[en] Case presentation. 24-year-old patient presenting with chronic pain accompanied by a sensation of ankle instability, after having suffered a sprain of the external lateral compartment of the left ankle 4 years ago, which was not rehabilitated at the time. Objective. The aim of this study is to test the efficacy of a physiotherapeutic intervention based on propioception, balance, motor control, coordination and strength training, in combination with a health education programme, in a case of chronic ankle instability with associated chronic pain. Intervention. A four-week physiotherapy programme combining face-to-face sessions and home work was carried out. The intervention focused on the treatment of chronic ankle instability through a multimodal exercise programme, which combined motor control, proprioception, balance, muscle strengthening and coordination exercises. It was combined with a health education programme that explained the neurophysiological basis of pain, the factors contributing to its occurrence and the application of coping methods and strategies to reduce or completely eliminate its presence in the patient's life. Results.Following the implementation of the programme, improvements in the patient's perceived instability, dynamic balance and muscle strength have been observed. Similarly, thanks to the health education programme focused on pain management, pain intensity and the impact of pain on function have been significantly reduced. Conclusions. The proposed physiotherapy programme has proved effective in a case of chronic ankle instability with an associated chronic pain component.

[gl] Presentación do caso. Paciente de 24 anos que presenta un cadro de dor crónico acompañado dunha sensación de inestabilidade de nocello, tras padecer unha escordadura do compartimento laternal externo do nocello esquerdo fai 4 anos, o cal non recibiu rehabilitación no seu momento. Obxectivo. O obxectivo do presente traballo baséase en comprobar a eficacia dun programa de fisioterapia enfocado no adestramento da propiocepción, do equilibrio, do control motor, da coordinación e da forza, combinado cun programa de educación para a saúde, nun caso de inestabilidade crónica de nocello cun compoñente de dor crónico asociado. Intervención. Realizouse un programa de fisioterapia durante catro semanas, que combinou sesións presenciais e traballo domiciliario. Dita intervención centrouse no tratamento da inestabilidade crónica do nocello a través dun programa de exercicio multimodal, que combinou exercicios de control motor, propiocepción, equilibrio, fortalecemento muscular e coordinación. Ademais, combinouse cun programa de educación para a saúde no cal se explicaron os fundamentos neurofisiolóxicos da dor, os factores contribuíntes a súa aparición e a aplicación de métodos e estratexias de afrontamento, de cara a reducir ou eliminar por completo a súa presenza na vida da paciente. Resultados. Tra-la aplicación do programa, evidenciaronse melloras na inestabilidade percibida pola paciente, así como no equilibrio dinámico e na forza muscular. Do mesmo xeito, grazas ao programa de educación para a saúde centrado na abordaxe da dor, reducíuse considerablemente a intensidade dolorosa e o impacto da dor na función. Conclusions. O programa de fisioterapia proposto resultou efectivo nun caso de inestabilidade crónica de nocello cun compoñente de dor crónico asociado.