Preventing Chronic Instability After a Severe Ankle Sprain
Ever felt the sharp, sudden pain of an ankle sprain? Whether you’re an athlete, a weekend warrior, or just someone who values your mobility, this common injury can throw a wrench into your daily life.
Most ankle sprains heal with time, rest, and proper care. However, approximately 20% of people with severe sprains develop chronic ankle instability, a condition that can persist for years.
At Orthopaedic Care Specialists in North Palm Beach, Florida, board-certified orthopedic surgeon Thomas F. Saylor, MD, collaborates with you to restore your mobility and enhance your quality of life. Here’s what you need to know about ankle sprains and how you can prevent chronic instability and future injuries.
Understanding ankle sprains
An ankle sprain occurs when one or more ligaments, the tough bands of tissue connecting your ankle bones, are stretched or torn. This typically happens as a result of a sudden twisting or rolling motion, such as landing awkwardly after a jump or stepping into a pothole.
There are three grades of ankle sprains:
- Grade one: mild sprain, with stretched ligament(s) and no tearing
- Grade two: moderate sprain, with partial tearing to the ligament(s)
- Grade three: severe sprain, with completely torn ligament(s)
Mild to moderate sprains may cause minor inflammation and tenderness, while a severe ankle sprain presents significant swelling, pain, and difficulty walking. If you experience numbness or extreme pain, or can’t bear weight on the ankle, contact us as soon as possible for an assessment.
What is chronic ankle instability?
Chronic instability often develops after a severe sprain, where the ligaments are completely torn. Individuals who have experienced multiple ankle sprains, even mild ones, may also develop chronic ankle instability.
Not feeling so steady on your feet? Here are some signs that it may be chronic ankle instability:
- Recurring ankle sprains
- Swelling and pain in your ankle
- Your ankle turns, rolls, or gives out frequently
- Weakness in your ankle muscles
How to prevent chronic instability
To reduce your risk of developing chronic ankle instability, it’s crucial to take proactive steps to strengthen your ankle muscles and improve your balance and coordination. Here are some effective strategies:
Work out your ankles
Incorporate ankle-strengthening exercises into your daily routine. Examples include calf raises, ankle circles, and balancing on one leg. You can do these exercises at home or in the gym, gradually increasing the intensity as your ankle strength increases.
Wear proper footwear
Choose shoes that provide good support and cushioning, particularly if you’re involved in sports or other activities that put stress on your ankles. Avoid shoes that are too loose or tight, as improperly fitting footwear increases your risk of ankle injury.
Avoid high-risk activities
If you have a history of ankle injuries, it may be wise to avoid activities that increase your risk of sprains, such as trail running, basketball, or other pursuits that involve uneven surfaces, jumping, or twisting.
However, it’s important to find ways to stay active without putting too much stress on your ankles. Low-impact activities like swimming, cycling, and yoga can help strengthen your muscles (including those in your ankles) without putting excessive stress on your joint.
Treating chronic ankle instability
The treatment for chronic ankle instability depends on the severity of your condition and your individual needs. Dr. Saylor may recommend the following:
Physical therapy
A personalized physical rehabilitation program can help you strengthen the muscles around your ankle, improve your balance and coordination, and teach you proper ankle mechanics.
Medications
Over-the-counter pain relievers may be useful to manage pain and inflammation. In some cases, Dr. Saylor may use platelet-rich plasma (PRP) injections to promote healing and reduce pain. PRP is a concentrated solution of platelets that helps to stimulate cell development and tissue repair.
Surgery
In severe cases where your ankle is unable to heal on its own, Dr. Saylor may consider minimally invasive surgery to repair damaged ligaments or reconstruct your ankle joint.
If you’re experiencing ankle instability or weakness following a sprain, Dr. Saylor and our team at Orthopaedic Care Specialists are here to help you get back on your feet. Call our office at 561-260-5993 today to book a consultation or schedule your appointment online.