Ankle Sprains

Ankle sprains are the most commonly seen sports injuries; however, ankle sprains can happen among people of all ages and activity levels.

Ankle Sprains

Ankle sprains are the most commonly seen sports injuries; however, ankle sprains can happen among people of all ages and activity levels. When the term “sprain” is used, it refers to an injury to a ligament, the tough fibrous connective tissue found between two bones. There are many ligaments around the ankle joint that help with motion and stability. When one of these ligaments around the ankle are injured, bleeding and swelling occur. This is the body’s response to heal an injured area. Ankle ligaments often do heal on their own due to the increased blood that travels to the area. Swelling and bruising are usually more pronounced at the ankles due to this response, and the distance of the ankles from the heart can cause the ankles to remain swollen for prolonged periods following the injury. Most mild to moderate ankle sprains (Grade 1 and Grade 2 respectively) can be treated at home with the RICE protocol (rest, ice, compression and elevation) and NSAIDs (nonsteroidal anti-inflammatory drugs). You should see your doctor if the sprain is severe (Grade 3), the pain is severe when bearing weight or you can’t walk at all. Nonsurgical treatment is commonly implemented first, often using a brace or a CAM boot to immobilize the joint appropriately and allow for adequate healing. If extensive tearing of the ligament(s) is expected after a clinical exam, an MRI may be ordered. The American Academy of Orthopaedic Surgeons suggests a three-phase program for all ankle sprains when treated conservatively:

  • Phase 1: resting, protecting the ankle and reducing the swelling.
  • Phase 2: restoring range of motion, strength and flexibility. Physical therapy is often utilized here to prevent stiffness and increase ankle strength.
  • Phase 3: maintenance exercises and the gradual return to activities that do not require turning or twisting the ankle. Eventually, activities that require more intense activities that require sharp, sudden turns (i.e. tennis, basketball) can be reintroduced.

The length of this treatment program may take just two weeks to complete for minor sprains, or up to six to 12 weeks for more severe sprains. Surgical treatment for ankle sprains is rare; however, it is sometimes necessary for severe injuries that fail to respond to nonsurgical treatment. High ankle sprains (also known as syndesmotic injuries) sometimes require surgical intervention with a “tightrope” or a screw if the syndesmotic joint (joint found between the tibia and fibula) is found to be unstable. As with many other conditions, prevention is the best way to avoid ankle sprains. This includes using caution when walking or running on uneven surfaces, wearing proper footwear, and implementing a thorough warm up and stretching regimen before and after physical activity.

Ankle Sprains


The arrows indicated a twisting of the foot and ankle causing an ankle sprain. The ligaments to the outside of the ankle are the most common to be injured in ankle sprains.

Personalized care

As our patient, you will have an in-depth consultation with one of our doctors. We will create an individualized treatment plan together, tailored to your problem and lifestyle. Our doctors prefer non-invasive treatments whenever possible, including physical therapy and/or injections. If your problem ultimately does require surgery, our doctors prefer the least invasive surgical techniques possible. Our goals are the same as yours: to get you back to living your best life, pain free. 

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