Health and Performance Made Ridiculously Simple
Let’s navigate through compensations seen not just the ankle, but up the chain! Do you have ankle problems? Done a bunch of wall ankle stretches to no avail? Perhaps you have to look elsewhere. Namely, how ankle restrictions link up through the rest of the body. How are ankle limitations commonly seen manifested through common compensatory strategies? That’s what we dive into in today’s post. Check out Movement Debrief Episode 155 below to learn more.
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Ankle sprains are such a bugger and take some time to heal. But once you’ve let swelling and such run it’s course, when is it safe to run? We answer that in the video below. Here, you’ll learn my criteria and progression that I look for when having someone safely return to running. Watch and learn! Ankle sprain red flags The first thing you have to do after an ankle sprain is make sure you don’t have a fracture. There are these rules to follow called Ottawa Ankle Rules, which are a cluster of findings that would indicate getting some imaging done. These findings include: Inability to weight bear Pain within the viscinity of either malleolus If you have these findings, you most definitely need to get some imaging. Do not pass go, do not collect $200. But if you do not have these findings, move along to the next part 🙂 Returning back to running after an ankle sprain Running is merely a series of bounds (jumping from one leg to the other) for an extended period of time, so after an acute ankle sprain, we have to make sure components leading up to this go okay without any issues. To determine the course of action for this return, we can start from the most fundamental actions of the bound, then build our way up. The steps below are the progression that I use. You want to make sure that you have minimal increases in pain/swelling before moving onto
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Movement Debrief Episode 78 is in the books. Below is a copy of the video for your viewing pleasure, and audio if you can’t stand looking at me. Here is the set list: What things should we consider with someone who gets anterior ankle pinching on movements? How does the ventral cavity impact the ankle? Are there any local things to do at the ankle? If I want to improve thoracic extension, do I need to address the ribs or the thoracic spine first? How can sinus issues affect movement variance? Should I get a deviated septum surgery? When is a surgical procedure like this warranted?
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Let me guess, you are devastated you missed last night’s Movement Debrief. You should be. It was by far the most interactive debrief we had yet. Loved how active everyone was, and definitely some people help me get better. Kudos to Steve, Jo, Yonnie-Pooh, and the many others who commented on today’s Debrief. Here’s what we talked about: How the stress response impacts many areas Treatment hierarchies How to restore sensation loss post-surgery Functional Medicine Why taking care of your health helps others If you want to watch these live, add me on Facebook, Instagram, or Twitter. (occasionally) They air every Wednesday at 8:30pm CST. Enjoy. Stress Response Proximal First Sensation Loss Your Health
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A Humdinger No Doubt Ankle sprains. Such a bugger to deal with. Ankle sprains are one of the most common injuries seen in basketball. The cutting, jumping, contact, fatigue, and poor footwear certainly don’t help matters. Damn near almost every game someone tweaks an ankle. Treating ankle sprains in-game provides quite a different perspective. Rarely in the clinic do we work with someone immediately post-injury. Instead, we deal with the cumulative effects of delayed treatment: acquired impairments, altered movement strategies, and reduced fitness. The pressure is lower and the pace is slower. You shed that mindset with the game on the line. You must do all in your power to get that player back on the court tonight, expediting the return process to the nth degree. I had a problem. Figuring out the most efficient way to treat an ankle sprain was needed to help our team succeed. I searched the literature, therapeutic outskirts, and tinkered in order to devise an effective protocol. The result? We had 12 ankle sprains this past season. After performing the protocol, eight were able to return and finish out the game. Out of the remaining four, three returned to full play in two days. The last guy? He was released two days after his last game. It’s a tough business. The best part was we had no re-sprains. An impressive feat considering the 80% recurrence rate¹. Caveats aside, treating acute injuries with an aggressive mindset can be immensely effective. Here’s how.
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