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Welcome! Active Alignment has merged with Ortho-Kinetics to expand our service area. We are now providing pedorthic care in the Cambridge location in addition to the existing Active Alignment locations in Waterloo, New Hamburg, and Stratford. Ortho-Kinetics patients, please click here to learn more.


Characteristics of Chronic Ankle Instability (CAI)/Weak Ankles

CAI is associated with the feeling of the ankles giving way or feeling very weak. This presentation commonly follows and is a result of multiple ankle sprains, strains and injuries. Symptoms include: persistent ankle swelling, pain, limited range of motion or excessive range of motion.

Also identified by “easily turning the ankle” on any surface (flat, even, uneven, gravel, grass.. etc). CAI can contribute to repetitive strain injuries of the lateral leg and cause changes in balance resulting in more serious injury.

CAI Considerations:

Custom foot orthotics to assist with proper joint positioning, optimizing balance and the support of soft tissue function.

Footwear considerations:

Avoiding heels and footwear that puts the ankle in an unstable position.


Bracing assists in the proprioception and joint position by allowing proper muscle function. This can help maintain physical activity and prevent serious damage.

Physical therapies such as physiotherapy, chiropractic, osteopathy and RMT to maintain and support soft tissue strength and endurance.

Active Alignment Treatment Options for Chronic Ankle Instability:

  • Custom Foot Orthotics
  • Ankle Bracing
  • FS6 Compression Sleeve
  • Medical Grade Compression Socks
  • Therapeutic Footwear
  • Stretching with targeted exercises for intrinsic arch strength including videos
  • Resistance Bands