Managing a Sprained Ankle 

Musculoskeletal injuries such as sprained ankles are a common occurrence amongst people of all ages and abilities, and they can happen anywhere. Footballers, netballers and basketballers are particularly prone to ankle injuries due to frequent and sudden changes in direction along with jumping, twisting and turning actions.  Sprained ankles can be painful, and you might be wondering what to do about your injury. In this blog post we will be sharing some of the ways a sprained ankle is managed. Our team of physios are here to support your recovery and enable you to get back to enjoying your favourite sports/outdoor activities as soon as possible.  

Ankle Anatomy 

The ankle has a complex ligamentous structure, and stretching or tearing of any supporting ligament can result in a sprain.  As a hinge joint, the ankle joint allows people to point their toes upwards (dorsiflexion) as well as point them downwards (plantarflexion). There are a number of supporting ligaments  which serve to stabilise the ankle joint, calcaneus and the talus. The vast majority of sprains (around 80%) occur within the anterior talofibular ligament (ATFL), with the rest occurring in either the calcaneofibular ligament (CFL) or the posterior talofibular ligament (PTFL).  

Symptoms of a Sprained Ankle 

Most people become immediately aware of the fact they have injured their ankle. You will typically experience the following symptoms: 

• Pain 
• Difficulty walking or bearing weight on the affected ankle 
• Bruising 
• Swelling 
• Stiffness 

Symptoms of ankle sprain and ankle fracture bear a lot of similarities. However, sprains require a different treatment approach altogether. It is important to visit your doctor or physiotherapist as soon as possible so that X-rays can be taken in order to determine the type of injury you have sustained.  

Classification of Ankle Sprains 

Following an initial evaluation, your ankle sprain will be graded as belonging to one of the following: 

Grade 1 (mild) – characterised by minimal pain, minor strain, mild swelling, no (or very little) joint instability. Slight stretching and small tears may be evident.  

Grade 2 (moderate) – characterised by moderate pain, moderate joint instability, moderate swelling and stiffness and pain during weightbearing activity. A larger tear will be evident. 

Grade 3 (severe) – characterised by severe pain, severe swelling with a complete tear of the ligament evident.  

Managing a Sprained Ankle 

The management method used will depend upon the severity of your sprain. For minor sprains, you can expect a recovery period of 2-4 weeks. More severe sprains may take up to 12 weeks to heal. Following an examination, your physiotherapist will advise you on the most appropriate management methods.  

The following may be advisable: 

• R.I.C.E method – rest, ice, compression and elevation 
• Avoid or minimise weightbearing on the affected ankle by using crutches 
• Immobilise and support the ankle by using a compression bandage 
• Use of anti-inflammatory medication for pain relief and to reduce inflammation 
• For moderate to severe sprains, a splint or CAM boot may be used 

Minimising the risk of Experiencing an Ankle Injury 

Ankle injuries can occur unexpectedly due to a sudden change of movement Exercises designed to improve flexibility, strength and balance can help to reduce the risk of experiencing a sprain. Your physiotherapist can demonstrate some simple calf stretch and raise exercises which will assist in this regard.  

Sustained an Ankle Injury? Visit Orthosports Physio Today 

Orthosports Physio regularly assess and diagnose ankle injuries, and our experienced team are here to support your recovery process. Call 9744 2201 to book an appointment at our Concord physio clinic.