OSTEOPATHIC MANIPULATION (CHIROPRACTIC ADJUSTMENT) OF THE TIBIO TALAR JOINT HVLA

http://www.facebook.com/StefanDuellSportsPhysiotherapy Usually if you do a proper myofascial release treatment it will correct itself but sometimes it can still stay in the wrong place. If so, there is a high chance to suffer from an ankle dorsiflexion range of motion (DO ROM) deficit which can be reduced significantly through this kind of manipulation! . But watch out ⚠️: never do this manipulation in the acute phase of an inversion trauma as it can lead to an internal bleeding and edema. To be on the secure side you can apply the HVLA thrust technique 4-5 days after the injury happened‼️ . The tibiotalar joint involves the talus moving in the ankle mortise, the major motions of this joint are dorsiflexion and plantarflexion. Dorsiflexion is more functional, more stable because the talus is wider anteriorly and fits securely into the ankle mortise. Reduction in dorsiflexion usually indicates that the tibia is anterior on the talus. . The talus usually subluxates anteriorly, superiorly with medial rotation. To reduce the talus subluxation your contact will be on the anterior medial neck of the talus, the elbows will be parallel to each other, the therapist stands in a stable position and applies an high velocity low amplitude thrust technique (HVLA).