Ankle Sprain

An ankle sprain is a common injury that we see at our Galway City physiotherapy clinic. Most commonly seen is the inversion-type sprain (when the ankle rolls out from underneath you) which implicates the lateral ligament complex on the outside of the ankle. Lateral ligament injuries represent approximately 85% of all ankle sprains. The incidence of ankle sprain is highest in sports populations. Poor rehabilitation after an initial sprain increases the chances of this injury recurrence and chronic ankle dysfunction.

The ankle joint is the body part that is second most likely to be injured in sport. In the United States of America, the total cost of ankle sprains is approximately $2 billion.

Mechanism of Injury

Lateral ankle sprains usually occur during a rapid shift of our bodies center of gravity body over the landing or weight-bearing foot. The ankle responds by rolling outward, whilst the foot turns inward causing the lateral ligament to stretch and tear. When a ligament tears or is overstretched its previous elasticity and resilience rarely returns without physiotherapy input. Some researchers have described situations where return to play is allowed too early which compromises sufficient ligamentous repair.

Symptoms

  • Tenderness, swelling and bruising can occur on either side of the ankle.
  • No bony tenderness, deformity or crepitus present.
  • Passive inversion or plantar flexion with inversion should replicate symptoms for a lateral ligament sprain. Passive eversion should replicate symptoms for a medial ligament sprain.

Mild Ankle Sprains

  • Natural full recovery within 14 days.
  • Taping and follow up to evaluate healing progression.
    First time lateral ligament sprains can be innocuous injuries that resolve quickly with physiotherapy intervention. Some approaches suggest that only minimal intervention is necessary.

Severe Ankle Sprains

Physiotherapy is required with functional therapy of the ankle shown to be more efficient than immobilisation. Functional therapy treatment can be divided in 4 stages, moving onto to the next stage as tissue healing allows:

  1. Inflammatory phase
  2. Proliferative phase
  3. Early Remodelling
  4. Late Maturation and Remodelling
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Ankle Sprain

Ankle Sprain FAQs

What is an ankle sprain and how does it happen?
An ankle sprain occurs when the ligaments that support the ankle are stretched or torn due to twisting or rolling the ankle, often during sports activities or while walking on uneven surfaces.

What are the common symptoms of an ankle sprain?
Symptoms of an ankle sprain include pain, swelling, bruising, and difficulty walking. Severe sprains may also cause instability in the ankle. On occasion, a person may even fracture one of the bones in the ankle and this is why it is important to get checked out by a physiotherapist before starting a rehabilitation program.

How can West Coast Physio help with ankle sprain recovery?
At West Coast Physio, we offer tailored treatments for ankle sprain recovery, including exercises to restore strength, flexibility, and balance in the injured ankle. Manual therapy and targeted exercises help accelerate recovery and prevent future injuries.

How long does it take to recover from an ankle sprain?
Recovery time for an ankle sprain depends on the severity of the injury. Mild sprains may heal within 1-2 weeks, while more severe sprains may take several weeks to months with treatment from West Coast Physio.

Can ankle sprains lead to long-term issues?
Without proper treatment, an ankle sprain can lead to chronic pain, instability, and a higher risk of re-injury. Early intervention at West Coast Physio helps ensure full recovery and reduce long-term complications.

We treat all foot and ankle injuries here at West Coast Physio. Our team are highly trained to identify the problem and provide the patient with the best and easiest solution. If you’re concerned about your injury, please give us a call and we will guide you about the best recovery pathway that suits you.

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