Ankle Sprains
Ankle sprains are one of the most common injuries treated in podiatry. They occur when the ligaments that support the ankle stretch or tear, often due to twisting or rolling the foot during physical activity, walking on uneven surfaces, or taking a misstep.
What Is an Ankle Sprain?
A sprain involves damage to the ligaments, which are strong bands of tissue that connect to your bones. Most ankle sprains affect the lateral ligaments on the outside of the ankle, but injuries can also involve the medial (inner) ligaments or syndesmotic ligaments (high ankle sprains).
Sprains are classified by severity:
- Grade I (Mild): Slight stretching and microscopic tearing of ligament fibres.
- Grade II (Moderate): Partial tearing of the ligament.
- Grade III (Severe): Complete tear or rupture of the ligament.
Podiatric Assessment of an Ankle Sprains
When you visit a podiatrist for an ankle sprain, a thorough evaluation is key to ensuring proper healing and preventing long-term issues like instability or chronic pain. The assessment may include:
1. Patient History
- How and when the injury occurred
- Prior ankle injuries
- Current symptoms (pain, swelling, bruising, difficulty walking)
2. Physical Examination
- Inspection for swelling, bruising, and deformity
- Palpation to locate areas of tenderness
- Range of motion and strength testing
- Assessment of ligament integrity through manual stress tests (e.g. anterior drawer, talar tilt)
3. Gait and Balance Evaluation
- Observing how you walk or bear weight
- Checking for signs of instability
Treatment Options
- R.I.C.E. Protocol: Rest, Ice, Compression, Elevation
- Immobilisation: Use of a brace, splint, or walking boot to protect the ankle when necessary
- Anti-inflammatory Medications: To manage pain and swelling
- Taping or Bracing: May be recommended during recovery or return to sport
- Potential Custom Orthotics: To support foot alignment and prevent recurrence
- Rehabilitation & Strengthening Programs: Gradual return to activity plans focused on improving ankle stability, proprioception, and muscle conditioning to reduce the risk of re-injury
When to See a Podiatrist
If your ankle is swollen, painful, or feels unstable after a twist or fall, it’s best to have it evaluated. Prompt treatment of even mild sprains can prevent complications and help you return to activity safely.
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