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.
Whymer Made Blue Water Moments into Memories
By
Paul Costanzo
Special for MHSAA.com
September 29, 2020
When considering all the reasons Jim Whymer was a beloved and Hall of Fame sportswriter in the Thumb area, one stands out above the rest – he cared.
He cared about the quality of the sports section at the Times Herald in Port Huron. He cared about making sure the impossible task of covering schools and sports as equally as possible was accomplished. And he cared about what the newspaper meant to the community.
But most of all, he cared about the people he was writing about.
“He wasn’t going in it just to get a story – he cared about people,” said Shawn Sharrow, a 1994 Marine City graduate who coached basketball at Marine City and St. Clair. “He cared about relationships. As much as he liked sports, he liked people and building those relationships over the years. After he did an interview with you, he would stand there and talk with you for another half hour. He just wanted to develop those friendships.”
Whymer, who worked at the Times Herald from 1978 through 2012, died this past Thursday of metastatic melanoma. He was 64.
He is survived by his wife, Patty, his children Traci Whymer (Tyson Connolly), Kyle (Amanda) Whymer and Joel (Rachel) Whymer, and his grandson, Finn; and by his mother Teresa, sister Michele Seif and brother Bill (Pattie).
He also is survived by the countless yellowing press clippings with his byline that can be found in hundreds of scrapbooks throughout homes in the Blue Water Area. Clippings that no doubt made special memories that much more special for those holding onto them.
“I think like no other person I’ve been around, he made kids feel special,” Port Huron Northern boys basketball coach Brian Jamison said. “He had an amazing ability to make kids feel special. It was in his articles and how long he would take to talk to a kid. He would know the kid’s uncle and their cousin, and he would talk to them about that. I think kids genuinely felt better after talking to him.”
Whymer won several awards for his journalism, including a spot in the Basketball Coaches Association of Michigan Hall of Honor and the Port Huron Sports Hall of Fame.
Good luck finding those awards displayed anywhere, though. Whymer was more interested in making sure the athletes and coaches were getting proper recognition.
“He was really thorough and really interested in what we were doing, even in little old Deckerville when he had Port Huron and Port Huron Northern in his backyard,” Deckerville football coach Bill Brown said. “He’d come up to Deckerville, he’d even go to playoff games – we'd play across the state and he was there. Then after the game, he would just ask you respectful questions. It’s just too bad, because he’s definitely going to be missed. Everybody looked forward to seeing him. He was more than welcome here; he probably could have stayed overnight at someone’s house if he needed to.”
Brown, Jamison and Sharrow had interactions with Whymer as players and coaches. Brown also got to see Whymer as an official, as Whymer worked for more than three decades officiating basketball, baseball, softball and football games throughout the area.
“You can’t even get mad at the guy because he’s such a good guy,” Brown said with a laugh. “He was always square with you.”
Jamison also coached both of Whymer’s sons, and currently has Kyle as his junior varsity basketball coach at Northern. All of the Whymer children played sports at Northern, with Traci being part of an MHSAA title-winning tennis team and Joel setting records on the basketball court and earning a scholarship at Lake Superior State University. (He would later transfer to Grand Valley State.)
“Jim’s always been more like family to me,” Jamison said. “I think everyone feels that way about him. He’s like your fun uncle that you love to talk to. Jim always did a nice job of keeping the story separate from him being the dad. In that respect, he made it easy on me. He was very, very supportive of his children. That’s something – as special as other people felt – that guy was truly all in for all three of his kids when it came to sports and school. I think he was an ultra-professional, and he didn’t want to overwrite about his kids.”
After leaving the Times Herald, Whymer began working in the athletic department at St. Clair County Community College, where he continued his quest to make things as special as possible for student athletes. His main duties included scheduling high school and middle school events at the college’s Fieldhouse – whether it be smaller local tournaments or a multi-day holiday basketball showcase that grew to more than 40 teams.
The Fieldhouse can fit more than 2,000 spectators, and Sharrow said if not for restrictions because of COVID-19, a memorial service for Whymer could fill it. That’s likely not an exaggeration.
“He might be showing up at your practice in the last 10 or 15 minutes, and he always walked in the gym with a smile on his face,” Sharrow said. “If he was ever having a bad day, you’d never know it. He made athletes feel important. Even watching him as a coach talking to my players, you could see their faces light up that they were going to be in the paper and that Jim Whymer wanted to talk to them.”
Paul Costanzo served as a sportswriter at The Port Huron Times Herald from 2006-15, including three years as lead sportswriter, and prior to that as sports editor at the Hillsdale Daily News from 2005-06. He can be reached at [email protected] with story ideas for Genesee, Lapeer, St. Clair, Sanilac, Huron, Tuscola, Saginaw, Bay, Arenac, Midland and Gladwin counties.
PHOTOS: (Top) Longtime sportswriter Jim Whymer works the phones during his time at the Port Huron Times Herald. (Middle) Whymer also was an MHSAA-registered official for 35 years. (Below) Whymer is survived by his wife Patty and their three children. (Photos courtesy of the Whymer family.)