Auteur: Podiatre Montreal
Ankle sprain is the most common injury in sport, accounting for up to 25% of lost participation time. An ankle sprain is an injury to the ligaments outside the ankle. It has been estimated that 70% to 80% of athletes with an ankle sprain will have a recurrence of the sprain. Twenty to forty percent of patients develop chronic instability (multiple recurrences of the sprain) after an ankle sprain. When we treat ankle sprains, our goal is to get you back on your feet as quickly as possible and help prevent future sprains.
If you have a sprained or unstable ankle, make an appointment today at our clinic in Montreal. The earlier you get appropriate treatment, the faster we will be able to help you heal. The high incidence of residual instability in the ankle joint after an initial lateral sprain is mostly due to inappropriate treatment of the ankle. Too often, the patient will initially present to an emergency room or other facility where the goal of the assessment is to rule out a fracture. Follow-up care from there often neglects rehabilitation of an ankle ligament injury.
Appropriate and effective treatment of an ankle sprain requires careful monitoring by the physician and the disciplined involvement of the patient.
Immobilization and stabilization
The cornerstone of the treatment of a lateral ankle sprain is the proper use of immobilization devices that quickly support its weight. Carrying weight on the ankle will help heal the ends of torn ligaments and restore the ankle to its most stable position. We offer an immobilization program to our patients which includes the use of a walking boot and an ankle brace. While waiting to see your doctor, you should at least wear an ankle brace.
Soft support for ankle sprains
If you can’t always wear an ankle brace (for example, while doing yoga or wearing shoes or boots that don’t fit an ankle brace), we will teach you how to apply tape to protect your ankle.
DECREASED INFLAMMATION AND INCREASED STRENGTH
Your doctor and physiotherapist will work with you on methods to help reduce the swelling associated with the injury. Once the swelling has gone down, you will learn exercises that will help you regain muscle strength in your leg.
BALANCE AND PROPRIOCEPTION
Restoring balance and posture has been shown to be the most important aspect in preventing ankle sprains. Although many patients are properly immobilized until the pain and swelling subsides, they will develop symptoms of instability as the restoration of balance at the ankle is ignored. A physiotherapist will teach you specialized exercises to help you regain balance and proprioception.
CUSTOM-MADE FOOT ORTHOTICS
Numerous studies show that many patients with chronic ankle instability also have instability of the joint directly below the ankle (the astragalocalcaneal joint). This is the joint where the foot rolls in and out (pronation/supination). Custom-made functional orthotics, if properly prescribed, stabilize the astragalocalcaneal joint and therefore help prevent ankle sprains.
The best rehabilitation occurs when you are able to wear your orthotics before you begin to resume activity without your ankle brace. Assessment for orthotics should therefore take place within three weeks of injury – when normal walking is likely to be restored and swelling is significantly reduced.
Shoes that provide exceptional support around the ankle will help prevent ankle sprains. We will provide you with shoe recommendations for your foot type and a list of shoe stores with trained personnel to properly fit them.
Ankle sprains that are not properly treated can lead to long-term problems. If you have an ankle sprain or are experiencing symptoms, make an appointment at our podiatric clinic in Montreal.2021