Ankle Sprain

The most common ankle sprain happens when the foot rolls to the outside and sprains the ligaments on the outside of the ankle. The outside of the ankle swells up and throbs, and may turn black and blue around the injury.

When a jogger steps gently off a curb and "twists" an ankle, this simply stretches the ligaments, with no real tearing, and is considered a mild sprain. When a tennis player lunges out over a poorly planted foot, partially tearing the fibres of the ligament that is considered a moderate sprain. When a volleyball player jumps and lands on another player's foot, twisting and forcing the ankle violently to the court, most or all of the fibres tear, and this is a severe sprain.

If weight-bearing is possible on the ankle after a sprain, the ankle probably is not broken. If you feel pain on the inside of the ankle, then it should be x-rayed to rule out a hair-line fracture.


Ankle Sprain Treatment
The tried-and-true treatment for an ankle sprain is RICE: Rest, Ice, Elevation and Compression. The goal is to limit internal bleeding and cut down on swelling.

As soon as tolerable, begin range-of-motion and strengthening exercises. These can help overcome stiffness and restore mobility. To do this, sit in a chair and cross the affected leg over the other leg at the knee. Using the big toe as a pointer, trace the capital letters of the alphabet from A to Z. Hold the big toe rigid so all the motion comes from the ankle. Repeat this exercise hourly, if possible. The letters will be very small at first but they will increase in size as range of motion improves. A good strengthening exercise is light kicking in a pool with a kick board or swim fin to create resistance.

Balance training is an important part of rehabilitation. Practice balancing on one foot with the arms extended to the sides without swaying, first with the eyes open, then eyes closed.