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Injury Centre | Ankle

 

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Ankle

An ankle sprain is the most common sports injury to the ankle and the long term consequences of an ankle sprain is a common cause of chronic ankle pain. The most common type is the inversion ankle sprain, in which the ankle rolls over on the outside and this is a common sports injury in football and rugby.

An ankle sprain includes stretching and tearing of ligaments. With the sprained ankle the most common damage is done to the ligaments - sometimes the tendons can also become injured.

Anything that makes the ankle 'tip over' increases the chance of an ankle sprain - this can occur in Sunday league football games on uneven surfaces of poorly maintained pitches!

Sprain instigators -

  • poor rehab of a prior ankle injury
  • poor proprioception - the ability to sense where a joint is ; if your body does not know where your ankle is, the muscles will not be able to prevent the ankle sprain reoccuring.
  • some people's feet can be very easy to twist over- this is common in those who frequently 'roll the ankle', without actually doing any damage and spraining the ankle
  • weak muscles

Ankle sprain types

The sprained ankle is often classified by its severity:

First degree:

* Some stretching or mild tearing of the ligament.
* Little or no functional loss - the joint can still function and bear some weight
* Mild pain
* Some swelling
* Some joint stiffness.


Second degree:

* Some more severe tearing of the ligaments
* Moderate instability of the joint
* Moderate to severe pain
* Swelling and stiffness


Third degree ankle:

* Total rupture of a ligament - there is a loss of motion
* Gross instability of the joint - joint function is lost
* Severe pain initially followed by no pain
* Severe swelling

Treatment

The sooner treatment starts for a sprained ankle, the greater chance to prevent chronic pain and long term instability.

For all grades of ankle sprain follow the R.I.C.E. principles as soon as possible:

* Rest

* Ice - this helps to keep the swelling down. Use ice on the injury several times a day for 15-20 minutes

* Compression bandages are needed to immobilize the ankle sprain and to support the injury.

* Elevation - ideally the ankle should be above your heart level for as much as you can.

If the sprain is a 2nd or 3rd degree ankle sprain, seek professional advice immediately.

 

If the ankle sprain is a 2nd degree sprain, then in addition to the R.I.C.E. principle, a more effective means of immoblisation may be needed. Anti-inflammatory medication may also be used to help.

If the ankle sprain is a 3rd degree sprain, cast immoblisation is needed. Surgery to repair the ruptured ligament is also often needed.

Ultrasound and/or friction massage are often used when the acute phase is over.

As soon as treatment is instigated, consideration must be given to adequate rehabilitation:

  • exercises to increase proprioception
  • ankle braces and strapping to facilitate activity
  • muscle strengthening and flexibility exercises
  • gradual return to any sporting activities
  • maintain fitness by doing alternative activities

 

 

 

 

 

Disclaimer

All content within sports injury insurance is provided for general information only, and should not be treated as a substitute for the medical advice of your own doctor or any other health care professional. Sports injury insurance is not responsible or liable for any diagnosis made by a user based on the content of the injury centre. Always consult your own GP if you're in any way concerned about your health.

Sports Injury Insurance is an approved partner of Pinnacle Insurance plc.

Pinnacle Insurance plc is authorised and regulated by the Financial Services Authority (FSA Number 110866).

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