Bauerfeind lateral ankle sprain patients

					            ELEVATION AND MOTION EXERCISES FOR ANKLE SPRAINS

GOALS:
       1. Prevent/eliminate swelling of your sprained ankle.
              A. With compression (donuts, sock and ASO brace), elevation and motion exercises.
       2. Regain full motion of your ankle equal to that of your other ankle.
              A. With motion exercises--to perform the exercises, the straps of the ASO brace must be loose.

NOTE: During the first 24 hours: (1) keep your sprained ankle constantly elevated higher than your heart, and
(2) repeatedly perform the motion exercises--to perform the exercises, the straps of your ASO brace must be loose.

How does elevating my ankle help and what is the most effective method to elevate my ankle?
        Elevation of your ankle expedites the elimination of the swelling, with the maximum benefits resulting from
the ankle being elevated higher than your heart. The most effective way to maintain your injured ankle elevated
higher than your heart is to "permanently" elevate the end of your bed by placing a large pillow or other object at
the foot of your bed between your mattress and box spring. Elevation combined with motion exercises* expedite
the elimination of the swelling.

Why do I need to perform the motion exercises* and when do I start doing them?
        The motion exercises contribute to the treatment of your ankle sprain in two ways: (1) the motion of the
ankle helps "pump" the swelling from your ankle, especially when your ankle is elevated and (2) the motion
exercises enable you to regain the amount of ankle motion you had prior to spraining your ankle. The sooner you
start the exercises, the sooner your will regain full motion of your ankle. Each time you perform the exercises, use
pain as your guideline, i.e., perform only the amount of motion that you can do pain free. The more times you
perform the exercises, with or without elevation, the sooner you will regain full motion of you ankle.
        Figures 1a. and 1b. show the first of the two motion exercises. The first exercise is the same as repeatedly
pushing your foot down on a gas pedal of a car as far as you can and pulling it back up as far as you can. Figures
1c. and 1d. show the second motion exercise. With this exercise, keep your heel still and move your forefoot with the
motion as that of a windshield wiper of a car, i.e., keep your heel still and repeatedly move your forefoot in and up
as far as you can and then out and up as far as you can. Use pain as your guideline for both exercises.




Figure 1a                                      Figure 1b                    Figure 1c               Figure 1d

        The goals are: (1) to have minimal or no swelling evident and (2) to regain full motion of your sprained
ankle equal to that of your other ankle. The "proof" that you have regained full motion of your sprained ankle is
when you can move the forefoot of your sprained ankle [(1) down, (2) up, (3) in and up, and (4) out and up] the
same amount that you can move the forefoot of your other ankle.
        **Patients who actively participate in a comprehensive treatment program that emphasizes appropriate
compression, constant elevation of their ankle higher than their heart and "massive" repetitions of the motion
exercises during the first 24 hours, routinely exhibit minimal or no swelling and full ankle motion in just 24 hours.

**Start the strengthening exercises to prevent recurrent ankle sprains as soon as you have enough motion to do them.

				
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Description: Bauerfeind lateral ankle sprain patients