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: Thank You to All Coaches
January 29, 2021
By Karissa Niehoff
NFHS Executive Director
Earlier this week, the NFHS recognized more than 700 individuals for their efforts as high school coaches during the 2019-20 school year, including 23 as National Coaches of the Year.
The accomplishments of the national recipients are extraordinary, but comments about their roles as education-based coaches are even more telling as to why they were selected.
Mary Beth Bourgoin, field hockey coach at Winslow High School in Maine, who, although she has won 173 games, said, in an article in the Portland Press-Herald, “It’s not about winning and losing. It’s about relationships and having fun.”
Donna Moir has won three state championships as girls basketball coach at Sacred Heart Academy in Louisville, Kentucky, but is known more for her sportsmanship, humility and kindness.
Jerry Petitgoue, basketball coach at Cuba City (Wisconsin) High School, who has won 963 games in 53 years, led his team to an unblemished 25-0 record before the pandemic cancelled the state tournament.
In an article for SWNew4u.com, Petitgoue said, “I’m very proud to receive this recognition for Cuba City High School and the community. I’m happy it comes during these trying times. Every little positive thing is uplifting these days.”
Mary Jo Truesdale, softball coach at Sheldon High School in Sacramento, California, has won 759 games and eight California Interscholastic Federation-Sac Joaquin Section championships, but was unable to coach her team last spring due to the pandemic.
“I worry about the well-being of my players, especially the seniors who don’t have a next season to play in high school,” said Truesdale in an article in the Sacramento Bee. “We know there are more things going on in life that are much bigger than softball, and that’s what we’re all learning.”
Ron Murphy, baseball coach at Rio Rancho (New Mexico) High School, is second all-time in his state with 567 victories but was only able to lead his team to a few wins last spring before the coronavirus shut down the program and ended hopes for a state tournament.
Despite his own success, Murphy was more focused on his players in a recent article in the Albuquerque Journal, noting that, “The thing that gets me most excited about this award is that it brings national attention to Rio Rancho High School baseball.”
Doug Hislop, wrestling coach at Imbler (Oregon) High School, has coached for 50 years and remains active at 73 years of age, continuing to teach kids lessons on and off the mat.
David Halligan, soccer coach at Falmouth (Maine) High School, has led his teams to 12 state titles. In an article in the Portland Press Herald, Halligan said, “I’m proud that we’ve had a lot of good players and good programs for a lot of years. I find a lot of joy in coaching at the high school level. I love seeing how kids develop from freshmen to seniors and how they grow as people.”
These are but a few of the individuals selected for national honors in 2019-20 – all of whom have impacted student-athletes in positive ways for decades.
When it comes to honoring coaches for the 2020-21 school year, we should give a shout-out to every individual involved in high school education-based athletics for their tremendous efforts leading programs through the pandemic. Next to frontline health-care workers, there is no group of individuals to whom we should be more indebted than high school coaches.
Prior to the pandemic, a high school coach’s job was already a next-to-impossible 24-7 mission. In addition to preparing for the daily “Xs and Os,” interscholastic coaches spend countless hours in mentorship capacities with student-athletes off the field or court, answer tough questions from parents, teach classes during the school day and handle a number of never-ending, always-changing daily tasks.
This year, coaches are faced with other tasks related to COVID-19, which, in some cases, involve keeping team members connected and motivated in a virtual setting.
There is pressure on coaches to maintain protocols related to the pandemic and stay on course so the games can continue. The additional daily checklist is endless: sanitize equipment, remind students to wear masks and maintain social distancing, temperature and wellness checks with students, follow an endless list of protocols if a student tests positive, and the list goes on and on.
The tasks of high school coaches seem larger than life this year, and these men and women deserve our utmost respect and appreciation. In addition to parents, and perhaps in lieu of parents in some cases, high school coaches are helping student-athletes survive the pandemic and maintain a healthy outlook on life.
We salute this year’s award recipients – and all high school coaches – for their commitment to keeping our country’s future leaders – high school students – on track during one of the most trying years in our nation’s history.
Dr. Karissa L. Niehoff is starting 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.