Ankle & Foot Pain
We specialize in the diagnosis and treatment of FOOT/ANKLE and Lower Leg Pathology
We work closely with your physician to identify the source of your pain. Considering the whole body and how it moves, we get to the root cause. We use evidence based techniques and advanced technology to restore optimal biomechanics, gait and movement efficiency. Our aim is to not only eliminate pain but prevent its recurrence.
Assesment:
Known for getting to the source with a ‘movement diagnosis’ our therapists first identify the meaningful task that brings on pain. Using a clinical reasoning process, we identify non optimal patterns and zero in on specific joint and myofascial restrictions and uncontrolled movement. We assess the interplay between forefoot, rearfoot, lower leg and the rest of the body in low and high threshold functional tasks. Our goal is to identify the driver to the dysfunction and set a plan of care in place to de-load strained tissues
Treatment:
Our hands-on approach combines osteopathic joint mobilization with soft tissue techniques and targeted prescriptive exercise. An emphasis is placed on whole body coordination efficiency to optimize movement retraining of the foot and ankle. Treatment includes the use of innovative biofeedback modalities such as real-time ultrasound imaging and the use of Shockwave (RPW) technology. As your rehabilitation program progresses, we incorporate sport and fitness specific strategies to ensure a full return following your injury and/or surgical recovery.
Foot & Ankle Diagnoses treated at KNÓSIS include:
Ankle sprains
An ankle sprain involves the tearing or overstretching of ligaments that guide and restrain ankle movement. This injury often occurs from a fall, twist, or rolling of the ankle and is common in sports or everyday activities like navigating uneven sidewalks. The severity of the sprain, classified from grade 1 to 3, reflects the extent of ligament damage and is accompanied by symptoms such as pain, tenderness, swelling, bruising, and difficulty walking. Even seemingly minor sprains can have long-term consequences, disrupting neuromuscular signaling and impairing the central nervous system's ability to maintain balance and coordination, thereby increasing the risk of re-injury.
At KNÓSIS, we view ankle sprains as an opportunity to address the interconnected systems of the body. We specialize in uncovering and correcting the compensatory weaknesses that often develop after such injuries. By focusing on postural alignment, muscle balance, and tailored movement re-education, we guide clients toward holistic recovery. Our approach not only restores stability and function but also builds resilience to prevent future injuries, empowering our clients to move with confidence and grace.
Anterior Compartment Syndrome / Exertional Compartment Syndrome:
Exertional Compartment Syndrome arises when the connective tissue (fascia) in the lower leg restricts muscle expansion during intense use. This leads to increased pressure and swelling as blood flow is trapped resulting in compression of nerves and blood vessels and subsequent pain, numbness, or coldness in the feet. Symptoms intensify during activity and subside as pressure normalizes. At KNÓSIS, we employ a holistic approach, focusing not only on strengthening and flexibility, but on refining exercise techniques, and integrating cross-training strategies that emphasize core, hip, and spine stability. By addressing whole-body dynamics, we restore balance, alleviate discomfort, and promote lasting recovery.
Foot Arthritis
Osteoarthritis (OA) involves the breakdown of cartilage in joints, leading to pain and stiffness as bones rub together. With 33 joints and 28 bones, the foot offers many potential sites for OA to develop, often impacting mobility, balance, and the ability to walk or perform weight-bearing activities. At KNÓSIS, we focus on more than just the affected joints. By combining targeted exercises to strengthen and stretch the foot with an integrative approach addressing the ankle, knee, hip, pelvis, and spine, we restore balance and support foot health. This holistic strategy transfers pressure from the joints to the supporting muscles, relieving pain and fostering a return to pain-free activity.
Peroneal Tendonitis
The peroneal tendons connect the peroneal muscles from the lower leg to the outer foot, enabling outward foot movement. Tendonitis, marked by pain and inflammation, may result from a sudden injury or repetitive strain. While conservative treatments focus on reducing inflammation, at KNÓSIS, we address the root causes with a holistic, full-body approach. By restoring core strength, muscular balance, and joint mobility, we promote healing, prevent recurrence, and support sustainable recovery for optimal movement.