How to increase ankle range of movement after surgery | Feat. Tim Keeley | No.14 | Physio REHAB

#anklesurgery #anklerehab #anklemobilization #anklefracture
Watch how Principal Physiotherapist Tim Keeley demonstrates how assisted joint mobilization with a seatbelt and towel in weight-bearing standing helps increase dorsi-flexion in a patient's ankle post-surgery / fracture.
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[@danjambowman]

I wish my physio had been like this after my ankle break. All mine did was show me how good she was at dorsiflexion and said even my good ankle was crap. Good video!

[@physiorehab]

Shame! Hope it got better?

[@danjambowman]

With no real physio - yes it still got a lot better, but it took years. It would have saved me a lot of time and pain.

[@shademaker5847]

​@@danjambowmanHello mate quick question if you've got time my ankle is exactly like this woman's with reduced movement and my heel lifting when I bend my knee forward... It's been 10 years since the break and like your experience the physio I had was shit.. what's my options to get that little bit of movement back? Cheers

[@danjambowman]

@@shademaker5847 Hello there - sorry to hear you obviously had a particularly bad break. To be fair, my range of motion in my bad ankle is not that far off my good ankle and it sounds like you have bigger issues than I do. In my case, I think calcification of the joint and all the the scar tissue created during the healing process is the issue and I don't think I can change that. I then got tendinopathy in both achilles as well as a bad knee and hip on the other side. For me, regular eccentric heel drops really helped my ankle and sorted out the tendinopathy. Spilt squats sorted out the knee and pilates sorted out the hips. I tried banded mobilisation of the ankle joint but that made it worse and I got pain and instability. I definitely always got better results from progressive overload over time. Some simple exercise that challenges all the tissues surrounding the joint that you can make progressively harder the stronger you get.

[@Amanda57563]

I am 3 weeks post op and start physio in another 3 weeks. I'm so excited to get started. But also, I was worried about how tight my ankle feels in that same place. Good to know that it's common!!! ❤

[@nanomeow]

Hi I am out of my cast now from a trimal fracture. I gotta say, it's weird. I haven't tried to put weight on it yet. I miss the comfort of the cast (as weird as that sounds). I just feel vulnerable

[@akhilak623]

Hi... I'm also 3 week post op. My ankle is not flexible as the other one.. How's your progress going on?

[@IsaLevens]

2 weeks post op here. I found my people 😂 Been sitting at home with my leg propped up long enough to start worrying about never getting back my ankle mobility. Nice to be reminded that stiffness is to be expected.

[@2wheels1guy25]

I am 10days post op. I can’t wait for physio to start!🦿

[@2wheels1guy25]

@@nanomeowthis is my third time breaking my ankle, first time I was also very afraid to put weight on it. Resulting in my recovery taking waaaaay to long. Just listen to your doc/physio. If they say your leg is ready to have some weight on just GRADUALLY do so. The sooner you start the sooner you fully recover.🎉

[@AmbulatoryFungus]

This is the point in my recovery thats really holding me up

[@awktober_7147]

I’m terrified of this lol🙃 have to go to physical therapy after ankle ORIF and I’m so scared of how much it’ll hurt

[@physiorehab]

It will actually probably make it hurt less :)

[@jerrys8747]

Yeah me too

[@SherylLynn333]

I just went through PT for and ORIF after breaking 3 bones in my ankle. And I had no pain.

[@gabrielcastle88]

​@@SherylLynn333did you start your pt right after cast removal?

[@SherylLynn333]

@@gabrielcastle88 I started my PT approximately 6 weeks after surgery while still in the boot.

[@nickantoniewicz8658]

hate doing this... The tightness sucks and if you accidentally over do it,your gonna feel that pop n a bit of pain but it's all good cause it's loosening it.. 3 weeks after surgery on my ankle and doing home therapy..drs never gave me a plan to recover..so I'm using youtub3 yet again

[@chiefjoseph3076]

That assisted mobilization looks like it feels amazing. Are there any unassisted methods that you can refer or do a video of?

[@physiorehab]

Sure - have a look here in the first section www.physiorehab.com/exercise-library-calf-ankle-foot

[@josiewilliams473]

This is great. I had Tri Maleolar surgery about 14 months ago and still don’t t have full range of motion. I wish my therapist would have done this with me. Is there some stretches you would recommend that I could do by myself without assistance

[@hischosen1409]

Thank you!

[@susanmiller9317]

What do you do if that kind of pushing past your range causes great pain and swelling?

[@physiorehab]

Perhaps back off if it's causing pain and swelling..

[@DigitalJeremy]

I have this, as well. Pushing against the resistance (dorsi flexion or plantar flexion) = sprain. Cannot figure out how to get any ROM back. Really demotivating after 6 months.

[@lazycarper7925]

@@DigitalJeremy did you do it , im the same

[@TheSuperBoyProject]

@@lazycarper7925 yes, I did. You need to stop being a pssy and just keep pushing.

[@stacyeandrew2]

Mine has sever pain I absolutely CANNOT do this😭

[@DigitalJeremy]

After having had surgery for a Weber B fracture, just watching this makes my ankle scream in pain. I have extremely limited range of motion and cannot figure out how to get it back. Rehab = sprains no matter how many times I tell them "I can't move that way"

[@justinjoseph129]

Sir, how has your rehab been. I am in rehab now and its pain, pain and then more pain plus swelling.

[@sarahbellum23]

Same

[@kthewhite7453]

Same here. I'm only 8 weeks post-op from a Trimalleolar fracture with dislocation and sydesmosis ligament rupture, but watching this made me cringe. Hopefully I'm able to get to her level of pain free one day.

[@user-wb2yv7ll9d]

@@justinjoseph129 Has everything improved?

[@user-wb2yv7ll9d]

@@yolandamason7093 Has everything improved?

[@tropicvibes]

I broke my ankle going into HS, 16 years ago. I had no PT after removing my cast. Is it to late to rehab the tightness?

[@thoms1986]

Black Rice never too late. Start doing quality training and you will benefit from them.

[@TheKrazyKurtShow]

I’m in exactly in the same position it’s been a year since I’m. Out my cast but was too poor to afford pt. This excersize is exactly what I needed

[@bbqsauce2865]

Do u feel any pain till this day? Or is it just the limit of range of motion?

[@169hellokitty]

I went to the gym 18 months after surgery after many months of physical therapy and it helped my ankle range 80 percent more but I went the next 3 years no gym it’s back to beeping stiff again so I’m going back to the gym and every day exercise it’s gonna hurt

[@alokranjan6542]

Respected sir🙏 I got accident on 1st march 2018 and my ankle opened, my my all tendon cut which helps to move finger...I got plastic surgery...till now my ankle not moving properly...it might be 15 degree move up and down....can i recover if i do hard exercise..one bone also broken that time... Doctors put external fixtor....In side my ankle there is no scroo and plate....

[@physiorehab]

Hard to say without seeing you of course , but You have to try!

[@priyarina7703]

Hi, I didn’t my ankle scope last year july. My ankle sometimes pain & whenever I wear shoe I feel tight. What can be the causes?

[@physiorehab]

Perhaps work on mobility and stability

[@Gaia5779]

i had an operation after i had partial achilles tendon tear 2 month before now i can't move my ankle fully is this exercise gonna help me .

[@thoms1986]

Sonam Negi no only do this with a specialist. Ask for a list of excersizes you can do on your own.

[@collinliew5850]

Towards the end of the video, you mentioned it's a good thing she was not having too much pain, is it normal to feel the pain? My ankle is stiff and when I stretch or put pressure , it feels tight and a little pain

[@physiorehab]

If it’s not much pain then it’s easier for sure. A little bit of pain can be normal but the idea is to have less pain over to from the stretching

[@slschouest00]

I broke my ankle 2 years ago and haven’t been able to walk in heels since. Will this help?

[@physiorehab]

Perhaps but you maybe have to work on plantar flexion not the dorsiexion

[@StrikingScorpion82]

I have exactly the same issue as the girl in the video. My injury identicle. Just to confirm...are you pulling at the talus or trying to push it in as she flexes forwards? Really appreciate any reply☺

[@physiorehab]

StrikingScorpion82 push it as she dorsiflexes

[@StrikingScorpion82]

@@physiorehab Ok thanks a lot. I think this is the problem. I can stretch and bend without much pain, just feel a block not letting go further right where that talus bone is. Thanks a lot

[@manoyou5364]

@@physiorehab can I use muscle stimulator in this situation?? I have exactly same problem.

[@patrickmanayao2280]

Update sir hows the ankle exercise cause i have same case

[@timmckinnon3325]

I had a car accident and had a fracture to my left talus and complete removal of my right talus. I had fusion of my right ankle. I'm currently seeing an out patient physical therapy. I'm wondering if there is a specialist or specific one for my ankles.

[@suzieritz2957]

Me too

[@masichachris793]

I had surgery on my right leg .I have two plates on my orif tiba and orif fibula now is two days since I removed the cast but I can't stand ..it is very painful. will I ever regain my mobility?

[@physiorehab]

There is always hope. Be guided by Your Surgeon and your Physio

[@nateone6632]

I have 16 screws and 3 plates can this prevent the joint from moving?

[@D1SORDERLYCONDUCT]

Recently had the same 4 ops 2 plates some wires and a shit load of screws . Just had the cast off foots still swollen and numb after 6 weeks from last op . Year since you made this comment have you got back to normal yet . Did you ever loose the sensation of the plate on your bone

[@1millionsubsnovideoschalle52]

@@D1SORDERLYCONDUCT bro I have the same problem ...ankle got no range...

[@D1SORDERLYCONDUCT]

@@1millionsubsnovideoschalle52 not bad considering you've been dead since 1883 lol. Seriously just got to do the physiotherapy. I'm getting more range day by day but I won't lie it does bring back alot of the pain ,swelling and bruising . Some stuff you just have to endure to become stronger

[@shademaker5847]

I have exactly the same range of movement in my ankle after my surgery.. did she regain full movement after doing this?

[@physiorehab]

Yes she was back playing sport

[@BigSkiSale]

@@physiorehab Just curious about this lady’s timeline as a reference. I’m 12 months post initial surgery, and just had the hardware taken out last month. After a year of PT, I’m tired and losing hope regarding return of my dorsiflexion for sports. Can meaningful gains continue past the one year mark??

[@Final.Soldier]

Should I try this at home?

[@physiorehab]

Don’t see why not!

[@kingsyph3102]

Hi.. i am from Nigeria. Thank you for the video.. am super glad to see this video hoping it will be helpful to me in time to come.. please i had an ankle injury on my right leg one month ago and the big bone (Tibia) came out of my flesh causing a big wound, while the small bone (fibula) got broken. But after the surgery the (fibula) have been fixed with some irons to keep it strong while it heals which was stitched with no visible wound but the (Tibia) was fixed back to it usual position and was stitched a little which closed only 10 percent of the wound leaving 90 percent of it opened. Because the doctor said is not good to stitch it all closed because the flesh that the bone popped out from was already dead before the surgery so he cut them off meaning i have to wait for the flesh to grow again.. please my QUESTION IS: can i do these exercise while the wound is still open and not yet totally healed or should i wait till the flesh wound is totally healed before i start this exercise? Please a Quick reply will be so HELPFUL 🙏. i am in need of the help. Thank you.

[@meemster101]

Omg, I would def wait. All in due time. Be blessed and Heal in Jesus' name. 🙏

[@ericat8478]

This sounds serious, how are you doing now?

[@travismoore1437]

Can you do if you have plates and screws

[@raghulravichandran4231]

Yes. But don't push through the pain and don't lift heavy

[@luckymanshirley7044]

Im having the same problem

[@yahshuasaves8292]

It’s been 5 weeks since my surgery how long do I have to wait till I do this

[@physiorehab]

Rehab starts when you are out of the boot

[@virsatalksSINGH]

Sir does full stifness go in a year after ankle orif surgery... Or some stifness lefts for ever for life?... As it's my 10th month there is still stiffness ... Plz reply if someone plz tell me if stiffness goes fully or not 🙏

[@physiorehab]

You May always have some stiffness after surgery. But at the same time some people regain full mobility. Everyone is different but the successful ones more often than not put in the time and effort to the stretching and rehab 😉

[@manueldircio9119]

I have questions yuo have plare and scrub in you surgery of ankle?

[@suzieritz2957]

How about if you have a calcaneal fusion. Can you do this?

[@physiorehab]

That’s tougher but you can still stretch the talo-crural Joint

[@patrickclarin9033]

Can you point me where I can buy that black strap you use? Does it have a generic name in PT world? Thanks.

[@physiorehab]

It's a seatbelt! You can usually get them from any good physio supplier

[@physiorehab]

@Hindi bulletin waves are you asking a question ?

[@distroyer049s3]

Sir I am INDIAN and my dream was to join the army , i had this dream from when i was a little kid but after this surgery I was feeling a bit of i am 17 years old now i removed my implants i want to be able to make that angle normal so that i could run and do everything for joining the army. Even when the implant was implanted after that i could bearly run and it was not much flexible the physiotherapy is not working pretty good and when i ran i got a bit bent in the angle which slowed me down. Can i still make that ankle normal,flexible and strong again?? 😥

[@jayanjayanandan6670]

Before 6months my talus dislocated and operating..my ankle not moving not completely...that ful mooving return or not

[@MQWTY]

Had surgery in Feb walking on ankle in May and yeah hurts really bad that range of motion. Right now my goal is to just walk pain free . Is this recommended with subtalar joint fusion?

[@physiorehab]

Yes as this is talocrural movement not subtalar. Hope it feels better!

[@MQWTY]

Thank you!!

[@ashwinik5337]

I had a ankle ligament replacement surgery done 2 weeks back. My injury was 7 months old and my ankle movement is same as her in video. I'll have pt starting next month. Will I be able to regain complete movement?

[@physiorehab]

It all depends on how hard you work and commitment to the exercises :)

[@ashwinik5337]

@@physiorehab thank you! that sounded motivating! will give my best!!

[@ashwinik5337]

I just have one more question. How long can the physiotherapy be delayed? Due to the covid situation is it ok to delay physiotherapy sessions by a few weeks?

[@TheSuperBoyProject]

@@ashwinik5337 no, you need to do the sessions. Covid will not kill you, but a dysfunctional ankle will keep you from living life to its fullest

[@RAHUL-eg4uz]

@@ashwinik5337 did you gained full form?

[@michelleongoro5495]

20th of this month i would be completing my 6months after my ankle surgery just wondering can a person be able to jump after 6months

[@physiorehab]

If they have done all the rehab well and also depending on what type of surgery it was

[@gadgetworld2778]

Hello dear thanks for the video . I had my surgery on december 30 2017 and now I have been advised by my doctor to join my office . I broke my fibula and doctor have put plate and screw on my ankle . I have been asked to wear ankle brace and use a walker for 1 week and then use a stick to walk . If I am going t the bathroom and moment I put my foot on the ground I feel I am going to fall , any suggestions how much time it takes to heal . it is very painfull . Only thing i do is hot water massage and putting oil on the affected leg . thanks

[@physiorehab]

Hi there - what do yuo mean by: " I have been advised by my doctor to join my office" - can you please explain? Healing from surgery takes many months. I recommend you see a Physio to help you through the rehab, stretch the ankle stiffness and teach you the exercises that are right for you.

[@vzlanoxvida]

My post surgery ankle stiffness as about as much as she has in this video. Do I just keep doing these stretches plus strength training? How much range should i expect to get back??

[@physiorehab]

Yep! Aim for 90-95% usually

[@sschowdhury7325]

I am about to complete 6 weeks after my ORIF surgery. And my ankle muscle feels so stiff I cant even put it fully on surface

[@gabrielcastle88]

how is your progress now? i can see you're 4 months after surgery, did your full range of motion return?

[@CarrissaHaberman]

Start trying to bed toes back. After week of that I could get my foot flat on floor.

[@MrGlassAnkles]

my plantar fascia gets aggravated anytime i try to get my ankle flexibility back . i want to give up and get achilles tendon lengthening surgery.

[@drakemccomb8490]

I would assume your foot hyper pronates during your stretching routine, but without seeing your methods, it’s just speculation.

[@andruy]

Did the ankle fully recover after all these years? My dorsiflexion looks as limited as hers (today, 10 years after surgery.) Is there hope for me at this point? I really want to regain my motion somehow. Dorsiflexion above everything

[@physiorehab]

Give it a shot of you haven’t tried any of this

[@akinbiyiowoyomi7099]

I had an open ankle fracture injury whilst playing soccer exsctly a year ago and I had an open reduction internal fixation on the ankle but range in my ankle is reduced, the ankle is partially stiff with some pains and the bones in the ankle click whenever I do foot rotation on my couch or bed and sometimes whilst standing as well which is annoying. Another issue is if I sat on a chair or slept on my bed for a long period, I need to do foot rotation before I get up as this will help me walk without pain. My doctor had advised I should not rush back to soccer as the injury can take up to 2 years to fully heal!. What do you suggest I do to solve the above mentioned issues as this is getting so frustrating?. Many thanks.

[@alokranjan6542]

Hello bro....I have also same problem please reply🙏

[@keerti221]

What should I do...I am scared..I think I can't do this..it's so painful..God 🥺

[@kinodin2303]

how is she now? has it made any difference?

[@thisisanaeroplane]

+Kino Din Curious about this as well. Come on down Physio Fitness Australia.

[@malikontwo7812]

I’m struggling to get that dorsiflexion back since my ankle fracture and I’m only 21 I feel like body forgot that

[@physiorehab]

Keep it going until you get it right

[@TheKrazyKurtShow]

Is there anyway to do this alone? I have no pt and no one around me to help

[@physiorehab]

Have a look at my most recent ankle dorsiflexion post :)

[@user-zx7ly2up5l]

Why cant i do that it pains

[@manoyou5364]

Can we use muscle simulator for ankle range of motion¿???

[@physiorehab]

I am not sure that would be of muscle help unless you have muscle innervation loss?

[@geraldpearson6679]

What about when you have a bunch of pain when you try and do that

[@physiorehab]

Then it’s probably not the right thing for you or you need to get it assessed

[@_3fficial]

I broke my ankle and didn’t have surgery but I have the same stiffness, how long will it take to get full range motion back?

[@physiorehab]

Can take many many months and you have to work very hard at your mobility and stability exercises

[@twinkalpatel9360]

Thanx

[@daynagillham7695]

❤️

[@rightcall12]

you sound system is severely LACKING

[@physiorehab]

Well that’s a very old video to be fair

[@justinrose5700]

cool, but not really feasible without professional assistance.

[@arttjournal.]

Facts yeah

[@HamzaButtM]

Patricia is REAALLLY beautiful

[@pashtunchannel1038]

Fukin weirdo

[@pashtunchannel1038]

@Mal Theri if u say so bro

[@ChristinaSmith-dx4sx]

Help not getting right treatment they tried and break ankle help plus i exerise he said he owns me a world

[@ketveda]

Can't see anything properly what you roing

[@Ravenslittlenest]

🙄 this doesn't help if you had brostrom gould amd 2 ligaments repaired