I have a patient (male,35yrs) who has had numerous lateral ankle sprains over his lifetime with no treatment at all but bad enough to stop him playing rugby.
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No other relevant history. Current symptoms include pinpoint pain on palpation bilaterally at navicular/Tib Post (Neutral foot type w/b & in gait & normal weight) but reason for appointment was - intermittent falling (once a month) as MEDIAL ankle (right or left) 'gives way' causing him to 'hit the deck'; minor swelling thereafter but can walk normally once again within 10 mins. Normal ranges of motion. Good footwear. Quite unstable on a balance board - Does anyone think porprioception ex's & orthotics will help? Obviously worried about the falls. Have i missed something??
Any suggestions appreciated......
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