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NPTE Clinical Files | Physical Therapy

Ankle Pain - Clinical Patholophysiology

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

2.4608 Ratings

🗓️ 4 June 2025

⏱️ 11 minutes

🧾️ Download transcript

Summary

Kyle reports sudden posterior ankle pain after jumping, describing it as feeling “kicked.” Examination reveals mild swelling, a palpable gap above the calcaneus, limited active plantarflexion, and inability to perform a single-leg heel raise. Passive range of motion is full and pain-free. Which finding BEST explains the patient’s inability to perform a single-leg heel raise?

A) Tear of the medial ankle stabilizer leading to decreased propulsion strength

B) Inflammation of the plantar aponeurosis causing mechanical restriction

C) Disruption of the calcaneal attachment of the posterior compartment tendon

D) Strain of the posterior compartment musculature limiting force generation

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Transcript

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0:00.0

I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide.

0:09.0

It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE.

0:16.0

Fast forward through the challenges, the 13 standardized test failures, and many lessons learn. And you'll see

0:22.0

the life I have today, a life filled with love, financial freedom, and a dream job that

0:27.2

allows me to change lives every single day. I created the NPTE Clinical Files podcast to

0:33.4

give you simple, actionable strategies, along with a step-by-step walkthrough of NPTE-based questions.

0:40.4

All of this so that you can dominate your exam like I did and achieve your dream.

0:45.6

So if you're a driven PT student who's looking to pass the NPTE and start creating a life

0:51.0

you love, you're in the right place.

0:53.3

Enjoy the show.

0:56.4

For this week's clinical file, we have Kyle and Kyle reports sudden posterior ankle pain after jumping, describing it

1:02.4

as feeling kicked. Examination reveals mild swelling, a palpable gap above the calcaneus,

1:09.4

limited active planar flexion, and the inability to perform a single leg

1:13.9

heel raise. Passive range of motion is full and pain-free. Which finding best explains the patient's

1:20.3

inability to perform a single leg heel raise. So we have a tear in the medial ankle stabilizer

1:27.0

leading to decrease propulsion strength.

1:30.3

B, inflammation of the plantar apineurosis causing mechanical restriction.

1:35.7

C, disruption of the calcaneal attachment on the posterior compartment tendon.

1:41.1

And D is strain of the posterior compartment muscular limiting force generation.

1:47.2

All right.

1:47.7

Let's go up to the top of this question.

1:49.4

You know what?

...

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