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Rugmedisch Centrum Fysiotherapie

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Complaint

Ankle instability

In short

In our practice we regularly see patients with chronic ankle complaints. The problems often arise from spraining the ankle and become worse with repeated sprains.

About 40% of people with a sprained ankle are left with long-term weakness as a result of this injury. Up to 70% eventually develop osteoarthritis of the ankle joint. These figures show that many patients do not recover well from a sprained ankle.

On this page3
  1. Complaints we hear
  2. Treatment with prolotherapy
  3. Recognizable symptoms

Complaints we hear

Patients often report repeated sprains, even during normal walking, as well as weakness, ankle stiffness, pain and swelling. Many people rest the ankle, cool it, and take painkillers and anti-inflammatories if it hurts and swells. Athletes often run with tape or a brace.

Treatment with prolotherapy

Injuries to the ankle ligaments range from stretched to torn. We can strengthen and strengthen stretched, unstable and painful ligaments with prolotherapy. This is an injection therapy in which we stimulate the body to repair and strengthen the overstretched, painful ankle ligaments. This leads to better function and less pain.

We cannot repair torn ankle ligaments or ligaments with prolotherapy alone. However, it is very important to treat all surrounding ligaments. In this way we limit further damage as much as possible, compensate for instability and improve pain and function as best as possible.

The aim of treatment with prolotherapy is: less pain, spraining of the ankle less often, making the ankle more resilient and preventing osteoarthritis and wear and tear.

Recognizable symptoms

  • Your ankle sprains again and again, even when walking normally
  • A weak ankle
  • A stiff ankle
  • Pain and swelling in the ankle
  • Only dare to exercise with tape or a brace

Scientific references (2)

  • Doherty C, Bleakley C, Hertel J, Caulfield B, Ryan J, Delahunt E. Recovery From a First-Time Lateral Ankle Sprain and the Predictors of Chronic Ankle Instability: A Prospective Cohort Analysis. Am J Sports Med. 2016 Apr;44(4):995-1003. doi: 10.1177/0363546516628870. Epub 2016 Feb 24. PubMed PMID: 26912285.
  • Pourkazemi F, Hiller CE, Raymond J, Nightingale EJ, Refshauge KM. Predictors of chronic ankle instability after an index lateral ankle sprain: a systematic review. J Sci Med Sport. 2014 Nov;17(6):568-73. doi: 10.1016/j.jsams.2014.01.005. Epub 2014 Feb 6. Review. PubMed PMID: 24589372.

Appropriate treatments

We use these treatments for this purpose.

Responsible practitioner

Arthur Mulder

Physical Therapist and Registered Chiropractor (D.C.)

Registered in the Register of Chiropractor as A.R. Mulder DC and affiliated with the Dutch Chiropractic Federation. Oversees chiropractic care in Rotterdam and is co-founder of SportManipulation, which provides training for physiotherapists and sports masseurs.

Last updated on

Our working area

Location Rotterdam

Cor Kieboomplein 227, 3077 MK Rotterdam

010-411 27 63

Also for patients from Rotterdam-Zuid, IJsselmonde, Charlois, Hoogvliet, Ridderkerk, Barendrecht, Capelle aan den IJssel, Krimpen aan den IJssel, Spijkenisse, Schiedam, Vlaardingen and Albrandswaard.

Location Dordrecht

Overkampweg 381, 3318 AR Dordrecht
doktermulder.nl

078-645 48 90

Also for patients from Dordrecht, Zwijndrecht, Papendrecht, Hendrik-Ido-Ambacht, Sliedrecht, Alblasserdam, 's-Gravendeel, Strijen, Oud-Beijerland, Gorinchem and Werkendam.

Ready to get rid of your complaints?

No referral needed — make an appointment straight away.

What does your insurer reimburse?

Choose your insurer and your additional package. You will immediately see what chiropractic care is reimbursed.

Good to know

  • From the supplementary insurance, so not from your deductible.
  • No GP referral required.
  • You will receive an invoice with everything your insurer needs.

Source: chiropractievergoeding.nl, policy year 2026 (version 1.0 — 21-11-2025). This is an indication; your own policy always takes precedence.