The friction massage of the fibular insertion of the anterior talofibular ligament is one of the treatment modalities in a varus ankle sprain
The ligament is put on the stretch by a plantiflexion-adduction-supination movement. We palpate the ligament along the fibular edge. The deep friction massage is the normal execution with the index finger reinforced by the middle finger, and the thumb acting as a fulcrum. The thumb is put in such a way that the deep friction massage is given in a 45° direction to the foot. The index finger feels bone (fibula) and ligament at the same time.
The ligament is put on the stretch by a plantiflexion-adduction-supination movement. We palpate the ligament along the fibular edge. The deep friction massage is the normal execution with the index finger reinforced by the middle finger, and the thumb acting as a fulcrum. The thumb is put in such a way that the deep friction massage is given in a 45° direction to the foot. The index finger feels bone (fibula) and ligament at the same time.
