The ankle joint is the meeting of the bones of the leg and the foot and is responsible for the up and down motion of the foot. In popular usage, the ankle is often considered to be the ankle joint plus the surrounding anatomic region, including the lower end of the leg and the start of the flat part of the foot.
Ankle Joint is a hinged synovial joint with primarily up-and-down movement (plantar flexion and dorsiflexion). However, when the range of motion of the ankle and subtalar joints (talocalcaneal and talocalcaneonavicular) is taken together, it functions as a universal joint. The combined movement in the dorsiflexion and plantar flexion directions is greater than 100°; bone-on-bone abutment beyond this range protects the anterior and posterior ankle capsular ligaments from injury. The anterior and posterior ankle capsular ligaments are relatively thin compared with the medial and lateral ankle ligaments.
Type I collagen tissue constitutes the bulk of the capsule and supporting ligaments of the ankle joint. The fibre density and orientation are arranged dynamically according to the typical mechanical stress experienced by the joint. Within limits, the greater the excursion of the joint capsule and ligaments, the less likely sprains are to occur. With increased motion, the muscles absorb the mechanical force energy without exceeding the tensile limits of either the joint capsule or the ligaments.
In Sanskrit we call ankle joint gulpha. In marma, the most important point is Talahridhaya, which controls the reproductive channel and kidney channel, is related to apana vayu. Undertaking certain ayurvedic treatment like Potli massage would be very helpful in healing ankle joint pain and injuries. Standing pavanamuktasana, tadasana on the block variartions and setu bandhasana variations on the block give very good relief from ankle joint pain. These postures increase efficiency of dorsi and plantar flexion of ankle joint .
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