Ankle Sprain & Instability
What is an Ankle Sprain?
A sprain is the stretching or tearing of ligaments. Ligaments connect adjacent bones and provide stability to a joint. An ankle sprain is a common injury that occurs when you suddenly fall or twist the ankle joint, or when you land your foot in an awkward position after a jump. Most commonly, it occurs when you participate in sports, or jump or run on a surface that is irregular.
What are the Symptoms of an Ankle Sprain?
Ankle sprains can cause pain, swelling, tenderness, bruising, stiffness, and inability to walk or bear weight on the ankle.
How are Ankle Sprains Diagnosed?
The diagnosis of an ankle sprain is usually made by evaluating the history of the injury and through a thorough physical examination of the ankle. X-ray(s) of your ankle may be ordered by your doctor to determine the presence of a fracture.
What are the Treatment Options for Ankle Sprains?
The most common treatment recommended for ankle sprains is rest, ice, compression and elevation (RICE).
- Rest: You should not move or use the injured foot to reduce pain and prevent further damage. Crutches may be ordered to limit weight-bearing while walking.
- Ice: An ice-pack should be applied over the injured area for up to 3 days after the injury. You can use a cold pack or crushed ice wrapped in a towel. Never place ice directly over your skin. Ice packs help to reduce swelling and relieve pain.
- Compression: Compression of the injured area helps to reduce swelling and bruising. This is usually accomplished by using an elastic wrap for a few days or weeks after the injury.
- Elevation: Place the injured ankle above your heart level for about 2 to 3 hours a day to reduce swelling.
Your doctor may also apply a brace or splint to reduce motion of the ankle. Anti-inflammatory pain medications may be prescribed to help reduce pain and control inflammation.
What is the Rehabilitation for an Ankle Sprain?
During your recovery, rehabilitation exercises are recommended to strengthen and improve range of motion in your foot. You may need to wear a brace or wrap to support and protect your ankle during sports activities. Avoid pivoting and twisting movements for 2 to 3 weeks. To prevent further sprains or recurrence of injury, you may need to wear a semi-rigid ankle brace during exercise, special wraps, and high-top lace shoes.