Exercises For Stiff Ankles

Normal ankle motion is so critical for the health and longevity of your body. The ankle moves your foot primarily into plantarflexion (toes away from you) and dorsiflexion (toes up towards the shin). For the sake of this article, we are going to discuss ankle dorsiflexion motion, and specifically how you can improve motion in this direction. Ankle plantarflexors (aka the calves) are a muscle group that often limit the dorsiflexion motion. Ankle dorsiflexion is crucial for squatting, going downstairs, jumping, and many other movements. This article will show you exercises for stiff ankles, by addressing limitations that may be present in the ankle joint and its surrounding muscles and tendons!

 

Stiff Ankles: Causes and Treatment Implications

Ankle Motions

Exercises For Stiff Ankles the prehab guys

Impaired or limited ankle dorsiflexion is thought to increase forefoot pressure due to an early heel rise during walking. Abnormal or faulty ankle movements are associated with problems of the foot and ankle including metatarsalgia, plantar fasciitis, Achilles tendinopathy, ankle sprains, and plantar ulceration. There are a few structures that can limit ankle dorsiflexion motion, including calf stiffness (gastrocnemius & soleus muscles), ankle joint restriction, or a boney block.  If we are to really dig into this topic, a few studies have found that the medial gastrocnemius is the most common cause of reduced ankle dorsiflexion. However, there is no consensus on how to identify a stiff medial gastrocnemius.

 

Why does the ankle get stiff?

Think about how frequent you put your ankles into end range dorsiflexion on a daily basis, probably not too often. Just like any other motion, the body will adapt, and if you don’t give it a reason to maintain dorsiflexion mobility, you’ll lose it. Look at the shoes people wear on their feet, you may be surprised by how common large heel lifts are. This will ultimately place your foot into more of a plantarflexed position, limiting the amount of dorsiflexion your ankle actually moves into on a daily basis. The goal of this article is to improve those stiff ankles!After an ankle fracture that may or may not involve a surgical procedure, it is inevitable that the foot and ankle will become stiff. As this area of the body is immobilized, it does not have the freedom to move the way it usually does with daily activity, which therefore leads to tightness of the joint and surrounding soft tissue. Read more about what to do after an ankle fracture!

READ: WHAT TO DO AFTER AN ANKLE FRACTURE

what to do after an ankle fracture the prehab guys

 

Soft Tissue Mobilization To Improve Ankle Stiffness

Below is an example of how you can utilize a foam roller to help you improve the soft tissue restrictions in the calf that may be contributing to your stiff ankles. As stated before, soft tissue restrictions are one of the causes of stiff ankles.

Exercises For Stiff Ankles: Calf Foam Rolling

Follow along with the video to learn how to roll out your calves!

 

Stretching Exercises For Stiff Ankles

Stretching is the most common approach used to enhance dorsiflexion range of motion. Stretching has been shown to increase flexibility and attenuate exercise-induced muscle soreness, which is why stretching is so common in the rehabilitative and training space. There are three main approaches to stretches include:

  • Static Stretching

 

  • Proprioceptive neuromuscular facilitation  (PNF)

 

  • Ballistic stretching

 

The most researched of the 3 is static stretching into dorsiflexion which we will cover in this article. This type of passive stretching has been shown to improve flexibility into dorsiflexion. Ballistic stretching is a type of dynamic stretching that involves a fast bounce which has not been shown to improve the dorsiflexion range of motion. PNF has also been shown to improve dorsiflexion range of motion, however, oftentimes requires assistance from another individual. The two common types of PNF stretching includes contract-relax and contract-relax agonist contract. Below are a few static stretches great for improving ankle mobility.

Exercises For Stiff Ankles: Static Soleus Stretch

Sample [P]Rehab Exercise Library Video

I  like this stretch because it can often tell us whether the limitation is from soft tissue or the underlying joint. If you feel a pull in the calf and Achilles tendon,  likely soft tissue is your barrier to getting into more dorsiflexion. If you feel a pinch at the front of your ankle then it is likely more of an ankle joint or boney limitation. Either way, you want to stretch into this position and re-assess to see if there was an improvement in mobility. The key here is to avoid collapsing your arch, which is why I  bias the knee towards the pinky toe when prescribing calf stretches.

Exercises For Stiff Ankles: Static Gastrocnemius Stretch

  • HOW: Get set-up standing with a wall in front of you and place your hands on the wall. Take a step back with the side you plan to stretch. While keeping the foot you stepped back with flat on the ground, knee straight, and toes facing 12 o’clock, slowly lean and shift your weight forward until you feel a stretch.

 

  • FEEL: You should feel a stretch in the calf of the foot that is behind you, specifically behind and below your knee and potentially right above your ankle. You shouldn’t feel pain or a pinch in front of your ankle.

 

  • COMPENSATION: Be sure to keep your back foot facing 12 o’clock, do not let your foot turn out or in. Try to keep your heel down. Keep the knee straight

 

Ankle Dorsiflexion Overhaul [P]Rehab Program

Ask anyone in the industry, ankle dorsiflexion mobility matters. Without it, you run the risk of exposing other body regions to excessive strain due to compensatory strategies. This program is for anyone looking to improve their ankle dorsiflexion mobility. If your mobility is limited due to an injury/surgery in the past, or you’re just dealing with stiff ankles that are limiting your workouts and athletic performance, this program is appropriate for you as long as you have general workout experience! Learn more HERE

LISTEN: TALKING SQUATS & RUNNING WITH THE [P]REHAB GUYS

squats and running the prehab guys audio experience

Limited ankle dorsiflexion can impact many functional activities, such as a squat and/or running. Take a listen to the [P]Rehab Audio Experience, where the topic of squats and running is discussed!

Limited joint mobility is another culprit to stiff ankles. Often times, individuals may complain at pain right at the front of their ankle, especially when transitioning through the midstance portion of the gait cycle, which is when one transitions from putting their heel down to a flat foot position. This is because, at this point in the gait cycle, the ankle is in its maximum amount of dorsiflexion it will have throughout walking. The joint that is responsible for ankle plantar flexion and dorsiflexion is the talocrural joint. In regards to exercises for stiff ankles, there are great self mobility exercises one can perform to improve the quality of motion at this part of the body!  This is, in my opinion, the best bang for your buck ankle stretch!

Ankle Dorsiflexion Mobilization

Get your foot set-up and supported on an elevated surface while balancing on the other leg. To perform the mobilization, bring your knee and shin bone forward over your toes while keeping your heel down on the ground. Begin loading more of your weight onto the elevated leg, until the back leg is light on the floor. You should feel a stretch in your calf and/or your ankle joint. Ensure that you keep your entire heel flat on the ground as best as you can.

Ankle Circles

Get set-up seated with your back supported and support your leg by wrapping your arm under your knee. While keeping your thigh still, draw large circles in a clockwise and counter-clockwise direction with your ankle. You should feel your calf and ankle muscles working to control the movement. Keep the rest of your leg and thigh still, focus on movement at the ankle.

 

Exercises For Stiff Ankles: Strengthen To Lengthen

Stretching of the calf is often recommended when the goal is to improve ankle range of motion through muscle-tendon length, however, stretching was shown to be no better than just performing eccentric exercises. This means when performing an eccentric exercise, go through the entire range of motion! You should be feeling a stretch in the calf at the end of the motion.

Single Leg Calf Raises Off Step

With the goal being to improve ankle mobility, make sure the heel gets as close as possible to the floor! Hold at the bottom for a second prior to returning back up into plantarflexion.

 

Closing Thoughts

To summarize the main points from this article, we discussed primarily exercises for stiff ankles related to ankle dorsiflexion mobilityThere are a variety of reasons why one can develop stiff ankles, which include soft tissue restrictions of the calf musculature including BOTH the gastrocnemius and the soleus. It is important to assess the extensibility of both of these muscles! Secondly, the other culprits of limited ankle mobility include either joint mobility restrictions or a bony block, which is less common. If you are looking for a comprehensive program for the foot & ankle region, look no further than our Foot & Ankle [P]Rehab Program!

WANT MORE FOOT & ANKLE CONTENT?!
Foot and ankle program exercises for stiff ankles the prehab guys

The Foot & Ankle [P]Rehab Program is a physical therapist developed, step-by-step program that teaches you how to optimize your foot & ankle health. This 3-phase program will expose you to various foot & ankle strengthening and stabilization exercises supported by science. This program will bulletproof this region for anything life throws at you! Learn more HERE

 

REFERENCES

  1. You J-Y, Lee H-M, Luo H-J, Leu C-C, Cheng P-G, Wu S-K (2009) Gastrocnemius tightness on joint angle and work of lower extremity during gait. Clin Biomech (Bristol, Avon) 24(9):744–750. 
  2. Aronow MS, Diaz-Doran V, Sullivan RJ, Adams DJ (2006) The effect of triceps surae contracture force on plantar foot pressure distribution. Foot Ankle Int 27(1):43–52
  3. Chimera NJ, Castro M, Davis I, Manal K (2012) The effect of isolated gastrocnemius contracture and gastrocnemius recession on lower extremity kinematics and kinetics during stance. Clin Biomech (Bristol, Avon) 27(9):917–923. 
  4. Irving DB, Cook JL, Menz HB (2006) Factors associated with chronic plantar heel pain: a systematic review. J Sci Med Sport 9(1- 2):11–22. 
  5. Crawford F, Thomson C (2003) Interventions for treating plantar heel pain. The Cochrane database of systematic reviews (3):CD000416. 
  6. Pascual Huerta J (2014) The effect of the gastrocnemius on the plantar fascia. Foot Ankle Clin 19(4)
  7. Gurdezi S, Kohls-Gatzoulis J, Solan MC (2013) Results of proximal medial gastrocnemius release for Achilles tendinopathy. Foot Ankle Int.
  8. Laborde JM (2009) Midfoot ulcers treated with gastrocnemius- soleus recession. Foot Ankle Int 30(9):842–846. 
  9. Patel A, DiGiovanni B (2011) Association between plantar fasciitis and isolated contracture of the gastrocnemius. Foot Ankle Int 32(1):5–8.
  10. Baumbach S (2016) Ankle dorsiflexion: what is normal? Development of a decision pathway for diagnosing impaired ankle dorsiflexion and M. gastrocnemius tightness. Arch Orthop Trauma Surg (2016) 136:1203–1211.

 

Disclaimer – The content here is designed for information & education purposes only and is not intended for medical advice.

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