The case in the video was a severe ankle inversion sprain on the left and moderate on the right. The patient is a high-level gymnast who injured herself tumbling during a floor routine.
The video below was taken almost a week after the sprain. She had significantly decreased mobility with pain in all planes. Normally I would try a posterior glide to the lateral malleolus and ankle inversion/plantarflexion, which has worked on her in the past with great results. This time, that was too painful as was lateral malleolus contact.
Instead, I tried slacking the irritated skin and ligaments while gradually moving the forefoot/ankle into dorsiflexion and eversion. This was pain-free and after working my way to end range, her active/passive non-weight bearing range was much better and her gait was nearly pain-free. This got her started with loading and was easily replicated for an hourly home exercise program to modulate pain.
from Beauty Salon, Spa, Massage https://themtdc.com/a-novel-mobilization-for-acute-ankle-inversion-sprains/
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