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Re: posterior ankle impingment
If your swimmer definitely has posterior ankle impingement,then they are still aggravating it when not training and competing. Look at there life outside of swimming. Do they require orthotics ? look at footwear. to decide if orthotics are appropriate, I would tape (Zinc Oxide) foot to support it like an orthotic and tell them to keep it dry for 48 hours,otherwise carry on normally. Wear trainers with shoelaces done up (you may need to demonstrate this !), no slippers or bare feet at night.Then get them back and find out if symptoms have reduced or gone, if symptoms have eased I would be suspicious of a foot biomech prob. You must start somewhere, so start and do this first then if it draws a blank, keep looking as the answer is standing right infront of you.
Regards,
C
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