Ankle Sprains Part 2 – Assessing talus misalignment, what happens now?
So you’ve sprained your ankle and your talus needs some alignment. Getting this right before any other sort of rehab can occur is key and I do this by static (ankle is still) and motion palpation (a diagnostic technique used in chiropractic to assess joint dysfunction). I don’t move on from until we know that the ankle is clear of fractures or any other instability issues. No one, not even I, want to be messing with broken bones!
The lateral (side) ligaments around the ankle also need to be assessed by having the ankle move into plantar flexion (think ‘planting your foot down’, so pointing the toes down), and dorsiflexion (the opposite to plantar, pointing the toes up towards the face). The medial (inner) ligaments are checked by eversion of the foot, meaning turning the sole of the foot away from the middle of your body. Just by feeling, I can then tell if there is any ligament damage.
Lastly, by using motion palpation, I can tell at which point rehabilitation (manipulations/adjustments) can start. If you have any questions about this treatment, please feel free to leave a comment below and I’ll get back to you shortly!
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