Navigating Twists, Turns Of Ankle Sprains
November 30, 2020
Henry Ford Health System
Oh, how the ankle turns! If you’ve had a misstep or wrong turn result in a sprained ankle, you know how painful this injury can be. Henry Ford podiatric surgeon Paul Di Liddo, DPM, discusses ankle sprains and treatments.
Ankle Injury 101
From risk factors to treatments (and nearly everything in between), here’s what to know — and do — about ankle sprains.
Sprained Ankles Are Painfully Common
In fact, they’re among the most frequent injuries in the United States, with up to 25,000 people per day spraining their ankles. Although often associated with sports, ankle sprains can happen to anyone, anywhere. “I see ankle sprains from tripping over curbs, stepping in holes in a yard or simply walking,” says Dr. Di Liddo. “Ankle sprains — like accidents — happen.”
Ankle Sprains Injure Ligaments
“Ankle sprains occur when the ankle suddenly and forcefully twists or rolls past a point that the ankle ligaments can tolerate,” remarks Dr. Di Liddo. “The ankle ligaments will stretch or tear, either partially or completely.” An ankle can twist, turn or roll during a fall, jump or change of direction, while walking on uneven ground and more.
A Weak Ankle Is A Vulnerable Ankle
Most sprained ankles heal without long-term concern. In some cases, however, ligaments may not fully heal, resulting in a weak or unstable ankle. “A weak or unstable ankle can make an individual more susceptible to repeated ankle sprains,” explains Dr. Di Liddo.
High Arches Can Be Risky Business
People who have high-arched feet are more at risk of rolling — and therefore spraining — their ankles. So are people who have “loose joints,” because the ankle can overstretch with a seemingly minor twist. People who are at-risk for ankle sprains should take extra precautions when playing sports or performing other activities.
Some Sprains Can Be Treated At Home — Emphasis On Some
How you treat a sprained ankle depends on the severity of the injury. Minor sprains can be treated at home with the RICE method. The RICE method include:
- Rest by avoiding use of the injured ankle
- Ice applied to the ankle (without touching the skin) for no more than 20 minutes every three to four hours
- Compression with an elastic bandage
- Elevation above the heart
Ice, compress and elevate your ankle for the first few days. Rest and refrain from sports until ankle pain and swelling have subsided.
At-home treatments aren’t right for everyone — or every ankle injury. “A swollen ankle is typical if you have experienced a sprain,” says Dr. Di Liddo. “However, if you have severe ankle swelling, are in extreme pain or notice an odd ankle appearance, seek medical attention.” This is also true if you can’t walk more than a few steps or have limited ankle mobility. A foot and ankle specialist can diagnose your injury and begin treatment.
Ankle Treatments Abound
Ankle sprain treatments are designed to decrease pain and swelling, while protecting the ligaments from further injury. Treatments include wearing an ankle brace, walking boot or cast. Physical therapy to strengthen the ankle and maintain range of motion may also be incorporated after the ligaments have started to heal.
“Of course, for more severe injuries, a thorough physical exam and X-rays are necessary,” says Dr. Di Liddo. “This helps ensure that there is no other underlying injury, such as a fractured ankle or Achilles tendon rupture.”
Healing Times Vary
The recovery time for a sprained ankle depends on the severity of the injury. Sprains with minimal ligament stretching and no tear require one to three weeks. Partially torn ankle ligaments may take up to six to eight weeks to heal. A fully torn ligament can take several months to fully heal.
What To Do When Ankle Problems Persist
For people who continue to experience ankle instability, there are a host of options. “Physical therapy is the first step — but not the only one,” says Dr. Di Liddo. “If physical therapy has not been beneficial, we can discuss surgical approaches.”
Surgical options include:
- Ligament repair or reinforcement via an outpatient procedure
- Osteotomy, which is surgical cutting of bone, to lower arches when ankle instability is caused by high arches
For those with frequent ankle sprains or instability, a medical assessment is necessary and may include:
- Physical exam
- X-rays to assess bones and joints
- MRI to evaluate ankle ligaments
With this information in mind, you can prevent — or address — the twists and turns of ankle sprains.
Want to learn more? Henry Ford Health System sports medicine experts are treating the whole athlete, in a whole new way. From nutrition to neurology, and from injury prevention to treatment of sports-related conditions, they can give your athlete a unique game plan.
Visit henryford.com/sports or call (313) 972-4216 for an appointment within 24 business hours.
NFHS Voice: Regardless of Future Direction, Multiple Sports/Activities is Best Choice
By
Karissa Niehoff
NFHS Executive Director
May 7, 2021
The values of participating in high school activities – sports, speech and debate, music, theatre and other programs – are well-documented.
A majority of the 12 million-plus participants in education-based activities have higher grade-point averages, are more disciplined and self-confident. In addition, research indicates that participation in high school activities is often a predictor of later success – in college, a career and becoming a contributing member of society.
This past year, the importance of these activities was demonstrated further through the consequences that occurred when these programs suddenly were unavailable.
The social, emotional and mental health of students was affected. When sports and activities no longer were available, many students self-reported symptoms of depression and anxiety. With less physical activity and no involvement in these programs, there were state-reported higher incidences of youth suicide. The research is sobering, and the link between participation in activities and overall health has arguably never been so clear.
So, there is a hope that the expected return to full programming this fall will begin the healing process.
And, if the opportunity to play one sport or activity is a positive step, the chance for involvement in multiple sports or activities throughout the entire school year has untold benefits – for the majority of students who are involved in high school activities to compete with their friends for fun, as well as those who are hoping to play sports at higher levels.
For many students, the experience of playing on a high school team may be the most positive aspect of their lives, and the high school coach or director of a speech or music group may be the most positive role model they have.
So, the return of these activities in schools nationwide is crucial. These programs provide a welcoming place and a means for support, guidance and direction. And when one sport or activity season ends, students should be encouraged to become involved in another activity the next season. Students can also enjoy multiple activities concurrently, such as participating on a sports team while also belonging to a performing arts group.
In a recent article in High School Today magazine, counselors at a school in Delaware reported that the most successful students applying to college and for scholarships are those involved in multiple sports, band, debate and other activities.
In some cases, the opportunity to participate in activities is the chief motivator to attend classes, graduate from high school, obtain a job and begin a career. Playing multiple sports and/or being a part of multiple arts and activities keeps students engaged throughout the school year.
Playing multiple sports is also the best direction for the 3 to 5 percent of high school athletes who will play at the college level. Many parents believe for their son or daughter to earn a college scholarship, they have to specialize in one sport year-round. This is simply not true.
As opposed to playing one sport year-round, playing multiple sports often affords student-athletes a better chance of landing a college athletic scholarship or, for the most elite athletes, having their name called in the NFL or NBA draft.
Consider this year’s NFL draft. Of the 32 first-round draft picks, 27 played one additional sport other than football in high school, and 10 of the 32 played two other sports. Amazingly, one individual – Jaelan Phillips – played five sports (football, basketball, baseball, volleyball and track & field) at Redlands (California) High School.
The list of high-profile professional athletes who played multiple sports in high school rather than focusing on one sport year-round includes the likes of Patrick Mahomes, Tom Brady, Aaron Rodgers, Joe Mauer, Bo Jackson, Alex Rodriguez and John Elway among numerous others.
The advantages of playing multiple sports rather than specializing in one sport are numerous. Students who play multiple sports have a reduced risk of overuse injuries, are able to learn from multiple coaches, participate in cross-training which leads to better athleticism, have better mental development and teamwork skills, and have a reduced chance of burnout in sports.
A number of successful business men and women were highly involved in high school and college sports or performing arts as well. Meg Whitman, CEO of Hewlett-Packard, was the captain of her swimming team and also played lacrosse, tennis and basketball. Former Whole Foods CEO Walter Robb was the captain of the Stanford soccer team. Bank of America CEO Brian Moynihan played rugby at Brown University.
Whether the goal is to participate in high school sports and activities to have fun with their peers, or to achieve a college athletic scholarship, or to be a lifelong participant, the best route to achieving a successful, healthy balance in life is to participate in multiple sports and other activities.
Dr. Karissa L. Niehoff is in her third year as executive director of the National Federation of State High School Associations (NFHS) in Indianapolis, Indiana. She is the first female to head the national leadership organization for high school athletics and performing arts activities and the sixth full-time executive director of the NFHS, which celebrated its 100th year of service during the 2018-19 school year. She previously was executive director of the Connecticut Association of Schools-Connecticut Interscholastic Athletic Conference for seven years.