There are several variations of heel hooks, with the most typical being performed by placing the legs around a leg of an opponent, and holding the opponent's foot in the armpit on the same side. The legs are used to control the movement of the opponents body while the opponent's foot is twisted by holding the heel with the forearm, and using the whole body to generate a twisting motion, hence creating severe medial torque on the ankle. A similar heel hook can be performed by holding the opponent's foot in the opposite armpit, and twisting it laterally; a move which is referred to as an inverted, reverse or inside heel hook.