Assessment and Treatment of Ankle Joint Equinus

Luke McCann, B.S., M.S.

Ankle joint equinus is frequently mentioned as a major deforming force of the lower extremity. However, it is rarely considered as a primary diagnosis of foot and ankle problems, rather, it is viewed as a secondary factor that often receives inadequate attention. Visual inspection of non-weightbearing ankle dorsiflexion, without the use of a goniometer, is frequently how clinicians diagnose equinus. Interventions including
heel lifts, stretching, injections, and splinting are some of the conservative treatment options available. Surgical treatment is a more definitive treatment option, of which there are a variety of procedures available. A thorough understanding of assessment, as well as treatment options for equinus, is critical for the podiatric physician when making decisions managing this condition.