Inadequate ankle dorsiflexion can lead to compensatory gait patterns such as early heel rise, knee hyperextension, and forward hip bending.

“When you're walking they'll lift their heel up early so it's an early heel rise MH now remember what we talked about with eight times your body weight going through your forefoot do I want to increase that load no do I want to speed it up no so problem number one there next what people will do is they'll hyperextend their knee so it's called a Varys thrust gate so because they can't dorsiflex the knee goes well let me help you let me hyperextend to propel you forward so these patients will come in and tell you um my knee feels wonky the back of my knee feels unstable and you have to look at the ankle because it could be feeding why they're doing that hyper extension at their knee could be the reason”