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So yesterday Jordan rolled her ankle while hiking, and since then
we have taken it easy around camp,
and we have been doing rest, ice, compression, and elevation on this injury.
Today, because Jordan has been willing to use this injury and walk on the ankle,
we're going to have her hike.
In order to have her hike, we are going take some weight out of her pack,
we are going to give her a supportive walking splint, but most importantly we are going to use some tape to
create a support, or an ankle tape job, for her to be able to use this ankle without
fear of injuring it again.
As with all splints, it is important that we put her foot in the position of function and for
the ankle,
that's the foot at ninety degrees compared to the lower leg. This is the
position she is going to walk in.
I am going to use approximately one roll of tape
for this particular tape job, so you might think that you if you are going to
tape somebody for multiple days you are going to need a number of rolls of tape to
accomplish this.
The first thing I am going to do is create a landmark for myself
above which I do not need to tape. That landmark is going to be approximately two
inches
above her outer ankle bone,
or three finger widths, however you prefer to measure.
The next thing I am going to do is create some stirrups that are going to keep her
foot well seated on her tibia.
I can measure my stirrups with the sticky side of the tape outwards and
then tear my tape. I am going to target my first stirrup coming under the arch of her
foot and across the top of her inside and her outside ankle bone. I will do two more
stirrups. I will put one in front of my first stirrup
and one behind my first stirrup.
Okay, so we have three stirrups on Jordan's ankle that fan on either
side of the ankle bone. I am going take another piece of tape and re-anchor
those so that they stay secure.
The next thing I am going to do is create
"J's." The "J" is going to start at the anchor on the
un-injured side of her foot.
It is going to come under the arch of her foot,
across the top of her foot,
and end right where it started.
I call those "J's." Sometimes people call them "teardrops."
Again, I am going to do three of those, each time fanning them out.
The next thing I am going to do are figure eights and, similarly, I am going to do three figure eights.
To make it simple, I am going to start in exactly the same place
on the uninjured side.
I am going to come under the arch of the foot.
I am going to come across the top of her foot
and target
her inside ankle bone.
I am going to to come behind the Achilles and target her outside ankle bone.
I am going to come across the top of her foot
and back underneath to the arch.
So the figure eight is made by having a loop behind her Achilles
and a loop under the arch of her foot
that crosses
right on the top of her foot.
I could at this point rip my tape
and start a new figure eight,
or I can go continuous and keep going and add two more figure eights.
Now I am going to rip the tape, and
secure it under the arch of her foot. At this point I want to evaluate my tape jab
to see whether there are any gaps in tape or any specific spots where
she is going to complain of rubbing or friction.
If I see any holes in my tape job, I can take a little bit of tape,
cover up those bare spots of skin
so they don't get rubbed inside her shoe or her boot. At this point, having put
something circumferential around her foot,
I can reassess her CSMs.
Can you move your toes for me?
So she has good motion. Which toe am I touching? Jordan: Pinky toe. Great.