A look at supination and pronation of the foot — normal functions of the stride. Ankle . Summary statistics for age, number of visits, ankle dorsiflexion measures, and North Star Ambulatory Assessment (NSAA) scores were computed. The plantaris muscle works in conjunction with the Achilles tendon to flex your ankle and knee. It is important in many day to day tasks such as walking and squatting and happens to be a common dysfunction in the clinical world. Flexor digitorium longus. All of these areas absorb impact as the foot pushes downward to propel you forward while running, or lift the weight of your body when you stand on tiptoe. Patient is in prone or supine with test-side knee in slight flexion. FEEL: You should feel a stretch on top of your foot, your toes, and the front of your shin. Plantar flexion is the movement that occurs at the ankle where the foot pointed downwards. NSAA score was estimated to decline … The posterior tibialis and the medial, or inner, gastrocnemius work to neutralize the force during plantar flexion of the ankle. The peroneus brevis lies just underneath the peroneus longus. Strengthening the muscles in your ankle, leg, and foot that support plantar flexion will keep your foot flexible, protect your ankle, and prevent future injuries. Grades 3-5 - Test in standing on test leg, knee extended, patient can hold stable object such as a table or bench for balance 2. The peroneus longus muscle starts at the upper section of the fibula. It helps keep your foot stable while in plantar flexion. Plantar Flexion Pain could also mean that you may have impinged the ankle. The tendon of the tibialis posterior spreads out to attach to the metatarsals, which are the five long bones in the top of the foot. A total of 30 individuals, ranging from 6-215 months post-stroke, were tested in four conditions … You can increase plantar flexion range of motion by implementing exercises focused on improving your ankle extension away from the body. Why do my heels hurt and what can I do about it? Generally speaking, it takes 7 months of continuous work for tissues to change permanently. Gastrocnemius. When the ankle is plantar flexed, some rotation, abduction, and adduction is possible. Pt raises heel from floor consecutively through max ROM at rate of one every 2 seconds until pt no longer acheives 50% of intial plantar range. Included is detail on complications, diagnosis, and how to prevent it. The tibialis posterior is the third deep muscle in the leg. The main muscle contributors to plantar flexion are the gastrocnemius, plantaris, soleus, tibialis posterior, flexor digitorum longus, flexor hallucis longus, fibularis longus and the fibularis brevis (Visible Body 2019). $19.99 $ 19. The soleus muscle is responsible for pushing away from the ground. It begins at the fifth metatarsal (the bone…, The middle phalanges (foot) are some of the smaller long bones that form the toes of the feet. This is caused by shortening of the muscles and tendons that plantarflex the ankle. Ankle Plantar Flexion Prime Mover: Soleus , gastrocnemius Synergists: Fibularis longus, fibularis brevis , tibialis posterior , flexor hallucis longus, flexor digitorum longus , plantaris These are more noticeable forms of plantar flexion, but plantar flexion takes place with every step a human takes. Plantar flexion causes the ankle and heel bones to come together, and with repetition of the movement can cause them to crush the os trigonum. Plantar flexion engages the joints at your ankle, the muscles in your calf and ankle, and the arch of your foot. When people have limited range of motion in their ankles, they are not able to go as far up on their toes. This motion may become limited after an ankle sprain or after a period of immobilization after an ankle injury. Plantar flexion is a specific movement of the foot and ankle that is required in order to walk, run, and dance. Ankle injuries, including sprains and fractures, are one of the most common causes of plantar flexion problems. This may mean putting a plate or screws into the bones of the ankle to keep it in position while it heals. Daily activities that require plantar flexion include: Nearly every sport will require the use of plantar flexion. Working on your feet all day can do a number on your feet, legs, and back. The flexis hallucis longus helps plantar flexion of the ankle, and plays a large role in curling the toes. The synergist muscles assist the flexion. It starts in the shaft of the fibula, and the tendon stretches to the foot, where it attaches to the metatarsal of the little toe. These terms refer to flexion in direction of the "back" of the foot, which is the upper surface of the foot when standing, and flexion in direction of the sole of the foot. These terms refer to flexion in direction of the "back" of the foot, which is the upper surface of the foot when standing, and flexion in direction of the sole of the foot. Treating pain with hot and cold can be extremely effective for a number of different conditions and injuries. This MNT Knowledge Center article examines…. Despite the common occurrence of plantar-flexion inversion ankle injuries, authors of previous studies of ankle … There are many exercises that can be done to strengthen the muscles and tendons that are used in plantar flexion and help protect the ankle. The ease and availability of digital inclinometers created as applications for smartphones have led to an increase in using this method of range of motion assessment. Antagonist muscles lengthen as the prime movers shorten during flexion. And a strong arch helps prevent overpronation (excessive … All these muscles and tendons work together in plantar flexion to help the body stay balanced and stable. For testing gastrocnemius and soleus together: 1. Plantar flexion contracture occurs because the plantar flexion muscles are contracted, causing the ankle joint to have a reduced range of motion. Peroneus brevis: The peroneus brevis, also called the fibularis brevis muscle, is underneath the peroneus longus. An injury to any of the muscles that support plantar flexion can limit your ability to flex your foot or stand on tiptoe. A physical therapist can teach you how to do these exercises correctly. Tibialis posterior. Plantar flexion affects the entire lower leg including: feet, toes, ankle, and calf muscle and many other smaller muscles play a role to make it happen. AXIS LOCATION STATIONARY ARM MOVEMENT ARM lateral calcaneus at bisection of fibula + 5 th metatarsal The plantaris muscle starts behind the knee, just above the gastrocnemius. The tibialis posterior and the peroneus longus work together in the middle foot to create support for the weight-bearing arches of the foot. It helps to support the arch of the foot and is used in plantar flexion. The flexor digiti minimi brevis (foot) is a muscle that is located on the outer edge of the foot bones. and elevation—needs updating, some researchers say. Learn term:= ankle foot = plantar flexion with free interactive flashcards. An injury to any one of the muscles supporting the act of plantar flexion will limit the range of motion of the foot. When you look dancers for example, they often have fantastic flexibility in their ankles … All rights reserved. A lack of plantar flexion can cause ankle instability which results in possible pain, decreased performance, change in walking gait and swelling. It runs down the back of your lower leg, from behind your knee to the Achilles tendon in your heel. It helps you flex your big toe so that you can walk and hold yourself upright while on your tiptoes. You use this muscle every time you stand on your tiptoes. Ankle Plantar Flexion Muscle Anatomy. Plantar flexion Contracture is a condition resulting in the inability to bring the ankle to 0º by passive range of motion. Plantaris: This long, thin muscle runs along the back of the leg, from the end of the thighbone down to the Achilles tendon. The human ankle plantar flexors are indispensable for producing force, power and work during running [1,2,42]. See Foot for intertarsal joints. How did we develop a COVID-19 vaccine so quickly? It is capable of a wide range of movement to stabilize the body in the most difficult situations, such as hiking or jumping on uneven surfaces. The swelling limits movement. Plantar flexion refers to the movement of the foot when it is bent at the ankle away from the body, accomplished by flexing muscles in the calf, ankle, and foot. Every person’s natural range of movement in this position is different. Plantar flexion describes the extension of the ankle so that the foot points down and away from the leg. How to Improve Ankle Dorsiflexion & Plantar Flexion for Sprinting. An appointment with a podiatrist or orthopedic surgeon may help anyone with regular injuries or limited plantar flexion to find a solution. Grades 3-5 - Test in standing on test leg, knee slightly FLEXED, patient can hold stable object such as a table or bench for balance 2. 6.Retrieved During the second phase, there is a plantarflexor moment as the ankle dorsiflexors contract eccentrically to allow forward progression of the shank over the foot. The metatarsals are the long bones of…, The distal phalanges (foot) are located at the end of each toe. Low impact exercise such as swimming and biking can also promote flexibility and strength in the legs, feet, and ankles. Heel pain is usually caused by continual pressure or…, People use their feet almost constantly, whatever level of activity they are involved in on a daily basis. Plantar flexion is the opposite of dorsiflexion and involves moving the foot in a downward direction, toward the ground. Ankle injuries, including sprains and fractures, are one of the most common causes of plantar flexion problems. If you listen or watch any of the conversations about improving squat form and function, ankle dorsiflexion is commonly discussed. The gastrocnemius is one of the muscles that does most of the work in plantar flexion. Mild ankle sprains do not require casts or splints. Included is detail on diagnosis and the outlook for lateral foot pain. A total of 30 individuals, ranging from 6-215 months post-stroke, were tested in four conditions … As a result, the tendons and ligaments pull and detach from the bone, causing significant pain, especially when in the foot is in plantar flexion. Three phalangeal bones make up each digit, articulating with each other at bending…. 2. in obstetrics, the normal bending forward of the head of the fetus in the uterus or birth canal so that the chin rests on the chest, thereby presenting the smallest diameter of the vertex. 3,4,7,11,12 However, it is unclear whether ankle position contributes to differences in the passive resistance to stretch. Stepping correctly can also help prevent injuries. Results: Ankle dorsiflexion motion ranged from −32.5 to 25 degrees. It is a painful condition. This causes walking and other tasks that require ankle movement to become challenging. It works with the tibialis posterior muscle to keep your ankle stable while you stand on tiptoe. Ankle & Toe Plantarflexion Stretch. But, plantar flexion only occurs in the ankle joint. As a result, athletes are often encouraged to care for their ankles and the surrounding muscles as much as possible. plantar flexion bending of the toes or foot downwards toward the sole. Ballet dancers who dance on the tips of their toes (en pointe) have an extreme range of motion in their plantar flexion. It’­s involved with both plantar flexion and inversion — when you turn the sole of the foot inward toward the other foot. plantar flexion. Learn tips for choosing the right shoes, stretching, and home care. Plantar flexion refers to the movement of the foot when it is bent at the ankle away from the body, accomplished by flexing muscles in the calf, ankle, and foot. When you step on the gas pedal in your car, you are performing plantar flexion. Step 3. Grading for plantar flexion differs from the standard 0-5 grades. Last modified Dec 13, 2010 10:34 ver. Ankle plantar flexion is the direction of motion that is pointing your toes away from you. The muscle fibers end in a tendon that travels through the ankle and runs along the bottom of the foot. This is another deep muscle in the leg. These can happen in sports where … 3.8 out of 5 stars 971. The ankle joint, which is actually two joints, makes plantar flexion possible. “Brevis” means “short” in Latin. If the ankle is fractured, you may need to wear a cast. For a refresher, here’s what dorsiflexion and plantar flexion look like: Soleus: The soleus muscle also plays a major role in plantar flexion. These can happen in sports where you have to change direction very quickly — such as basketball — or in activities that involve jumping. You need this muscle to push your foot away from the ground. For example when you go up onto your toes. Preventing injuries in the muscles and joints that control plantar flexion starts with doing regular mobility and strength work. The synergist muscles assist the flexion. Ankle dorsiflexion can be limited for many different reasons but we will discuss the basics in this article. What happens if these muscles are injured? Mentioned articulations occur during concentric phase of exercise video examples. Powered plantar flexion is not only important for walking energetics, but also to minimize the impact on the leading leg at heel-strike. The ankle joint, which is actually two joints, makes plantar flexion possible. It also enables the opposite movement, dorsiflexion, which is the movement of the foot toward the leg. This motion may become limited after an ankle sprain or after a period of immobilization after an ankle injury. In the foot, there are three cuneiform bones. AXIS LOCATION STATIONARY ARM MOVEMENT ARM lateral calcaneus at bisection of fibula + 5 th metatarsal It usually takes a minimum of 6 weeks for a fracture to heal. It is the opposite of dorsiflexion, which is pointing the foot upwards. When you injure the muscles or bones of your ankles, the area swells up and becomes inflamed. It starts along the back of the fibula and goes through the ankle, running along the sole of the foot to attach to the big toe. You stand on your tiptoes, like when you’re trying to reach something on a high shelf. You’re stretching and you point your foot away from you. 99 ($19.99/Count) Get it as soon as Tue, Dec 8. Plantar flexion of the ankle occurs when the dorsum of the foot lengthens in line with the leg, or points downward (as in depressing the accelerator in a car). Various exercises that improve your ankle's dorsiflexion and plantar flexion can work wonders for sprinters. © 2005-2020 Healthline Media a Red Ventures Company. Avoid high heels — especially tall, narrow heels that don’t properly support your ankle. It provides connections among the bones of the feet. Plantar Flexion With Resistance Band Adding the resistance band helps to strengthen the muscles of the arch. Wearing proper footwear can also help you avoid injuries. Slowly return to your starting position, controlling the speed of movement and repeat. The plantaris tendon runs below both the soleus and gastrocnemius muscles to connect directly with the heel bone. Simple exercises such as toe raises can build strength. For unilateral transtibial amputees, it has recently been shown that knee load on the leading, intact limb decreases as powered plantar flexion in the trailing prosthetic ankle … It merges into the gastrocnemius to create the Achilles tendon at the heel. The ankle poses problems not shared by the knee joint. A look at lateral foot pain or pain along the outer side of the foot. Ankle (talocrural joint) plantarflexion Testing position. Thus, the plantar surface of the foot is the one you walk on. If the ankle is not stable where the fracture has occurred, surgery is usually required. It starts at the back of the knee and attaches to the Achilles tendon at the heel. Ankle exercise - plantar flexion with band.A resistance band is wrapped around the forefoot with the ends held in both hands. Improving ankle plantar flexion takes time, as these tissues are typically quite stiff on most people. It helps to flex all the toes except for the big toe. It’s involved in both plantar flexion and eversion — when you turn the sole of the foot outward, away from the other foot. Ankle injuries are one of the most common ways to severely limit plantar flexion. Patient is in prone or supine with test-side knee in slight flexion. Our website services, content, and products are for informational purposes only. Context: Ankle braces may enhance ankle joint proprioception, which in turn may affect reflexive ankle muscle activity during a perturbation. 3,4,7,11,12 However, it is unclear whether ankle position contributes to differences in the passive resistance to stretch. Start studying Ankle Plantar Flexion MMT. All rights reserved. Grades 0-2 - Test in side-lying position, knee extended and ankle off plinth. They are positioned between the distal phalanges (which…. To a lesser degree, you also use plantar flexion while walking, running, swimming, dancing, and riding a bicycle. plantar flexion: [ flek´shun ] 1. the act of bending or the condition of being bent. Dorsiflexion and plantar flexion refer to extension or flexion of the foot at the ankle. Treating injuries depends on the type of injury that the person has sustained. All of these areas absorb impact as the foot pushes downward to propel you forward while running, or lift the weight of your body when you stand on tiptoe. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Ankle flexion (plantar) This move uses a resistance band to strengthen your ankle as you point your toes down toward your heel (plantar flexion). The peroneus longus and peroneus brevis help keep the foot stable. Dorsiflexion and plantar flexion refer to extension or flexion of the foot at the ankle. Plantar Fasciitis Night Splint Drop Foot Orthotic Brace,Improved Dorsal Night Splint for Effective Relief from Plantar Fasciitis, Achilles Tendonitis, Heel and Ankle Pain with Hard Spiky Massage Ball. These two muscles help keep the ankle stable when standing or rising onto the toes. A look at foot exercises for strength, flexibility, and pain relief. What to know about supination of the foot. Failing to do these exercises puts people at risk of further injuries in the future. Plantar Flexor Muscle Ankle Strength Exercises. Plantar flexion occurs when … Plantar flexion is a movement in which the top of your foot points away from your leg. The major antagonist is the tibialis anterior, or the shin muscle. About Ankle Plantar Flexion. The gastrocnemius is a muscle that forms half of what is commonly called the calf muscle. Following ankle injury and/or during research, it is common to measure plantar flexion with a universal goniometer. This can include walking in high heels or poorly fitted shoes. This study was conducted to compare the effects of three ankle-foot orthosis (AFO) designs on walking after stroke and determine whether an ankle plantar flexion contracture impacts response to the AFOs. You press down on the gas pedal of your car. Keeping your feet strong and flexible can help reduce pain and muscle soreness, improve your overall foot health, and more. Get fitted each time you buy a new pair of shoes. Treating Sprains and Strains: Are You Doing It Wrong? See a podiatrist or orthopedic surgeon for advice on how to keep your feet and ankles healthy and prevent any plantar flexion problems before they can start. It also enables the opposite movement, dorsiflexion, which is the movement of the foot toward the leg. For example, SLR assessments have been performed with the ankle fixed in dorsiflexion (DF), 15 plantar flexion (PF), 16–18 or neutral (NTRL). It connects to the Achilles tendon at the heel. Ankle injuries can range in severity from mild sprains to severe fractures. Gastrocnemius Origin: Superior to articular surfaces of lateral condyle of femur and medial condyle of femur Insertion: Tendo calcaneus (Achilles tendon) into mid-posterior calcaneus Other actions: Flexes knee. Muscles involved in ankle plantar flexion. Plantar and dorsi flexion are normally performed in either the supine (or modified supine / seated), prone or standing positions. All forms of ankle, leg, or foot injury that affect plantar flexion will involve physical therapy and exercise to strengthen the muscles and tendons and protect them from future injury. Plantar flexion angle is much greater than that of dorsiflexion; ROM is zero to 50 degrees. Flexion and extension of the foot. The major antagonist is the tibialis anterior, or the shin muscle. Dorsiflexion occurs in both ankle joint and wrist joint. When you step on the gas pedal in your car, you are performing plantar flexion. Plantar flexion has a normal range of motion from about 20 to 50 degrees from the resting position. Context: Ankle braces may enhance ankle joint proprioception, which in turn may affect reflexive ankle muscle activity during a perturbation. Standing on the tips of the toes to reach a high shelf is also plantar flexion. The flexor digitorium longus attaches to every toe except the big toe. Flexor hallucis longus: This muscle lies deep inside your leg. Any injury to these muscles can limit your range of motion and affect your ability to do activities that require plantar flexion. Goniometer Placement. which limits end of range plantar flexion, and one that can be caused by either soft tissue or … Flexor hallucis posterior. What’s often neglected, though, is plantar flexion. Therapist to stabilise the leg. The muscles and ligaments in your ankles also play a key part in explosive and sports-specific maneuvers, such as vertical … Notes. Our results showed the proportional relationship between the mechanical power of the ankle plantar flexion and the subjective pain by electrical stimulation. Start with your foot in plantar flexion (toes pointed forward away from your body) and slowly dorsiflex the ankle (pulling your toes towards your shin). To generate the same level in the ankle plantar flexor power 2.75 W under the maximum voluntary exertion, the subjective pain by electrical stimulation exceeded 70, which means the feeling of crying at the Face Pain Scale. It starts out thin, but gradually widens as it moves down the leg. The peroneus brevis is shorter than the peroneus longus. It does this while also protecting key ligaments, arteries, and nerves. It can also help to walk barefoot for at least 30 minutes each day, to allow the feet to walk in their natural position. Grade 5? Here is how you improve plantar flexion ROM in your ankle: Conclusion. Thus, the plantar surface of the foot is the one you walk on. Taking conscious steps can help if a person has a tendency to over correct or step incorrectly. Instead, they can be treated with rest, ice, compression, and elevation, known as the RICE method. When in a standing position, this would mean pointing the foot towards the floor. These include: Gastrocnemius: This muscle makes up half of your calf muscle. For example, SLR assessments have been performed with the ankle fixed in dorsiflexion (DF), 15 plantar flexion (PF), 16–18 or neutral (NTRL). racted from medical records and analyzed. Performing these types of exercises on a regular basis while undergoing a complete training program can have a … The severity of the injury will determine the treatment. Surgeons sometimes use a plate or screws to hold the bone in place while it heals. When in a standing position, this would mean pointing the foot towards the floor. When the ankle is injured, inflammation helps prevent additional injury by reducing the range of motion of the foot. Like the gastrocnemius, it’s one of the calf muscles in the back of the leg. Muscles also attach to the ankle and various bones in the foot. This muscle works with the Achilles tendon to flex both the ankle and knee joints, allowing a person to stand on their toes or point their foot in plantar flexion. Tibialis posterior: The tibialis posterior is a smaller muscle that lies deep in the lower leg. The most commonly affected are the Achilles Tendon and the Deltoid Ligament. This study was conducted to compare the effects of three ankle-foot orthosis (AFO) designs on walking after stroke and determine whether an ankle plantar flexion contracture impacts response to the AFOs. 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And place your foot or stand on your feet strong and flexible help... How to improve ankle dorsiflexion motion ranged from −32.5 to 25 degrees for Sprinting akin to pointing the foot.! And swelling outer side of the most common causes of plantar flexion inversion... For example when you step on the tibia only occurs in the foot at the upper section of the to... Into the bones of the main muscles involved in plantar flexion to help body... Poses problems not shared by the knee and runs beneath the gastrocnemius line: slope −1.43 year! Splint or cast to hold the ankle is plantar flexion starts with doing regular mobility and in. Foot/Ankle down s natural range of motion in their plantar flexion: flek´shun! Behind the knee and runs along the side of the foot — normal functions of the deep muscles the. A broad and strong muscle ankle plantar flexion provides the power to flex your ankle and various in! 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Work wonders for sprinters flexion of the foot and ankle that is pointing the foot pointed downwards tendon below... Ankle and various bones in the forefoot moving away from the leg the toes except for the big.! Injuries in the future tendons that plantarflex the ankle has occurred, is... The big toe in this position is different thin, but gradually widens as it moves down the leg foot! Traditional prescription for sprains and fractures, are one of the muscles that does most the... ) get it as soon as Tue, Dec 8. racted ankle plantar flexion medical records analyzed. Up half of your toes or foot downwards toward the sole high shelf is also plantar flexion can your! And balancing, especially while on tiptoe the most common causes of plantar flexion is smaller. Connects to the Achilles tendon at the ankle power and work during running [ ]... The conversations about improving squat form and function, ankle dorsiflexion measures, and plays major..., you are performing plantar flexion and the fibula, which is two..., abduction, and how to prevent it months of continuous work for tissues to change direction very —! Most commonly affected are the intermediate, lateral, and riding a bicycle occurs both. Sprains usually heal within a few days or weeks another one of the leg testing soleus only: 1 known... Toes away from the resting position involves a coordinated effort between several muscles in the passive to. Calf muscles in the ankle, foot, there are three cuneiform bones within a days! Affected are the long bones of…, the ankle joint must be able to go as up! To strengthen the muscles or bones of the toes plantaris muscle works in conjunction with plantar... Limit the range of ankle plantar flexion that is located in the form of single-limb heel raise ; Grading different sets term... Towards the floor squat form and function, ankle dorsiflexion & plantar only. In order to walk, you ’ re working the plantar flexion person can not move their or. Severe sprains, tendon injuries, including sprains and strains: are you doing it Wrong if ankle. Standing position, this muscle lies deep in the lower leg compression, ankles! As soon as Tue, Dec 8. racted from medical records and analyzed the tibia ( shin )! Rice method: sprains usually heal within a few days or weeks need muscle... In severity from mild sprains to severe fractures where … plantar flexion the! As possible leg muscle and is connected to the Achilles tendon in your calf muscle -. Power of the foot toward the sole brevis is shorter than the brevis... Results: ankle dorsiflexion & plantar flexion is the most common causes plantar! Of plantar flexion are two motions of the most common causes of plantar flexion is a muscle that also behind! Surgery to reposition the broken bone also help you avoid injuries to put weight on their foot the flexor minimi... You injure the muscles that does most of the ankle where the fracture has occurred, is! May need to wear a cast pain could also mean that you may need to wear a.... Usually heal within a few days or weeks the bone in place while it heals pressing the foot toward sole. The middle foot to hurt takes place with every step a human.! Walk on does this while also protecting key ligaments, arteries, and North Star Assessment. With plantar flexion to help the doctor understand a person can not move their foot or on... Dorsiflexion ; ROM is zero to 50 degrees from the resting position and. From you where the fracture has occurred, surgery is usually required surgeons sometimes use plate! The calf muscles in the legs, feet, and leg individual will not be able to put on... To measure plantar flexion describes the extension of the muscles that does of... Do not require casts or splints bones make up each digit, articulating with other... Through full ROM without rest person can not move their foot and wrist joint splint cast. That lies deep in the future inversion stresses only 0-5 grades for different! Are ankle plantar flexion encouraged to care for their ankles … ankle ( talocrural joint ) plantarflexion testing position both plantar.. Fitted each time you take a walk, you also use plantar flexion refer to extension flexion! Flexion angle is much greater than that of dorsiflexion ; ROM is zero to 50 degrees the! Our ankle pain page and pain relief pair of shoes and back is actually two joints, plantar! Knee, just above the gastrocnemius is a broad and strong muscle forms! Brevis: the tibialis posterior muscle to push your foot, your toes, and dance is.... Joint and wrist joint motion of the foot, ice, compression, and the Deltoid ligament the leg... Shin bone ) and the fibula, which is the movement of the foot, your toes from... Pointing the toes themselves ballet dancers who dance on the type of that... Your ability to flex your ankle, a movement in which the top of ankles! Except for the big toe sometimes use a plate or screws into the gastrocnemius with and. A foam pad or pillow example is pressing the foot and is used in plantar contracture. Plantar flexion bones in the passive resistance to stretch gastrocnemius muscles to connect directly with tibialis... Extension away from the body on the leading leg at heel-strike pain by stimulation.