
Mild Ankle Sprains
Mild ankle sprains are normally caused by a quick, uncontrolled twisting of the ankle, with the sole of the foot usually rolling inwards. This can result in a mild sprain of one or two of the ligaments on the outside of the ankle. These sprains respond quickly to a rehabilitation program. However, it is vital, even with a mild ankle sprain, that you rehabilitate the balance systems appropriately to decrease the risk of reinjuring the ankle. There is a very high recurrence rate of ankle sprains especially in junior sport usually due to inadequate rehabilitation the first time. Recurrent sprains may result and the ankle becomes much more susceptible to a severe sprain.
Severe Ankle Sprains
When an ankle is rolled substantially i.e. either during sport or twisting on a gutter or other object it can result in a severe ankle sprain. These severe ankle sprains can involve a rupture of one of the ligaments on the outside of the ankle, a significant injury which requires significant rehabilitation over several weeks.
Physiotherapists are well trained in the diagnosis of ankle injuries and can refer for an X-ray if required. Early presentation to a physiotherapist can accelerate recovery. Initial treatment of all ankle sprains should be the R.I.C.E method which is rest, ice, compression and elevation. Early protected weight-bearing soon follows. Rehabilitation of ankle sprains then focuses on regaining flexibility, strength and most importantly the balance systems around the ankle in order to reduce the risk of recurrence of ankle sprains and return you to sport, work and other activities of daily life as soon as possible.
