The term “jointed ankle foot orthosis” refers to the common condition of a person’s ankle having two or more distinctively different pain locations on the same side, which is caused by joint involvement in the patella (knee cap). Common pain locations are where the joint and patella meet in the middle, along the front of the heel, or between the heel and the ball of the foot. This can be a very elusive problem that may only manifest on a cursory level with some patients or may become worse over time. A variety of conditions may lead to an entrapped patellar tendon, or to an excessive amount of pressure being placed on the patellar tendon while walking or running. Such conditions as a weakness in the muscles around the joint, or a build-up of bursa, can also lead to this foot issue. These conditions are called secondary disorders of the knee.
Jointed ankle foot orthosis – A first step should be made by the participant’s orthotic specialist
Jointed ankle foot orthosis can have multiple underlying causes, and the diagnosis and treatment of each will differ from the patient’s case to case. A first step should be made by the participant’s orthotic specialist or physical therapist, when undertaking a management plan phase. During the plan management phase, a physical examination is undertaken to determine the severity and location of the participant’s jointed ankle foot orthosis. The severity of the problem will determine the next course of action, such as manual therapy to strengthen muscles around the painful areas, or jointing the patella with a strap. Manual traction devices may also be prescribed by the plan manager to further reduce stress on the affected regions.
As part of the rehabilitation process, the severity of jointed ankle foot orthosis is assessed using a range of therapeutic approaches, including static posturing, dynamic prosthetics, active range of motion exercises, therapeutic exercise programs, and physiotherapy. A client’s degree of pain will determine which therapeutic approach is used. Massage and ultrasound may provide some relief for the patient; electrical stimulation through electrodes placed on specific body areas can also be used to treat conditions such as diabetic neuropathy, where damage to nerves can result in numbness, tingling and other problems. Other types of therapy that may be used as part of the rehabilitation plan include occupational training to correct skills that need improving, and stress management techniques to alleviate the stress caused by arthritic pain.