Paul Townley on Assessing Ankle Injuries (NAT Workshop)
There are many different types of ankle injuries - often with very similar symptoms
Most people immediately associate ankle pain with common strains but in reality there are many different type of ankle injuries - often with similar symptoms of pain, stiffness and weakness in the ankle.
Tibialis Posterior Tendinitis
Pain along the medial (inner) side of the lower leg, ankle and foot may be the result of tibialis posterior tendinitis.
The tibialis posterior tendon stabilises the foot against eversion and supports the medial arch of the foot, which puts friction and tension on the tendon.
If the arch falls, stress on the tendon will increase. This can occur with poor running mechanics, improper footwear or untreated injuries.
Cause of injury
Improper running mechanics. Improper footwear. Prior injury to the medial side of the ankle.
Signs and Symptoms
Pain and tenderness over the inner side of the shin, ankle and foot. Pain when walking or running. Some swelling may be noted over the tendon.
Complications if Left Unattended
If left unattended, this condition can lead to a fallen arch or a complete rupture of the tendon. The pain may cause a change in footfall during running leading to injuries in other structures of the foot and ankle.
RICER. Anti-inflammatory medication.
Rehabilitation and Prevention
After pain subsides it is important to stretch and strengthen the calf muscles to support the tendon and speed recovery.
Arch supports may be required until the tendon heals and the muscles are strengthened.
Gradual reintroduction into activity is important and proper warm-ups will help prevent a recurrence of the injury.
Proper footwear and corrections of any mechanical inefficiency will also help prevent this injury.
Proper treatment should lead to a complete recovery.
The longer the condition exists before treatment the longer recovery will take.
In some cases orthotics may be required to prevent a recurrence.
About NAT Courses
As a manual therapist or exercise professional, there is only one way to expand your business - education!
Learning more skills increases the services that you offer and provides more opportunity for specialization.
Every NAT course is designed to build on what you already know, to empower you to treat more clients and grow your practice, with a minimal investment in time and money.
About Niel Asher Education
Niel Asher Education is a leading provider of distance learning and continued education courses.
Established in the United Kingdom in 1999, we provide course and distance learning material for therapists and other healthcare professionals in over 40 countries.
Our courses are accredited by over 90 professional associations and national accreditation institutions including the National Academy of Sports Medicine (NASM) and National Certification Board for Therapeutic Massage and Bodywork (NCBTMB). Full details of all international course accreditations can be found on our website.
Printed course materials and other products offered on our websites are despatched worldwide from our 3 locations in the UK (London), USA (Pennsylvania) and Australia (Melbourne).
We are honored to have received the "Excellence in Education" Award from the National Association of Myofascial Trigger Point Therapists.
Since 1999 Niel Asher Education has won numerous awards for education and in particular for education and services provided in the field of trigger point therapy.
Award Winning Instructors
Niel Asher Healthcare course instructors have won a host of prestigious awards including 2 lifetime achievement honorees - Stuart Hinds, Lifetime Achievement Honoree, AAMT, 2015, and Dr. Jonathan Kuttner, MD, Lifetime Achievement Honoree, NAMTPT, 2014.
If you are a qualified/licensed manual therapist or exercise/fitness professional you can expand your credentials with NAT certification.
In addition to national accreditation for continued education, each course that we offer includes "NAT Learning Credits". By taking and completing courses you can accumulate NAT credits to qualify for NAT certification.
There are currently 3 levels of NAT certification. Certifying NAT is a valuable way to show your clients that you take continued education seriously, and to promote your skills and qualifications.
Most of our courses are accredited for CE/CPD/CPE. A full list of CE accreditations can be found by clicking on the link below.
Niel Asher Technique
Since 1999 the Niel Asher Technique for treating trigger points has been adopted by over 100,000 therapists worldwide, and has been applied to the treatment of a number of common musculoskeletal injuries.
The Niel Asher Technique for treating frozen shoulder was first introduced and published in 1997 and has been widely adopted by therapists and exercise professionals working within elite sports and athletics.
Most of our courses are available as either "Printed" or 'Download" editions, wherever you live. Internet connection is required to access online and downloadable material.
When you purchase a download edition, you receive immediate lifetime access to all course material. Course texts can be downloaded and printed if required.
When you purchase a "Printed" edition, you will also receive free access to the download edition.
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Where to Start?
We offer a range of over 50 courses, presented by some of the worlds leading manual therapists. All courses are reviewed annually, and new courses are regularly added.
Our courses are modular, and designed to build on what you already know. For more information, please visit our "Where to Start?" page.
This trigger point therapy blog is intended to be used for information purposes only and is not intended to be used for medical diagnosis or treatment or to substitute for a medical diagnosis and/or treatment rendered or prescribed by a physician or competent healthcare professional. This information is designed as educational material, but should not be taken as a recommendation for treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell.
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