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.
Let's Learn What This Time Can Teach Us
April 8, 2020
By Kevin Wolma
Hudsonville Athletic Director
A simple service return that landed into the net last fall ended my son’s tennis career.
When you are a senior, there is an end date. Just like that it is over.
Seems like yesterday I was playing catch with him in the front yard. Seems like yesterday I was rebounding as he shot at our basketball hoop. Seems like yesterday I put a tennis racquet in his hands for the first time. The success and failures along with the laughter and frustration all came to an end.
Along the way people would warn me about how fast the time goes, but when you are living day to day, you don’t really believe them. Going into the final day of the season, I had those thoughts that this would be the last day I’d watch my son play a competitive tennis match, but it didn't really hit me until I watched that last ball go into the net.
However, I also realized that we were going to experience many final moments during his senior year and this was a natural part of the journey. What I didn't know on that day was that this was the very last time I would see him compete. The cancellation of spring sports season with the COVID-19 crisis took that opportunity away from him competing in track & field this spring.
We never know when things will be taken away from us.
Administrators, Athletes, Coaches, Officials, Trainers:
Do you have a message that will provide inspiration, motivation or comfort to Michigan’s high school sports community during this unprecedented time? We’d like to help share it. Submit your “viewpoint” – written or video – to [email protected] for consideration for publication on Second Half.
My daughter, also a senior, will also lose the opportunity to finish her tennis career at Hudsonville because of the COVID-19 shutdown. For the two of us, tennis was more than a sport – it was our connection. From the time she was 5 years old hitting foam balls in the gym to now, the tennis court became far more than a surface with a net and lines.
The tennis court was our place of solitude. We hit thousands and thousands of tennis balls over the years. But more importantly, the tennis court created a platform where lessons were shared, stories of success and failure were told, and a love for a sport was born. I dread the day the tennis court sits silent, because that means my daughter will move on to her next stage in life. That time could be now.
Sports is not the end-all, and it surely does not define a person. However, it is a mechanism to bring people together and to teach life lessons that are often taken for granted, until we realize it is over.
The purpose of this article is not to talk about the end as much as it is to emphasize the importance of those moments leading to the end. Don’t let those moments slip away. If your son or daughter asks you to go outside and play catch, please put down the computer or phone and do it. The email can wait. The phone call can wait. The game on TV can wait.
Admittedly, I have been occasionally guilty of this as well and now realize the importance of time and how unpredictable it can be. I have one more chance with my youngest daughter to make sure we don’t take those moments for granted. They are moments we will never get back, and again, we never know when those moments will be taken away.
As a high school athletic director, all I’ve wanted was more time. Sixty plus-hour work weeks while trying to navigate work and home schedules is often a challenge. Many of us live this life every day. We all would like more time.
However, over a 48-hour span during the month of March 2020, time was all I had. In those two days, after the Utah Jazz’ Rudy Gobert tested positive for COVID-19, both the NCAA and NBA shut down while schools and businesses began closing their doors indefinitely.
Now, time is all any of us have.
My hope is that we realize time is a gift and we must be willing to receive it when available. Take advantage of the time to regain a perspective of what is really important in our lives and act on that. This moment in time will end and for many of us, our lives will resume juggling personal, work, and sports schedules. Are we ready? Did we take this “time off” from the busyness of life and focus on how we can maximize every moment of every day?
For some of us, this gives us a chance to hit the restart button and maybe look at youth sports through a different lens. Maybe our interactions with our kids, coaches, and officials will be more positive. Maybe we worry less about the outcome and more about the process. Once we get back to the playing field, maybe we will look at participation in sports differently. Maybe we will understand that it is truly a gift, and every gift deserves a level of gratitude – gratitude toward the many people who allow this experience, and all its life lessons, to transpire.
Years from now, when we look back at the year of COVID-19, will we still value the essence of time and living in the moment? Will we still give gratitude to the gift of sports? Each one of us wants to look back at our kid’s experiences with athletics and have no regrets. No regrets with our actions. No regrets with our time. We have an opportunity as parents right now to pause, reflect, and make changes that could impact youth sports for generations to come.
We must seize this opportunity now because this part of life will be over before we know it. For some of us, maybe even more quickly than we expected.
Wolma has served as Hudsonville's athletic director since 2011 and previously coached boys varsity basketball and girls varsity golf among other teams. He also previously taught physical education and health. Photo courtesy of the Hudsonville High School tennis programs.