Oh if you don’t mind I meant a little more specific @fivestrideline - just an FYI - if you core diagnosis is not SKELETAL - you could see improvement via PT, but if your diagnosis is SKELETAL… like mine… you will never see improvement as anything besides surgery / bone replacement a la Tiger Wood’s replacement of his talus would only strengthen the soft tissue and not increase ROM (range of motion) and overall functionality.
When you say fused - it is MEDICALLY fused via surgery aka ankle arthrodesis, which is a surgical procedure that joins the three bones of the ankle joint (talus, tibia, and fibula) into one bone using screws or plates. Or are you just saying that term casually to explain something undiagnosed and a lack of dorsal flexion?
My dorsal flexion is 12 (normal range) on my left ankle and 4 after 9 months+ of 3x per week PT with a practice that works on the US Olympic swim team and some MLB players (it was 1 when I first arrived at PT)
This is what lead to my diagnosis via Xray, MRI and CT of which displayed I am basically MISSING my talus bone due to congenital genetic defect. My dorsal flexion will never improve as it is medically impossible without highly invasive surgery replacing via 3D printed cobalt total talus bone replacement. At which I may not gain significant ROM or flexion - they said max improvement would be a few degrees.
My “zebra” factor is pretty high - so I am incredibly curious / excited to meet someone with a similar if not the same diagnosis…
I ran marathons and ultras in my 20s - but retired from running. My ankle only really bothers me if I am riding 3+ horses in a single day or if I am riding in a more eventer style seat with my leg slightly kicked out in front of me while riding out in fields. But it does sometimes just get sore / numb.
Does that make sense? Hope this is helpful maybe in your journey as no amount of strength / mobility / PT will “fix” something skeletal. Highly encourage skeletal imaging before going down the route of years of on and off PT.