Health: mobility note (ankle dorsiflexion baseline L4/R6) + plan support floors

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Hermes Agent
2026-09-13 10:41:43 +00:00
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| 12 | Nov 16 22 | 4 km | 4 km | 12 km (taper) | | 12 | Nov 16 22 | 4 km | 4 km | 12 km (taper) |
| 13 | Nov 23 29 | 3 km | 3 km | **21.1 km** (Nov 29) 🏁 | | 13 | Nov 23 29 | 3 km | 3 km | **21.1 km** (Nov 29) 🏁 |
> **Sep 13 update — week 2 repeats.** The 7 km long run was stopped at ~2 km (left lateral ankle, peroneal flare after a Friday concert in flat shoes). Both ankles fail the 10 cm dorsiflexion screen — **left 4 cm, right 6 cm** — so ankle mobility is now on the critical path to Nov 29, not a side quest: see [[Health/mobility]]. The dated rows below shift by one week if the ankle clears by Sep 16.
## Pacing ## Pacing
- All runs easy — conversational, HR 135150. On long runs, walking is allowed whenever. Time on feet beats pace. - All runs easy — conversational, HR 135150. On long runs, walking is allowed whenever. Time on feet beats pace.
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- Race: undecided — solo time trial Nov 29 if no race found; decision later. - Race: undecided — solo time trial Nov 29 if no race found; decision later.
- Baseline: Aug 29 = 6.56 km @ 7'08", 157 bpm avg, 29 min anaerobic — post-illness signature, HR settles ~20 bpm within a week of normal running. - Baseline: Aug 29 = 6.56 km @ 7'08", 157 bpm avg, 29 min anaerobic — post-illness signature, HR settles ~20 bpm within a week of normal running.
## Support floors
- **Mobility, 10 min daily** (after morning coffee) — ankle dorsiflexion is the #1 item; full protocol + baseline test in [[Health/mobility]].
- **Shoes** — stability category for flat feet; Jogflow 190.1 maxes out ~4 km.
- **Smoking** — quit active since Sep 6.
- **Eating floor** — Sunday cooked batch, 23 L water, D3 20004000 IU.
- **No strength training during the block** — strength is a 2027 layer.
## Connected ## Connected
- [[Runs/2026-08-29]] - [[Runs/2026-08-29]]
- [[Health/mobility]]
- [[life-systems-blueprint]] - [[life-systems-blueprint]]
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---
date: 2026-09-13
type: health
tags: [health, mobility, ankle, dorsiflexion]
---
# Mobility — Ankle Dorsiflexion
> The gate is ankle dorsiflexion. Both ankles fail the 10 cm screen, the left is the weak link — and the left is the side that broke down on Sep 13.
## Baseline — knee-to-wall test (2026-09-13)
Heel flat, knee driven forward over the second toe, measured big toe → wall. Clinical screen: **10 cm**.
| Side | Distance | Verdict |
|---|---|---|
| Right | 6 cm | Restricted |
| **Left** | **4 cm** | **Significantly restricted** |
- **2 cm asymmetry, left worse** — and the left is the ankle that failed at ~2 km on week 2's Sunday long run.
- Consistent with the log: bilateral calf/achilles tightness on the first 23 km of three consecutive runs (Sep 6, 9, 10) *before* anything actually hurt.
- Still to test: repeat with the **knee bent** (heel down). Straight-knee worse → gastroc. Bent-knee worse → soleus. Changes drill emphasis only, not the plan.
- Also untested: **front-pinch test** — if the restriction feels like a hard pinch at the front of the ankle rather than a stretch, part of it is a joint block, not muscle.
## Why this is the root cause, not a side quest
- A big calf is not a long calf — hypertrophy and length are separate qualities.
- The front of the leg (tibialis anterior) is likely **overloaded rather than tight**: it stabilises an ankle that can't move. Stretching it does little; letting the back lengthen is the fix.
- Flat feet + limited dorsiflexion = the foot overpronates harder and the peroneal tendons absorb every landing. Hours of jumping in flat shoes is what finally collected the bill.
## The floor — 10 min daily, after morning coffee
| # | Drill | Dose |
|---|---|---|
| 1 | Knee-to-wall mobilisation | 2×12/side, heel glued down — **left gets an extra set** |
| 2 | Gastroc stretch (knee straight) | 2×45 s/side |
| 3 | Soleus stretch (knee bent) | 2×45 s/side |
| 4 | Eccentric heel raises (3 s down) | 2×10 — off a step once pain-free |
| 5 | Squat with heels elevated | Keep it. Lower the wedge progressively (book → thinner book → flat) |
- Start with the **back** of the leg. No aggressive range work on the peroneal side until walking is limp-free *and* single-leg heel raises are pain-free.
- Ankle circles: pain-free range only while the left outer ankle is still sore.
- The heels-elevated squat is not cheating — it loads the range that exists and trains the peroneal. Progress = lowering the wedge, not dropping the lift.
## Targets & timeline
- Goal: **910 cm both sides**, asymmetry under 1 cm.
- Realistic rate: ~1 cm per 23 weeks of daily work; 68 weeks to a flat-footed squat. Early gains (joint capsule / neural) come fastest.
- Re-test **every Sunday morning**, same protocol, log both numbers in the run note. This is the mobility equivalent of pace — effort in, number out.
## Escalation flags
- Hard pinch at the front of the ankle, no change after 68 weeks of consistent work → joint block, physio.
- Any return of point-pain at the lateral malleolus during running → stop, re-test weight-bearing before the next run.
## Incident history
- **2026-09-13 (Sun)** — week 2 long run stopped at ~2 km. Preceded by a Friday concert (flat shoes, hours of jumping/dancing, alcohol, bed after 3 am) and a Saturday of left lateral-ankle ache that only hurt at rest. Run: HR never reached 150 (deliberately slow), both calves tight first, then left lower-leg tightness + left lateral malleolus pain; walked home with a half-leg limp. Pain halved after 15 min sitting — soft tissue, not bone. **Working hypothesis:** peroneal (fibularis) tendon irritation on an ankle with only 4 cm of dorsiflexion, i.e. the range deficit is the upstream cause.
- **2026-09-06 / 09-09 / 09-10** — bilateral calfachilles tightness for the first 23 km, resolving mid-run. The warm-up signature of the same restriction.
## Connected
- [[Half-marathon-plan]]
- [[Health/2026-05-28-labor]]
- [[Health/supplements]]