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Seawolf Physical Therapy
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Physical Therapy


dynamic taping


Massage Therapy






Dynamic Taping
           Developed by Korre Pieper, PT, Osteopractor

Gastrocnemius injury with or without heel cord injury:  In this method a semi-elastic tape is applied from the mid-foot proximally towards the center point between the two heads of the gastrocnemius (this may be applied more medially or laterally depending on the patient’s area of injury.  An optional peroneal bolster may be applied if necessary as you can see in these pictures.  This tape is left in place for several hours to several days.  Care needs to be taken to keep the tape dry from showers.  Gastrocnemius-1

Inversion sprain care:  (rolling your ankle under you – the low ankle sprain) Acute phase:  A Non-elastic tape is applied to approximate the injured ligament and provide non-circumferential compression to the injury site.  The ankle receives a classic boot strap(s), as well as a non-circumferential anchor at the mid-tibial shaft.  The tape may also be redirected in a “half 8” pattern being careful not to impinge the extensor hallucis of the great toe….these may receive bracing along the lower tibia to prevent tape rolling.  This tape initially will need to be changed out within 48-72 hours as swelling comes down.  As you can see the tape is not applied in a completely continuous manner acute
around the lower leg allowing for improved vascularity and better comfort for the patient. The non-elastic tape is tough, it can take a beating, getting it wet will reduce the life of the tape so do take care not to get it out-right wet if you can.

Dynamic phase:  The same method of taping may be applied as in the acute phase but with semi-elastic tape or a combination of semi-elastic tape and non-elastic tape.  During the phase there is a graduated, and still protected return to sport. inv-sprain-acute

Distal Anterior Tib-Fib ligament sprain:  (The High Ankle Sprain)
  This is the bane of athletes who must push off with their feet (jump, run, skate), taking months to heal without proper protection.  This ligament keeps the distal end of the tibia and fibula in contact with each other….when injured…little to no weight can be mustered through the foot without an exquisite amount of pain involved.  This severely limits participation.  The classic method of taping required circumferential taping of the ankle and limited blood flow to the foot, placing a potential risk  to the athlete’s health.  The method used here is thatch-weave style of non-elastic tape in a non-circumferential manner.  The tape is applied to limit it’s intrusion of the extensor hallucis.  The bones of the tibia and fibula are pulled towards each other to reproduce the natural syndesmosis.

(Some patients find the non-elastic tape a bit aesthetically bland so some colorful tape can be added to the area as well).  Blood flow is intact throughout the foot protecting the athlete and allowing maximal healing to occur.



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Phone: 907-677-9653
Fax: 907-677-9657


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