In the previous part of the physiotherapy article for heel and ankle pain, we said: Heel pain occurs at any age, children, teenagers, middle-aged and elderly people. Also in any occupation: athletes, especially jumping, endurance sports. 1-Treatment of traumas in the ankle and heel area: The use of anti-inflammatory and non-steroid drugs in the first days along with immobility and rest is very necessary for any age when trauma enters these areas. 2- Another common case is sprains: It is recommended that the patient rest for a week to ten days and not put weight on the affected leg. Use a brace or go to a specialist physiotherapist to fix the ankle with taping. And after the rest period, the patient must go to the physiotherapy center. According to the clinical examination, the physiotherapist will prepare a treatment plan to repair the damaged ligament, strengthen the muscles around the ankle, stretch Achilles and improve the arch of the foot. Cold and hot laser (low power and high power) monotherapy Magnet therapy, contrast bath, taping, phonophoresis, analgesic creams, needling and acupuncture of specific points and adjusting a specific exercise therapy program are used for improvement. ### Physiotherapy after ankle and heel fractures and surgery: Another one of the most common cases is visiting physiotherapy clinics, which is very important and necessary. The treatment protocol of these patients aims to reduce pain, swelling, increase muscle strength, remove adhesions, and remove movement restrictions. which of analgesic stimulants such as: - Tennis, Interferential and... are used along with hot pack or ice pack. - Ultrasound therapy and phonophoresis to reduce pain and swelling - Low-power and sometimes high-power laser to reduce pain and increase range of motion - Magnet therapy to reduce movement restrictions and increase range of motion and sometimes reduce pain - Therapy to increase range of motion and remove adhesions ### The main part of treatment - Exercise therapy to balance strength and stretch muscles - Stimulation of proprioception and correction of the patient's gait - Increasing endurance and muscle strength and returning the patient to previous life activities And in general, it should be said that when the patient is involved in ankle and heel problems for any reason: The priority of physiotherapy treatment is as follows: ### 1-First, pain control Depending on the cause of pain in the ankle or heel, different equipment can be used: ### 2-Pain stimulants tennis stream Interferential power flow EPS flow etc ### 3-Using cold therapy or heat therapy Sometimes in the form of a contrast bath ### 4-low power laser (cold laser) ### 5-phonophoresis of anti-inflammatory or pain-relieving gels ### 6- Anti-inflammatory iontophoresis Hydrocortisone or dexamethasone ### 7- Magnet therapy ### 8-Takarotherapy And to repair the tissue in the ankle and heel area: - high power laser (hot laser) - Magnet therapy -Takarotherapy - Combination - Ultrasound therapy Acupuncture, dry needling, electroacupuncture, and all other methods are used to remove adhesions in the ankle and heel area. In addition, paraffin bath helps a lot to increase range of motion and remove adhesions. The main part of treatment for ankle and sole problems: (It is therapeutic exercise and exercise) which the specialist physiotherapist implements for the patient according to the examination and evaluation of the problems of therapeutic-sports plan: - Setting up the patient and returning to daily life -Achilles stretch -Strengthening the muscles of pronation and inversion -Balance of the soles of the feet -Increasing the strength and endurance of leg muscles - Increasing the range of motion of the ankle - Increasing the strength of knee muscles and hip abductors and finally performing PNF lower limb exercises and combined movements such as jumps, squats, running in any direction, step movements, correcting the walking pattern, etc. Tuan Navin Physiotherapy Clinic is equipped with the most up-to-date electrotherapy equipment in addition to foot, sole and heel involvements. On the other hand, due to having a mechanotherapy room, it can provide all the exercises for patients. And you can benefit from the free consultation of our expert (Ms. Dr. Alvandian) through direct reference or through WhatsApp.