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The ankle plays a critical role in the ability of the knee to stay over the foot during functional tasks such as walking, running, and stair climbing.  Under normal conditions the mobility of the ankle allows the leg to move forward over the weight bearing foot.  If this range of motion is limited, the leg...

The role of ankle mobility on injury risk and performance has been previously described in our prior blog posts.  These posts have described the correlation between a lack of mobility at the ankle and knee injuries including patellofemoral knee pain and ACL injury, as well as, ankle sprains and achilles tendonitis.  A lack of ankle...

Ankle sprains remain one of the most common orthopedic injuries seen in both physician and Physical Therapy offices.  The majority of these injuries occur when the foot and ankle roll inward under the shin.  Previously, a program of P.R.I.C.E. (protection, rest, ice, compression, and elevation) was prescribed but new research has shown this strategy may...

In our previous posts, we have described the limitations of orthotics  to correct lower leg alignment and treat foot and leg conditions compared to Physical Therapy exercises.  In addition, long term orthotic users often show atrophy of the foot’s core muscles which leads to further weakness and dysfunction.   Instead of orthotics, an active approach...

In a previous post, we detailed the latest research on the importance of ankle mobility on knee mechanics.  During weight bearing the shin, tibia, must be able to move forward over the fixed ankle and foot.  Without adequate ankle flexibility and shin moved over the foot to the inside placing the knee at risk of...

Foam Rolling is gaining in popularity due to its ability to accelerate recovery, treat sore and painful muscles, and improve flexibility.  Within the leg, ankle stiffness or reduced flexibility is commonly found in the ankle.  This loss of motion prevents the leg bones from properly moving over the foot during walking and running.  These changes in...

The achilles tendon is a strong, durable structure capable of absorbing and producing large loads as we walk, hike, and run.  When the tendon is overloaded without adequate recovery periods this structure is prone to painful and limiting conditions such as achilles tendonitis and tendinopathy.  One of the important risk factors for achilles injury among...

Ankle sprains are one of the most common sports and orthopedic injuries encountered in Physical Therapy.  In previous blog posts we described the effectiveness of Physical Therapy treatments over other treatments including rest, ice, compression, and elevation (R.I.C.E.).  In addition, we have good evidence supporting the use of Physical Therapy clinical testing to determine which...

Ankle sprains are one of the most common orthopedic injuries we see in our Boulder Physical Therapy practice.  These injuries create local pain, swelling, loss of motion, weakness, and balance difficulties.  In past years these injuries were treated with R.I.C.E. (rest, ice, compression, and elevation), but more recent research has demonstrated improved outcomes and faster...

The step down test is an important Physical Therapy test to determine the ability of our athletes to stabilize their lower extremity in single leg stance.  Proper performance of this test requires adequate strength, balance, control, and mobility in the lower extremity.  Often athletes with lower extremity or spinal pain have a significant asymmetry in...