CPH: Post PRP Tibiotalar Joint: Phase 1 (2-13-18)

  • This week the focus will be on adding one movement  at a time to assess your body’s response to activating distinct muscle groups
  • This week is meant to be easy and is meant as more of a test to identify missing links in the system and your ability to isolate activation of specific muscle groups
  • Contact me after doing a movement for 2 days and give me any feedback in regards to how your body tolerated the movement
  • You should stop each movement when you have either reached the max rep/time, at onset of pain, or if you start to develop moderate fatigue
  • If you get to a movement that is painful during the exercise or you have significant pain the following day, hold on that movement in the next circuit progression
  • Goals: Assess your ability to isolate specific muscle groups
    • isolate hamstring and glute activation
    • assess your ability to activate your calf without significant tendon pain
    • DON’T OVER STRETCH….do not hold static stretches
  • Movement 1:
    • 28.1) Seated Ankle Dorsiflexion and Plantarflexion VIDEO
      • Gentle self ankle mobilization
      • If there is any pain, stop short of it
      • This can be done lightly and frequently throughout the day
      • At the end of the video I discuss an easier option of light motion in a controlled range
      • If there is any increase in soreness ice after
      • I want you to try and do this slowly 5-15x 3x/day
      • Start with the description at the end of the video where you slide your foot without pumping up and down
  • Movement 2:
    • 120.3) Strap Gastroc Stretch and Isometrics VIDEO
      • Focus the first time or just doing the light self stretch for the first day
      • If that feels fine, progress to holding the static stretch for 3-5 sec 5-15x (Day 2)
      • If that feels fine, try the isometric in addition to the the stretch above (Day 3)
      • This can also be done multiple times per day (3x/day)
      • Contact me on Day 4 which should be (2-19-18)
  • Movement 3:
    • 45.1) Self Ankle Inversion with Self Arch Mobilization VIDEO
      • Self ankle mobilization to continue to help reduce some of the stiffness around your ankle and other aspects of the foot
      • If this position is awkward for you to get into, let me know and I will give you an alternate
      • Try to move you foot lightly in and out of the movements described and well short of pain
      • i have many patients that like to do this one throughout the day and they report it helps with stiffness
      • Try for 5-10 of each position
      • Do this for 2 days and touch base with me on 2-22 or 2-23