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Anterior Ankle Replacement Case Study

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Anterior Ankle Replacement Case Study
Anterior Ankle Impingement With Rehab

Anterior ankle impingement is a condition that causes pain and swelling in the front of the ankle.
CAUSES

This condition may be caused by:

Soft tissue getting caught between the shinbone (tibia) and the top ankle bone (talus).

Extra bone (bone spur) on the tibia or talus.

This condition can develop due to:

Repeated and forceful movement of your foot upward toward your shin.

Repeated hits to the front of your ankle, such as from a soccer ball.

Damage to the tough bands of tissue that connect bones together (ligaments).

RISK FACTORS

This condition is more likely to develop in:

People who sprain their ankle often.

Athletes who take part in certain sports, including:
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These exercises also help to relieve pain and stiffness.

Exercise A: Ankle Alphabet

Sit with your left / right lower leg supported. Make sure your foot has room to move freely.

Move your left / right foot to trace each letter of the alphabet in the air. Keep your hip and knee still. Make the letters as large as you can without feeling discomfort.

Repeat __________ times. Complete this exercise __________ times per day.

STRENGTHENING EXERCISES

These exercises build strength and endurance in your ankle. Endurance is the ability to use your muscles for a long time, even after they get tired.

Exercise B: Plantar-flexors, Eccentric

Stand on the edge of a step on the balls of your feet, and rest your hands on a rail for balance.

If told by your health care provider, put on a backpack to add weight.

Push up onto your toes.

Slowly shift your weight to your left / right foot.

Pick up your other foot.

Slowly lower your weight through your left / right foot so that your heel drops below the level of the step. Stop the motion early if this causes any pain at the front of your
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Slowly return to the starting position.

Repeat __________ times. Complete this exercise __________ times per day.

BALANCE EXERCISES

These exercises improve or maintain your balance. Balance is important in improving ankle stability and preventing falls.

Exercise D: Single-Leg Stand

Without shoes, stand near a railing or in a doorframe you can hold on to if you need to.

Stand on your right/ left foot. Keep your big toe down on the floor and try to keep your arch lifted. If this is too easy, you can stand with your eyes closed or on a pillow.

Hold this position for ____ seconds.

Repeat __________ times. Complete this exercise __________ times per day.

Exercise E: Inversion/Eversion 1

You will need a balance board for this exercise. Ask your health care provider where you can get a balance board or how you can make one.

Stand on a non-carpeted surface near a countertop or wall.

Step onto the balance board so that your feet are hip-width apart.

Using only your feet and ankles, tip the board from side to side as far as you can. If you are able to reach the ground, silently tap it. Do not let the board forcefully hit the ground. Keep your feet in place and your upper body and hips

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