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patient came with chief complain of pain and swelling in right
ankle foot. The patient had a history of   


 





 

 three months before that was 


  
 
 






 
 



 


 . The patient  


 at
right ankle and foot. He had also difficulty in walking and prolonged standing
(weight bearing activities).



 
 


 !

1. c educe Pain
educe Oedema
2. c Increase the OM
3. c Improve walking and ADL·s



 !

1. c Pain on VAS
At rest: 6
On Activity: 8
2. c Oedema rt lt
At ankle 10.5 9
5 cm Above ankle 9.5 9.5
3. c OM
Dorsiflexion: 200
Plantarflexion: 200
Eversion: 100
Inversion: 150
4. c Manual Muscle Testing
Dorsiflexion: 4+
Plantarflexion: 4+
Eversion: 4
Inversion: 4



 !

"


#!

i.c Paraffin wax Bath 2: 15 minutes (brushing method - 8 coats)

ii. c Active Assisted OM exercises: 10 rep each on ankle and feet exercisers

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#!

i.c Paraffin wax Bath: 15 minutes (brushing method - 8 coats)

ii. c esistance exercises using theraband (initial 3 days)1,5:

c
c

Dorsiflexion: 10 rep
Plantarflexion: 10 rep
Eversion: 6 rep
Inversion: 6 rep

After three days of 2nd week the the strengthening exercises are progressed to 3 sets
of ten rep and 2 more exercises r added i.e.

iii. c ¬alf Stretch

iv. c Balancing on a pillow with open eyes

 
!
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#




1. c Pain on VAS
At rest: 6 2 4
On Activity: 8 3.5 4.5
2. c Oedema
At ankle 10 9 1
5 cm Above ankle 9.5 9.5 0
3. c OM
Dorsiflexion: 200 250 50
Plantarflexion: 200 250 50
Eversion: 100 150 50
Inversion: 150 200 50

!

Initially the patient had limited OM with existence of pain and discomfort. After
giving the physiotherapy treatment for 2 weeks there is significant improvement in
joint OM, pain and swelling.

After 2 weeks the patient discontinues the regular physiotherapy treatment and
home advices are given to patient which include continue active assisted exercises of
ankle and foot and contrast bath.

eferences:

1.c http://www.thefreelibrary.com/Treatment+of+leg+edema+and+wounds+in+a+patient+wit
h+severe...-a021235939
2.c http://emedicine.medscape.com/article/1233429-treatment
3.c http://isiconline.org/printfiles/p_physio.htm#2
4.c http://www.bmj.com/cgi/pdf_extract/1/3937/1265
5.c http://www.bing.com/images/search?q=ankle+exercises+with+theraband#focal=bcd71add
233b388d9e73d2f612253cd0&furl=http%3A%2F%2Fwww.whitefishsportcenter.com%2F_shar
ed%2Ffckeditor%2Fuserfiles%2Fimage%2Fdf.jpg