Hello Sophie, I am not sure why Julie would want to "sneak" in the extra pressure. if it is a true CRPS, they have true, deep, sensory pain and will feel it whether they actively put pressure on it or you sneak it. It is a slow process and needs persistence and patience but the desenitising programme is a good start to allow you to get into more active things. I would invest in a gym ball - they are the most wonderful tool so versatile and lots of fun. Cheers, Anna Anna Lee Principal, Work Ready Industrial Athlete Centre Write to me at [log in to unmask] Visit me at www.workready.com.au Snail mail: Suite 3, 82 Enmore Road, Newtown NSW 2042 Australia Tel: (02) 9519 7436 Mob: 0412 33 43 98 Fax: (02) 9519 7439 -----Original Message----- From: sophie dhenin <[log in to unmask]> To: [log in to unmask] <[log in to unmask]> Date: Wednesday, 1 September 1999 8:22 Subject: Re: RSD >From: [log in to unmask] >Reply-To: [log in to unmask] >To: [log in to unmask] >Subject: Re: RSD >Date: Fri, 27 Aug 1999 19:27:13 EDT > >How long ago did she "sprain" her ankle. Will she actively range it? About nine months ago - and, no, she will only do minimal active movements though the ankle does go through a pretty good range when she does actually weightbear on it - can walk short distances sometimes but not others How >about laying prone across a ball and gradually increasing the weight >bearing >on her feet while she it either throwing at a target in the front or >playing >a game in the front. > >I would suggest holding her steady on the ball first at the hips then >gradually lowering your pressure down the leg and sneaking in light >pressure >on the lateral ankle or on the plantar surface so she would weight bear on >your hand more than the floor. Can she bike? There is a little downforce >on to the foot. If you can give me feedback from trying those alternatives >I >can perhaps provide you with a tad more information >Julie PT ATC Eeek I haven't got a ball! They sound like good suggestions and I shall try to borrow one. Will contact you again if successful. Thanks ++ sophie ______________________________________________________ Get Your Private, Free Email at http://www.hotmail.com