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Table 2 Return to play guidelines.

From: Review for the generalist: evaluation of pediatric foot and ankle pain

1. Control pain and inflammation

PRICE (protect, rest, ice, compression, elevation)

2. Optimize range of motion

Active and passive exercises

3. Optimize strength

Isometric (static muscle contraction without joint movement), isotonic (constant muscle contraction with joint movement), dynamic and core strengthening exercises.

4. Optimize proprioception

Balance

5. Functional and sport specific skills

Running, jumping, pivoting etc.

6. Return to usual activities or sport

Practice before competitive play