Physiotherapy for Ankle Sprains

Ankle Anatomy - SIM Physio Frenchs Forest, SIM Physio Macquarie Park

What is an ankle sprain?

A ankle sprain is a tear in the ligaments that hold the ankle together. The most commonly injured ligaments are the lateral ligaments, which include:

·      The Anterior Talofibular Ligament

·      The Calcaneofibular Ligament

·      The Posterior Talofibular Ligament

 

Ankle Injuries - SIM Physio Frenchs Forest, SIM Physio Macquarie Park

How are the ankle ligaments injured?

The most common way these ligaments become torn is from a “roll” of the ankle, where weight is forced over the outside of the ankle causing it to roll outwardly as the toes point inward.  The Anterior Talofibular Ligament is the most commonly injured ligament, as it is placed under the most stretch during this movement, followed by the Calcaneofibular Ligament and then the Posterior Talofibular Ligament. The severity of injury depends on how significant the tear is and how many ligaments have been affected.

 

 How long do ankle sprain take to heal?

 This varies according the severity of injury, as well as other factors including age, hypermobility and previous ankle sprains.

  •  Grade 1 ankle sprains usually take 2-4 weeks.

  • Grade 2 ankle sprains usually take 4-6 weeks.

  • Grade 3 ankle sprains can take up to 12 weeks.

Physiotherapy following an ankle sprain:

After an acute ankle sprain, it is best to follow the research-backed PEACE & LOVE protocol. This means giving the ankle some rest, and elevating it and using compression when there is swelling.

Ankle sprains - SIM Physio Frenchs Forest, SIM Physio Macquarie Park

In more severe ankle sprains, a CAM Boot may be necessary to facilitate optimal healing and may be required to be worn for up to 4 weeks. In any case, your physiotherapist will guide you with appropriate exercises to begin rehabilitating the area as soon as possible. Research shows that, in most cases, the earlier these exercises begin, the faster an ankle sprain recovers and the quicker the person can return to playing sports. Developing a long-term ankle stability exercise program is crucial in preventing future ankle sprains, especially among those who have had multiple ankle sprains.

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