Hand and soft tissue therapy for hemophilia-related ankle joint damage

This trial is testing a specific set of manual therapy techniques — hands-on physical treatments performed by a physiotherapist — to see if they can safely help people with hemophilia who have developed ankle joint damage. The study will compare patients who receive the active manual therapy treatment to patients who receive a placebo version (where the physiotherapist goes through the same hand positions and timing, but without the actual therapeutic techniques). Researchers want to see if this treatment can reduce pain, improve how well the ankle moves and functions, and help people feel more confident using their ankle.

Hemophilia-related ankle joint damage causes chronic pain, weakness, reduced movement, and balance problems that affect daily life. Right now, there aren't many proven treatment options beyond standard physiotherapy, so this trial is testing whether specialized manual therapy techniques could offer patients a safer, more effective way to manage these symptoms.