stiffness, soreness and limited motion lingers for about a week right?

Not always…

This is one such case.

Pain and stiffness was still present 1.5 years later…

How do Sprained Ankles Happen?

This case study is from a clinical seminar that I was teaching in St. Louis. The subject was a Chiropractic Student at Logan college.

He tells the tale of sprinting down the field while playing ultimate frisbee when he attempted to come to a quick stop very quickly. This didn’t quite go as planned.

His ankle was forced into plantar flexion and inversion, which are the motions needed for the typical ankle sprain.

This video below is the mechanism.

Warning!

Not for the faint of heart…

This all occurred 1.5 years ago and he still has limited plantar flexion (pointing toe) and pain in the inside of the ankle.

He was experiencing pain with explosive movements such as running and flutter kicking while swimming.

After the injury he had swelling in the ankle for 2 weeks (normal).

What Treatment did He Receive for his Sprained Ankle? (Prior to our Encounter)

  • He used the typical R.I.C.E protocol during these first two weeks and voodoo flossing band for inflammation.R: Rest I: ICEĀ  C: CompressionĀ  E: Elevation.
  • Chiropractic: Mobilization of foot and ankle joints.
  • Foot Strengthening Drills
  • Isometrics: Contract on hold Exercises.
  • Calf Stretches
  • Manual Therapy to address “tight muscles” in the foot, ankle and calf.

    A patient stretching his calf muscles after an ankle sprain
    Common advise is to stretch calf muscles once acute stage of a ankle sprain.

All of these treatments are great methods and should be involved in a well rounded approach to address a painful swollen ankle!

But his ankle was Still Painful..

So…

What did I do?

Hint: It’s not magic

Treatment of Chronic Ankle Sprains by Restoring Normal Joint Mechanics

Without Getting too Technical…

Normal Running and walking Mechanics Include

  • Inward rotation of the Tibia early (ground contact) and outward rotation during toe off. (can create Plantar Fasciitis and bone spurs)
  • Transfer weight from the outer portion of the foot to to the big toe by push off portion of gate.
  • Ideal transfer from pronation to supination of the subtalar and midtarsal joints.(Pronation isn’t bad)
  • Everything listed above effects the mechanics of the hips, pelvis and back. See how it relates to Low back pain in runners?

In the video I show treatment using principles from Mulligan Joint mobilizations with movement and Fascial Distortion Model to address the faulty joint mechanics listed above. His home exercises were Short Foot/Foot to Core Variation that I learned from podiatrist Emily Splichal.

Interested In Scheduling with Dr. Dean?

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