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Old 02-11-2008, 12:12 AM   #1 (permalink)
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Default Clicking and ankle mobility

I sprained my right ankle numerous times when I was fat and out of shape. Lately I have noticed (well, this isn't new, but I'm intrigued now) a clicking on the outside of my right ankle (right on the bottom corner towards my achilles') when my knee goes past my toes when doing a lunge stretch.

Any way to try to correct it? I do the ankle mobility drills standing next to a wall (bending knee towards the wall), but that's it for focused ankle mobility. I bring this up now, because when I do that, my knee soreness pops up, so I think that the two are correlated.

FWIW, my right big toe pops all of the time, as does the ankle. My left ankle does not click, pop, or anything. Nor has it ever been hurt.

Thanks
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Old 02-11-2008, 05:09 PM   #2 (permalink)
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::points to Nick's sig::









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Old 02-11-2008, 08:43 PM   #3 (permalink)
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Should this be posted in the rehab forum? There are therapists over there.
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Old 02-11-2008, 10:28 PM   #4 (permalink)
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Should this be posted in the rehab forum? There are therapists over there.
It's not an injury, just an annoyance.

And there are therapists over here too.

Do you have any suggestions?
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Old 02-12-2008, 01:00 AM   #5 (permalink)
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oh okay. I am not a therapist, so I have nothing to suggest. I don't have the experience on therapy stuff. I just thought it could of been posted in the rehab forum. Thats all.
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Old 02-12-2008, 10:42 AM   #6 (permalink)
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Nick,
When you sprained, did you see a doc? Did the whole thing swell and turn black and blue? Just curious if you saw a professional who graded the injury ...

Could be a couple of things ... if you completely tore the lateral ligaments (anterior and posterior talo-fibular, and/or calcaneofibular) it could be an instability ... or sometimes the lateral tendons (peroneus longus and brevis) slide over the lateral malleolus (the bone on the outside of your ankle) if the retinaculum (a sort of connective tissue sling/tether) has been damaged or over-stretched.

FWIW, the tendon of the peroneus longus, passes behind the lateral malleolus, then under the lateral (outside) part of the foot to the plantar surface (bottom) to the proximal end of the first metatarsal (basically in the middle of your arch, on the bottom, at the base of your big toe). So, the clicking in your ankle and your big toe could be connected and related to something with your peroneus longus.

Have you watched the Bill Hartman ankle video? You might give the tennis ball rolling a try if you haven't ... do the bottom of your foot and also the lateral and posterio-lateral muscles all the way up to your knee.



I also like leg swings for improving the pronation/supination movement in the ankle. Mike Boyle talks about them in his article on essential mobility drills. This would be relevant in your situation because the peroneus longus functions in the sagittal, frontal, and transverse planes, so you want to "treat" it in all three planes. And just doing the knee to the wall drill only works it in the sagittal plane.
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Old 02-12-2008, 10:59 AM   #7 (permalink)
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Nick,
When you sprained, did you see a doc? Did the whole thing swell and turn black and blue? Just curious if you saw a professional who graded the injury ...

Could be a couple of things ... if you completely tore the lateral ligaments (anterior and posterior talo-fibular, and/or calcaneofibular) it could be an instability ... or sometimes the lateral tendons (peroneus longus and brevis) slide over the lateral malleolus (the bone on the outside of your ankle) if the retinaculum (a sort of connective tissue sling/tether) has been damaged or over-stretched.

FWIW, the tendon of the peroneus longus, passes behind the lateral malleolus, then under the lateral (outside) part of the foot to the plantar surface (bottom) to the proximal end of the first metatarsal (basically in the middle of your arch, on the bottom, at the base of your big toe). So, the clicking in your ankle and your big toe could be connected and related to something with your peroneus longus.
Julie, first off, major thanks.

My ankle injury was handled by my doc much in the same way my shoulder injuries were handled. Rest, relax, move on. My ankle never swelled, even when I did it the most severe time (the time I felt and heard the pop) and only was really un-walkable for a day. The quick recovery, combined with the doc's advice never made me think at the time that there was another issue.

The big toe-->ankle thing makes sense, which is why I had a hunch that the two may be related. (I should have broken out my textbook before I asked this question, but it was late and I was lazy)

Quote:
Have you watched the Bill Hartman ankle video? You might give the tennis ball rolling a try if you haven't ... do the bottom of your foot and also the lateral and posterio-lateral muscles all the way up to your knee.


I have not watched the Hartman vid and will when I get home. I do the tennis ball/baseball on the bottom of my foot, but not anywhere else.
Quote:
I also like leg swings for improving the pronation/supination movement in the ankle. Mike Boyle talks about them in his article on essential mobility drills. This would be relevant in your situation because the peroneus longus functions in the sagittal, frontal, and transverse planes, so you want to "treat" it in all three planes. And just doing the knee to the wall drill only works it in the sagittal plane.

I do leg swings (both side to side and front to back) as part of my warmup as well, and the clicking is there after all of the ankle mobility drills.

Again, thanks a ton.
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Old 02-12-2008, 11:06 AM   #8 (permalink)
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Do you do much single-leg work?

Are you barefoot (or nearly -- Frees or the toe sneakers or something) when you lift/warm up/workout?
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Old 02-12-2008, 11:21 AM   #9 (permalink)
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Do you do much single-leg work?

Are you barefoot (or nearly -- Frees or the toe sneakers or something) when you lift/warm up/workout?
Yes, there is usually a single leg lift in each workout, and yes, I wear Nike Free 7.0s.
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Old 02-13-2008, 05:43 PM   #10 (permalink)
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TESTOSTERONE NATION - The Ankle Paradox: Building Indestructible Ankles
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Old 02-15-2008, 10:04 PM   #11 (permalink)
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Thanks bigDman

Last edited by Mahler : 02-16-2008 at 02:42 PM.
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Old 02-16-2008, 08:29 AM   #12 (permalink)
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its a good article. One I have been waiting to see for a long time
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