Move Physio logo.

New to Us?

Your journey begins with a choice…


Live OR Virtual 45-min session

with your own Physio to:

**Dive deep into your entire history

**Explain why other treatments didn’t work

**Identify the Root Causes of your issues

**Develop your Goals for treatment

**Customize the structure for the Evaluation

Completion allows the option for a 45-min Evaluation





90-min Live, Hands-on session

with your own Physio to:

**Complete all aspects of the Consultation


**Evaluate & Assess all dysfunctions

**Formulate your optimal Plan of Care


**Begin Treatment – See & Feel Progress

Current Clients:

Need to continue your current care?

A therapist massages a patient's foot in an effort to ease pain.

Weak Ankles?


Dr. John De Noyelles, PT, OCS, CSCS

At Move Physio, we see a variety of orthopedic conditions in which we determine that the ankles and feet are at least partially responsible for. These conditions include knee, hip and even back pain. But what happens when the ankle has been injured, is weak or painful? As often as we see ankles with limited mobility, we also hear patients describe a history of “weak ankles” resulting in or from ankle sprains. Traditional rehabilitation in a typical physical therapy facility may incorporate an elastic exercise band for strengthening of the ankle musculature directly involved with the ankle. Even Consumer Reports published these exercises for preventing or fixing ankle sprains:

In terms of the big picture, I have a problem with these. These exercises do not resemble movements that we make in real life: walking, running, stair negotiation, or any functional activity that consists of our feet being on the ground. Look again at the pictures above. Do these resemble anything you do in real life? The gas and brake pedal are about the only things I can think of. Exercise band and ankle isolation exercises may be an appropriate start if weight-bearing is not allowed or is too painful. However, there is a lot more likely involved when a person describes his or her ankles as “weak.” The trunk (including the core), pelvis, hips, and the rest of the lower extremities, although far from the ankles, contribute greatly to overall function of the ankle. These regions “act on” the ankle. Greater efficiency above makes for less demand on the foot and ankles. As you’ve probably heard: “It’s all connected.”
Why is this important? It is because too many rehabilitation programs for “weak” or sprained ankles rely primarily on the exercises above. I question whether these types of exercises are doing anything at all. Minimal strengthening of the small muscles around the ankle will likely do very little the next time you run, jump, pivot or negotiate steps.
Do your ankles feel weak, roll or sprain easily? The key dysfunction may be from up above. If true weakness is found in the ankles then functional, foot-on-the-floor activities and exercises that target these muscles may be more appropriate.

Dr. John De Noyelles, PT, OCS, CSCS


More Interesting Articles…

Suffering from the Effects of Abdominal Surgery?

Barefoot Training or Specialized Shoes?

Post-Surgical Rehab Should Not Be a Cookie-Cutter Approach

5 Warning Signs You’re Wasting Your Time in PT

What’s a Treatment Session Like?

Let the Kids Play

Why Your Doctor May Not Recommend Physical Therapy