Ankle injuries are one of the most common injuries in sport .The degree of damage can vary from slightly stretched ligaments to fractures and joint damage .It is important , therefore , to seek appropriate medical attention if in any doubt.
The ankle consists in two joints .The Talocrural joint which gives the forward and backward movement and the Subtalar joint that allows side to side movement .Together they combine to create a large amount of movement and enable the foot to adapt to the profile of the ground at each step. This versatility though requires a strong and well coordinated muscle support. Without this support injury is more likely.
The most common injury is the inversion sprain .This normally happens when someone “goes over” on their ankle and stresses the outside structures .If major swelling occurs within minutes a lot of damage has probably occurred .It is important to go to Accident and Emergency to have a full examination and exclude a fracture. If swelling takes an hour or more the damage is less likely to be severe and A&E should not be necessary.
If initial treatment with RICE (R = rest, I =ice, C = compression, E= elevation) does not improve the function within 48 hours then you should seek a professionals advice.
Did you know that the strength of a ligament 3 weeks after the injury IS ONLY 20% of the healthy one?
That is why it is so important to have a proper rehab if you plan to go back to your sport. If not treated properly a serious inversion sprain can lead to a chronic “weak ankle” sprains often reoccur although without major swelling.
This over the time can lead to:
- problems at the Achilles tendon
- Plantar Fascitis
- Shin Splint and even knee problems.
- On long term it can cause early wear & tear of the joint, collapsed arch and even Hallux Valgus. This sounds almost apocalyptic but don’t worry, there are many things which can be done.
During the first 3 weeks after the injury wear comfortable foot wear (no high heels) and avoid fast movement with sudden change of direction. Walk barefoot at home, in the garden or at the beach. Play with your toes using them to pick things up from the floor, try to stand on one foot while brushing your teeth. Go back to sport activities gradually, you should be able to jog pain free before you go back on the pith or on the court.
At swissphysio our experienced physiotherapists are happy to advise you. Book a 15 minute FREE consultation at 0191 296 0567.