Lower Leg Treatment Guidelines
Chronic Anterior Compartment Syndrome
Draping and Pillowing
Hydrotherapy
- Apply heat to Tibialis Anterior Fascia
- Be sure to check visually, vocally and through touch
Specific Treatment
Hip Flexors
- Warm up technique
- Detect trigger points and state referral pattern
- Trigger point negotiation
- heat and stretch area
- Be sure to ask about comfort
Tibialis Anterior
- Perform 3 neuromuscular techniques
- Perform trigger point protocol
- Stretch muscle for 30 seconds
Extrinsic Toe Extensors
- Be sure to show anatomical precision
Gastrocs/Soleus
- Show anatomical accuracy
- Perform 3 appropriate techniques in area
- Stretch gastrocs for 15 seconds (state)
- Stretch Soleus for 15 seconds (state)
- Be sure to ask about comfort
Fascial Compartment
- Engage connective tissue
- Challenge and negotiates with client about pain scale
- Perform 3 effective techniques
- Ask about comfort
Tibialis Posterior Tendinitis
Specific Treatment
- Place cold hydrotherapy at medial ankle
- Treat Tibialis Posterior, FDL and FHL with fluid techniques
Plantar Fasciitis
Specific Treatment
- Treat gastrocs, soleus and plantar fascia
- Perform techniques cross fibre
- Negotiate connective tissue feeling
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