Use when swelling persists more than one week after onset.
Using thumbs, knead into swollen area in a circular motion for 10 seconds, using a moderate pressure, even to moderate discomfort.
Then move to the adjacent spot. Continue until you have worked over the whole area of swelling.
Repeat twice per day
Plantar & Dorsi Flexion Stretching
Alternate this exercise with Inversion-Eversion as next.
Sit with foot resting on heel.
Pull foot up at ankle (PF) until discomfort. Hold 10 seconds.
Point ankle down to discomfort.
Hold 10 seconds.
Repeat 20x every 2 hours.
Inversion /Eversion Stretching
Alternate this exercise with Plantar-Dorsiflexion as previous.
Sit with foot resting on heel.
Twist ankle outward. Hold 10 seconds.
Twist inward.
Hold 10 seconds.
Repeat 20x every 2 hours
Passive Toes
Put foot up on opposite knee.
Hold toe between thumb and index finger, below joint. Move toe down to discomfort, then up to discomfort. Hold each way 10 second.
Repeat 5x every 2 hours, for each affected joint.
Toe tendon Glides
Actively curl toes down to discomfort and then up to discomfort. Hold 10 second.
Repeat 5x every 2 hours.
Mobility & Strengthening
Perform all exercises with mild effort and mild additional pain. For strengthening use a red theraband or thin strip of bicycle tube. Apply the exercise band so it pulls tight from the beginning of the movement.
Alphabets
Hold foot off floor. Draw all letters of the alphabet with whole foot so that ankle proscribes every curve and angle, as well as you can.
Repeat 5x daily.
Continue this until you can draw the alphabet accurately.
DorsiFlexion Strength
Sit with foot resting on heel. Loop band around forefoot and secure in closed door or loop around other foot
Pull foot up at ankle until discomfort or as far as can against band.
Hold 10 seconds.
Repeat 10 times.
Repeat 3 sets per day.
PlantarFlexion Strength
Sit with foot resting on heel. Loop band around ball of foot and hold other end firmly. Point ankle down to discomfort or as far as can against band.
Hold 10 seconds.
Repeat 10 times
Repeat 3 sets per day
Inversion Strength
Anchor band in door and loop around forefoot.
Twist and turn foot inward on band.
Hold 10 seconds.
Repeat 10 times.
Repeat 3 sets daily.
Eversion Strength
Anchor band in door and loop around fore-foot.
Twist foot out and up on band.
Hold 10 seconds.
Repeat 10x.
Repeat 3 sets daily.
EVERY 2 OR 3 DAYS RETURN TO ANKLE FOOT ASSESSMENT TO CHECK ON YOUR IMPROVEMENT, AS BY THE LINK BELOW, AND, AS FUNCTION IMPROVES, FOLLOW THE GUIDE TO ADVANCE YOUR REHABILITATION.