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Ankle Sprains

Ankle sprains are one of the most common musculoskeletal injuries, occurring when one or more of the ligaments in the ankle is stretched or torn. This typically happens when the foot is twisted or rolled, often during physical activity but also in everyday accidents. Here’s an overview of ankle sprains, the symptoms they may present, and how physiotherapy can help in the recovery and prevention of future sprains.

About this condition

Ankle sprains involve damage to the ligaments that support the ankle. They are categorised into grades, ranging from mild (Grade 1) to severe (Grade 3), depending on the extent of ligament damage.

What you may be feeling

  • Pain, especially when bearing weight on the affected foot.
  • Swelling and bruising around the ankle.
  • Restricted range of motion.
  • Instability in the ankle, particularly in more severe sprains.
  • A popping sensation or sound at the time of injury, in some cases.

How we can help you

RICE Protocol

Initially, Rest, Ice, Compression, and Elevation (RICE) are recommended to manage pain and swelling.

Manual Therapy

Techniques such as massage, joint mobilizations, and soft tissue work can help to reduce pain, improve range of motion, and facilitate healing.

Exercise Therapy

A structured exercise program is essential for restoring strength, flexibility, and balance. This includes range of motion exercises, strengthening exercises for the muscles around the ankle and lower leg, proprioceptive (balance and coordination) training, and eventually, functional exercises tailored to the individual’s activities or sports.

Bracing or Taping

In the early stages of recovery, supportive bracing or taping may be used to protect the ankle and provide stability during healing.

Education

Advice on activity modification and strategies to prevent future sprains, including proper footwear and avoidance of activities that pose a risk until the ankle has sufficiently recovered.

Gait Training

Guidance on walking properly with or without a support device, depending on the severity of the sprain, to ensure correct ankle use and prevent compensatory patterns that could lead to other issues.

So, what next?

The rehabilitation program for an ankle sprain should be progressive, starting with gentle, non-weight-bearing activities and gradually introducing more challenging exercises as the ankle heals. The duration of recovery can vary depending on the severity of the sprain and the individual’s specific health and activity level. Adherence to a physiotherapy program can significantly reduce recovery time and the risk of re-injury, helping individuals return to their normal activities safely and effectively.