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: Participants Show Resilience
September 28, 2020
By Karissa Niehoff
NFHS Executive Director
The resiliency of players, coaches and leaders in high school activity programs the past seven months has been amazing. As attempts continue to offer all sports and performing arts this year, these individuals are making the most of tough times and demonstrating great resolve to change.
No doubt, high school juniors and seniors involved in high school sports and performing arts would have preferred a less turbulent end to their high school days, but many have been willing to go to great lengths to have an opportunity to participate.
In Michigan, when football was initially moved to the spring, student-athletes had two choices: be upset that their sport was postponed or seize the moment and look for new opportunities. Royce Daugherty of Watervliet High School chose the latter.
A 6-foot-3, 300-pound two-way starter last year as a freshman on the Watervliet football team, Daugherty opted to join the cross country team! He said he decided to run cross country because it would help him get tougher mentally and physically.
Daugherty’s decision was perhaps predictable given that he played four sports – football, wrestling, basketball and baseball – as a freshman. Although the switch was short-lived with Michigan reinstating football a couple of weeks ago, Daugherty’s resilience is remarkable and a good predictor of future success.
In Colorado, with football on hold this fall, members of the Limon High School two-time defending Class 1A state football championship team petitioned the school administration to resurrect the golf program.
“Sports are our lifeline,” said Andy Love, the school’s baseball coach who agreed to coach the golf team, in an article posted on CHSAANow. “Our community follows our sports so strongly. It gives our kids this great atmosphere and environment whether it’s the football field, the basketball court or whatever. Our community rallies around our kids.”
Turning a problem into an opportunity, the Limon High School football players and staff demonstrated the never-give-up spirit of high school activities.
In Kansas, with the heading of “the show must go on,” the Goodland High School athletic director and superintendent stepped in to coach the football team a few weeks ago because the head coach and assistant coach were quarantined during the week. The result? Goodland, a Class 3A school, defeated Liberal High School, a Class 5A school!
Coaches have demonstrated resiliency as well by finding new ways to conduct competition and keep students engaged. In Minnesota, at a swimming meet between Chaska High School and Bloomington Kennedy High School, Chaska swimmers occupied lanes 1 to 4, while Kennedy swimmers were in lanes 5 to 8 for social distancing purposes.
In the same state, the South Suburban Conference decided to conduct virtual swim meets this fall. Each team competes in 11 races in their own pool, and the coaches compare times to determine scoring. Two methods in the same state, both done to keep students engaged but to minimize risks of the virus.
On the performing arts side, teachers and leaders have benefited from an aerosol study conducted by the NFHS and more than 125 other organizations to determine best practices. In some cases, band and other music programs were moved to the spring, but leaders continued to engage with students in many innovative ways.
Larry Friend, assistant principal of Caesar Rodney High School in Camden, Delaware, in a Dover Post article, told his students, “This is not the time to put the instruments aside. This is not the time to stop singing. This is not the time to run away from your passion. This is an opportunity to run toward your passion and to find what it is that motivates you to reconnect.”
Band directors in Michigan – like those in many other states – are finding new ways to keep music going during the pandemic – from outdoor band camps to all-virtual rehearsals.
“We have some really incredible band directors doing some really neat things locally,” said Josh Bartz, director of bands at Portage Northern High School in an interview with WWMT-TV in Kalamazoo.
In the same interview, Chris Ludwa, assistant professor of music at Kalamazoo College, said, “I think you will always find ways to make art. Oftentimes, when in society there is deep need, deep pain, struggle, oppression – that’s the time when art flourishes.”
These are but a few of the great stories that have occurred across the country as players, coaches, administrators, officials, parents and fans are making the most of tough times. While these student participants may not become stellar athletes at the next level or excel at higher levels in the arts, their resiliency through these tough times will play a major role in their future success.
High school activity programs – building resilient people for the future of our nation.
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.