http://www.advancedfootankle.com Hi. I’m Dr. David Laurino, and today we’re going to talk about ankle sprains. So, what’s an ankle sprain? An ankle sprain is an injury to one or more ligaments in your ankle, usually in the outside of your ankle. Ligaments are bands of tissue, like rubber bands that connect one bone to another and bind the joints together. In the ankle joints, the ligaments provide stability by limiting side-to-side movement. Some ankle sprains are much worse than others. The severity of an ankle sprain depends on whether a ligament is stretched, partially torn, or completely torn, as well as on the number of ligaments involved. Sprained ankles resolve from a fall, a sudden twist, or a blow that forces the ankle joint out of normal position. Ankle sprains commonly occur while participating in sports, wearing inappropriate shoes, or walking or running on an uneven surface. Previous ankle or foot injuries can also be contributing factors. The symptoms of ankle sprains may include pain or soreness, swelling, bruising, difficulty walking, stiffness in the joint, and a wobbly ankle. These symptoms may vary in intensity depending on the severity of the sprain. Even if there is no pain or swelling with the sprained ankle, treatment is crucial.
Any ankle sprain, whether it’s your first or fifth, requires prompt medical attention. Why do we need prompt medical attention? There are four key reasons why an ankle sprain should be promptly evaluated and treated by a foot and ankle specialist. First, and untreated ankle sprain may lead to chronic ankle instability, a condition marked by persistent discomfort and a “giving way” of the ankle. Second, a more severe ankle injury may have occurred, such as a bone fracture that, if left untreated, could lead to troubling complications. Third, an ankle sprain may be accompanied by a foot injury that causes discomfort but has gone unnoticed thus far. And, finally, rehabilitation of the ankle sprain needs to begin right away. If rehabilitation is delayed, injury may be less likely to heal properly.
To diagnose your ankle sprain, a thorough history of your symptoms and examination of your foot and ankle will be performed. X-rays or other advanced imaging studies may be ordered to help determine the severity of the injury.
Basically, there’s two different types of treatment options – non-surgical and surgical. Non-surgical treatment options include rest, staying off the injured ankle (walking may cause further injury), ice (apply an ice pack to the injured area, placing a thin towel between the ice and the skin and use ice for about 20 minutes on and 20 minutes off), compression (an elastic wrap may be recommended to control swelling), elevation (the ankle should be raised slightly above the level of your heart to reduce swelling), and early physical therapy. Your doctor will start you on a rehabilitation program as soon as possible to promote healing and increase your range of motion. This includes doing prescribed exercises. Periodically, medications will be prescribed, such as Ibuprofen, to help reduce pain and inflammation, and, in some severe cases, pain medications are needed to provide adequate relief. Orthopedic walking boots can also be used to help reduce pain and swelling in the ankle joint and allow this to heal faster.
So when is surgery needed? In more severe cases, surgery will be required to adequately treat an ankle sprain. Surgery often involves repairing the damaged ligament(s) along with extensive rehabilitation.
Well, I hope you’ve enjoyed this video. If you suffer from this condition, contact us for a solution and let us help get you back up on your feet doing the things you love. Please look for more videos on all things foot and ankle on our website and connect with us on social media. Thank you.