Steve_E 7:43pm Apr 23 2012
I spent hours doing DF stretches with Therabands. I worked my way up to the black one and had trouble finding anything higher. I took a 30" length of the Theraband material and looped it around the bottom of my foot(with my shoe on). Then I stretched the loop tight and held it for a few seconds and got as much ROM as I could. You can keep the band in the same position and do the plantar stretch too. I worked up to 25 reps 5-6 times a day. I did DF, PF, inversion and eversion exercises until I was blue in the face!
My dorsiflexion was 10-15 degrees after my surgery, by the time I was allowed to do anything with it, the DF was 0. My OS had me NWB for almost 5.5 months.
After 6 weeks of PT twice a week, I was still disappointed in my DF. The total range of motion was 0 by myself using muscle only and 5-8 degrees with the PT warming it up and stretching it .
At the end of the 6 weeks I went back to see the OS. He was concerned initially about AVN on the aft portion of my talus. When he saw the latest flims, he said that we hit a home run with the ORIF and he was happy with the revascularization of the talus. He said that I couldn't hurt the talus.
At that point I really started working the DF. By using the Therabands so often during the day my foot/ankle was sore but I made significant progress. Anytime I was seated I had my wife's ankle weight on my foot and hung my foot over a stool to work it in dorsiflexion.
ASR's Dad made her a great platform that is adjustable. If you haven't seen it, take a look in her sig, I think it lists her photo site I also searched the net for dorsiflexion exercises too.
I also asked my OS specifically for things I could do too. Sometimes the PT therapist and the DR have different ideas.
Keep up the hard work!
Steve FX talus repaired ORIF July 2011