Chronic ankle pain and inflammation following ATFL rupture. A case study.

By November 27, 2017Rehabilitation, Training

ATFL rupture leads to chronic ankle pain and inflammation.

8 years ago Hayden tore the anterior talofibular ligament (ATFL) in his ankle. The damage to the ligament was severe enough to require surgical intervention to have it reattached. He has suffered chronic pain and inflammation in the joint ever since.

Chronic pain and inflammation following ATFL rupture

Still in his early 30s and previously very active, Hayden was unable to even go for a walk at the weekends without experiencing significant pain and inflammation in his ankle. His goal of playing a round of golf without incurring debilitating pain seemed a long way off. This despite hours of conventional rehabilitation.

The medical response was to target the inflammation.

Naturally this situation was getting him down. When his rehab failed to restore even minimal function back to his ankle, Hayden was placed on the medical conveyor belt of ever more invasive options. 

The medical solution was to prescribe immunosuppressants to control the inflammation. This worked to a certain extent although as soon as Hayden stopped taking the medication the inflammation would reappear upon activity. 

This is what Hayden had to say recently after 6 sessions of Muscle Activation Techniques (MAT) and a targeted programme of isometrics. 

“Paul has transformed my mobility. After tearing the ligaments in my ankle 8 years ago, I wasn’t able to walk for a day without ankle pain. I was prescribed potent immunosuppressants to combat the inflammation in the joint but this did not solve the problem.”

“After 6 weeks of therapy with Paul I am now able to walk, run and even play football without pain. The impact of improving my muscular system has been profound.”

Whilst I enjoy getting 5 star reviews from great people like Hayden, they are not my end goal. My wider mission is to demonstrate the profound effect exercise can have when it’s applied in the right way and reduce the number of people undergoing unnecessary medical intervention. 

It’s troubling to think that there are more people out there who are receiving powerful medication when the underlying issue may be a deficit in their muscular system. Especially when the long term health consequences of this type of medication are considered. 

To resolve injury the impact on the muscular system must be addressed.

The effect of ankle sprains on the muscular system and in particular the peroneal muscles are well documented. What’s lacking it would seem is effective use of that information and an understanding of how to apply exercise to impact those changes. 

Of course this situation is not limited to the ankle. Wherever injury has taken place there will likely be changes to the ability of muscles to contract both at the injury site and further afield. These changes can linger for years and cause further issues unless addressed directly. 

If you are struggling to recover from injury, get your muscular system assessed. We offer a FREE Discovery Session to do just that. 

If you are suffering from recurring ankle sprains you may find this previous post helpful.