My wife was helped by PT who performed an A to P Talus from a stabilized Tibia Joint mobilization last week. I now understand the details. I am a health professional who is just now understanding the importance of PT assessment, strength, balance, confidence and return to normal function. wow what a discipline.
No because all physios who use manual therapy are time wasting farces "meakins st al" - I just think the 'no more manual therapy crowd' are too lazy to get their hands dirty.
Great video and explanation of the technique! I am a student physical therapist and have had trouble with techniques like this with the set up and feeling for the arthrokinematic motion of the talocrural joint. My only question is I noticed the knee moving into flexion and the posterior aspect of the lower leg going into the cushion of the table as you apply downward pressure so how do you know you're actually mobilizing the joint versus just moving the knee and leg into the table? Always felt like I was just moving the leg so how do you prevent this from happening? Thanks!
I have anterior impingement of both ankles. I had surgery in 10/2020 on my right ankle. Doctor did an arthroscopic surgery on the instep to clear any debris. Also, inserted plastic reinforcement to stabilize the ankle ligament. This surgery did not help with the impingement. I have custom orthotics, another doctor gave me steroid injections, which only helped for about 12 hours. I have been to physical therapy and my doctor will be fitting me for Arizona boots. Also, he will give me a amniotic fluid injections in both ankles next week. I do stretching exercises with a elastic strap that I purchased from my physical therapist. Walking is painful with me having the impingement, which is caused by me having pes cavus feet. I am at a loss for what I need to do next. Thanks.
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Hi sir you technique really give good inspired to me... I have a patient who is having talus # she did surgery... Her dorsiflexion is very stiff ... I am applying Manual therapy technique. It give good improvement.
You have no idea how happy I am to hear that. This was our first mobilization video, and we really wanted to add something useful to the body of work that is out there. I am happy you enjoyed the video and I hope it left you more competent or confident in performing the technique ;-) Dr. B2
Hii..i m from India...i went through talus ORIF surgery on 06-03-21..my physiotherapist didn't perform any of these excercises on me..m still struggling hard for full weight bearing.when will I be to walk independently.? I m very tensed
I have a question ..?? I had a spring ankle 6 months ago I have one month already on therapy because when sit for to take a break or when I'm on bed and wanna go somewhere , my first 3 steps I do hurts with my weigh .. hurts in the are of the tendons inside medium malioles .. I do all exercises to make my ankle strong and gain dorsiflexion but in front my ankle hurts and dont know what it is .. exercises seems it's not working .
My name is litoob, age 56, living in switzerland, i have problem of ankle stiffness, this start 1996 after car, accident, i can walk but difficult to because my thump is not flexible so i have two problem, stiffness of the ankle and thump is also have a thickness not flexible , it's left leg, so what can i do. Thanks
Brent, i took cipro over a year ago and now my dorsiflexion and great toe extension is crap, if i do a reverse lunge and go into toe extension it hurts so bad, i can barely get my knee over my toes during a soleus stretch!
Hey Ryguy.... I was not trying to be condescending or dismissive... online communication for issues like this is very challenging. Can I ask how much of it was specific to your toe, and your long and short toe flexors/extensors? Dr. B2
Brent Brookbush my initial symptoms all pretty much happening at the same time, on my first and 2nd toe, post tib, and heel cord. At one point i couldnt curl my toes , which im still limited in, nor could I do a heel raise, which i can do now no problem. So as of now, my arom toe flexors and extensors are limited, as well as ankle dorsiflexion.
I had an ocd fracture in my right ankle. Ever since I have had extremely terrible dorsiflexion. When I try to self mobilize ( due to my financial situation) it hurts. Is this to be expected?
I would try some release (Gastrocnemius, Soleus, Peroneals) and maybe some light stretching (Calf) first, and then try to mobilize again. Pain while you mobilize is not great... generally it lead to guarding (increase in muscle activity) which is going to make getting a result tough. Dr. B2
Thanks for the knowledge, your are providing! May I ask you about your thougths about therapeutic options for haglund´s deformity? Would you consider some kind of IASTM as an option?
Why don't physical therapists use grade 4 mobilization? I noticed you use it in at least some of your videos when you for example do the whipping motion with the cuboid bone in the foot and I wondering whether or not you are physical therapist or chiropractor or either one thank you
Great video. Can you do something like this with your foot on a chair and a resistance band around the front of the ankle and then do small presses forward with your knee. I have tried this and it seems to help. But why does the ankle dorsiflex with more ROM and easily but then the next day it is stiff and feels like there is some gunk at the ankle crease preventing good, easy gliding movement without feeling like there is swelling or some kind of very uncomfortable pressure at the ankle joint.
Hey Rach, I could see your point and maybe if I wasn't stabilizing the tibia with my other hand it may be something to watch for. Since I am stabilizing the tibia with my hand and opposing the force created by the mobilization, the knee angle itself does not matter for the mobilization to be effective. Dr. B2
No... watch the video again. I am moving the talus and calcaneus as one unit, while the tibia is stabilized by the table. This is a Tibiotalor (Talocrural) mobilization. Dr. B2
Hello sir!Your physio technique is vry help for us..Actually my spine L3 level got fractured and I'm facing walk, my problem is. knee,toes n ankle mobilisation and strength is very weak so I didn't walk continue without support..dr.saysbmy nerves is damaged but improvement is going on but very slow. How to recovery this.
Keep working Gargi, It will take time to recover, and nerve damage may imply that youwill not regain 100%, but any work you put in will help you toward regaining function. Dr. B2
but why cant i just stabilize the tibia and fibula and move the talus AP and PA?and also, isnt the maximum dorsiflexion the closed pack position of ankle joint?
My wife was helped by PT who performed an A to P Talus from a stabilized Tibia Joint mobilization last week. I now understand the details. I am a health professional who is just now understanding the importance of PT assessment, strength, balance, confidence and return to normal function. wow what a discipline.
Awesome... it certainly is a great profession.
I wish your wife a speedy recovery,
Dr. B2
No because all physios who use manual therapy are time wasting farces "meakins st al" - I just think the 'no more manual therapy crowd' are too lazy to get their hands dirty.
Such a great refresher with wonderful tips on research and PT body positioning. I really appreciate this video as a new grad of the PT profession
Thank you. Have you had a chance to check out our course, brookbushinstitute.com/courses?YT&Comment&Ankle
Amazingly detailed video !
It’s helping my gf a ton get her mobility back after surgery 👏🏼
Seydoumalle
Thank you so much, my instructor is moving so fast for me. Ill watch you all day
This was so so good! Thank you. Loved all the explanation and the far and close up views and detail on hand placement
Very nice presentation! You have large hands, Brent! Would love to see your assistant do these mobilization on your foot.
Thank you so much
Great video and explanation of the technique! I am a student physical therapist and have had trouble with techniques like this with the set up and feeling for the arthrokinematic motion of the talocrural joint. My only question is I noticed the knee moving into flexion and the posterior aspect of the lower leg going into the cushion of the table as you apply downward pressure so how do you know you're actually mobilizing the joint versus just moving the knee and leg into the table? Always felt like I was just moving the leg so how do you prevent this from happening? Thanks!
This guy is awesome. Thanks man
Thanks so much Will!
I have anterior impingement of both ankles. I had surgery in 10/2020 on my right ankle. Doctor did an arthroscopic surgery on the instep to clear any debris. Also, inserted plastic reinforcement to stabilize the ankle ligament. This surgery did not help with the impingement. I have custom orthotics, another doctor gave me steroid injections, which only helped for about 12 hours. I have been to physical therapy and my doctor will be fitting me for Arizona boots. Also, he will give me a amniotic fluid injections in both ankles next week. I do stretching exercises with a elastic strap that I purchased from my physical therapist. Walking is painful with me having the impingement, which is caused by me having pes cavus feet. I am at a loss for what I need to do next. Thanks.
Very relevant calcaneal capture
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Hi sir you technique really give good inspired to me... I have a patient who is having talus # she did surgery... Her dorsiflexion is very stiff ... I am applying Manual therapy technique. It give good improvement.
Really happy to help Heorjit,
Hope you get a chance to check out all we have to offer at BrentBrookbush.com
Dr. B2
Exercises for right thoracic left lumber scoliosis Sir please
Very informative.i thought a distraction is needed first before i oscillate.thanks
Happy to help. I hope you will check out the website for more videos on mobilizations and so much more - BrentBrookbush.com
Dr. B2
Fantastic explanation. Thank you
You're very welcome! If you're interested, check out BrookbushInstitute.com for everything we have to offer!
Excellent!
Very informative.. thanks you.
You're very welcome Jobi KG
great job with the anatomy portion along with the manipulation method.
you got a new subscriber!
Thanks Allen!
man very well executed thanks
You're very welcome!
Wow, the details are so well explained 👍
You have no idea how happy I am to hear that. This was our first mobilization video, and we really wanted to add something useful to the body of work that is out there. I am happy you enjoyed the video and I hope it left you more competent or confident in performing the technique ;-)
Dr. B2
Optimizing the delivery of human movement science education is what we do ;-)
Thanks for the kudos,
Dr. B2
Wonderful..!
so you are stabilizing with your right hand and mobilizing with your left hand, correct?
Can you recommend someone in the Boise ID area that can perform these treatments?
Amazing video, very helpful! Would love to see more of these
We are working on it. Already have our first 8 joint mobilization videos up on BrentBrookbush.com, with more to come.
Dr. B2
the whole knee is flexing during the glide
Hii..i m from India...i went through talus ORIF surgery on 06-03-21..my physiotherapist didn't perform any of these excercises on me..m still struggling hard for full weight bearing.when will I be to walk independently.? I m very tensed
Amazing
It feels so good ......
Do u think it would help to relieve shin splint pain
Hi Saumitra,
I think it is absolutely something I would try with someone experiencing shin splints. Good question.
Dr. B2
This is a GREAT video. Thank you for the upload.
You are very welcome.
Is this valid for lateral ankle sprains?
its as if I'm doing yoga trying to do this by myself
Very well explained. Thank you!
You're very welcome Patrick!
I have a question ..?? I had a spring ankle 6 months ago I have one month already on therapy because when sit for to take a break or when I'm on bed and wanna go somewhere , my first 3 steps I do hurts with my weigh .. hurts in the are of the tendons inside medium malioles .. I do all exercises to make my ankle strong and gain dorsiflexion but in front my ankle hurts and dont know what it is .. exercises seems it's not working .
My name is litoob, age 56, living in switzerland, i have problem of ankle stiffness, this start 1996 after car, accident, i can walk but difficult to because my thump is not flexible
so i have two problem, stiffness of the ankle and thump is also have a thickness not flexible , it's left leg, so what can i do. Thanks
Brent, i took cipro over a year ago and now my dorsiflexion and great toe extension is crap, if i do a reverse lunge and go into toe extension it hurts so bad, i can barely get my knee over my toes during a soleus stretch!
Have you seen a physical therapist? There maybe manual release, joint mobilization and strengthening techniques that can help.
Dr. B2
You need to go to a Physical Therapist!
Avacado Papaya im a pta, ive tried to a/p talus mobs, mwm,, alot of calf/soleus stretching, graston , active release, ...it sucks
Hey Ryguy.... I was not trying to be condescending or dismissive... online communication for issues like this is very challenging. Can I ask how much of it was specific to your toe, and your long and short toe flexors/extensors?
Dr. B2
Brent Brookbush my initial symptoms all pretty much happening at the same time, on my first and 2nd toe, post tib, and heel cord. At one point i couldnt curl my toes , which im still limited in, nor could I do a heel raise, which i can do now no problem. So as of now, my arom toe flexors and extensors are limited, as well as ankle dorsiflexion.
You not only talk with your hands, you talk with your arms. Good content, though.
Thanks Joe, check out BrookbushInstitute.com for everything we have to offer
What does AP mean? Which direction is it? Is it Posterior or is it Anterior when someone says AP or PA.
AP is anterior to posterior..
The technique is wrong. You should stabilize tib-fib with your left hand and mobilize talus A-P direction for DF improvement.
I had an ocd fracture in my right ankle. Ever since I have had extremely terrible dorsiflexion. When I try to self mobilize ( due to my financial situation) it hurts. Is this to be expected?
I would try some release (Gastrocnemius, Soleus, Peroneals) and maybe some light stretching (Calf) first, and then try to mobilize again. Pain while you mobilize is not great... generally it lead to guarding (increase in muscle activity) which is going to make getting a result tough.
Dr. B2
Thanks for the knowledge, your are providing! May I ask you about your thougths about therapeutic options for haglund´s deformity? Would you consider some kind of IASTM as an option?
Why don't physical therapists use grade 4 mobilization? I noticed you use it in at least some of your videos when you for example do the whipping motion with the cuboid bone in the foot and I wondering whether or not you are physical therapist or chiropractor or either one thank you
Great video. Can you do something like this with your foot on a chair and a resistance band around the front of the ankle and then do small presses forward with your knee.
I have tried this and it seems to help.
But why does the ankle dorsiflex with more ROM and easily but then the next day it is stiff and feels like there is some gunk at the ankle crease preventing good, easy gliding movement without feeling like there is swelling or some kind of very uncomfortable pressure at the ankle joint.
isn't the knee bending when doing the posterior mobilization of the TCJ a compensation? (doing it too much/hard??)
Hey Rach,
I could see your point and maybe if I wasn't stabilizing the tibia with my other hand it may be something to watch for. Since I am stabilizing the tibia with my hand and opposing the force created by the mobilization, the knee angle itself does not matter for the mobilization to be effective.
Dr. B2
Hello sir my talus bone factor 3month can me exsize me
I'm using a phone. The demo is blocked by the wordings.
dude, athletic trainers can perform manual therapy in every state
I need this lol
Question... This is to target to subtalar joint right? Not the talocrural?
No... watch the video again. I am moving the talus and calcaneus as one unit, while the tibia is stabilized by the table. This is a Tibiotalor (Talocrural) mobilization.
Dr. B2
Türkçe alt yazılı yapma şansınız var mı
Where can I find this hands on help in UK ? Thanks 🙏
* Physical “Therapist”Assistants
Hello sir!Your physio technique is vry help for us..Actually my spine L3 level got fractured and I'm facing walk, my problem is. knee,toes n ankle mobilisation and strength is very weak so I didn't walk continue without support..dr.saysbmy nerves is damaged but improvement is going on but very slow. How to recovery this.
Keep working Gargi,
It will take time to recover, and nerve damage may imply that youwill not regain 100%, but any work you put in will help you toward regaining function.
Dr. B2
but why cant i just stabilize the tibia and fibula and move the talus AP and PA?and also, isnt the maximum dorsiflexion the closed pack position of ankle joint?
I agree, stabilize the tib-fib, mobilize the talus, and use your leg to change the level of DF- you have to stabilize proximally
MAITLAND RULZ
Subtitles run completely over everything... can't see her legs, foot or his hands.
You can turn the subtitles off. UA-cam control "where" the subtitles are, we can't change that
@@BrookbushInstitute thank you....didn't know that !