Auteur: Podiatre Montreal
Treatment for ankle sprains at home
Appropriate and effective treatment of an ankle sprain requires careful monitoring by the physician and the disciplined involvement of the patient.
We recommend that you see a Podiatrist for your ankle sprain to prevent long-term complications. If you cannot see a doctor right away, follow the 4-step plan below.
1. 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 plan to our patients starting with the use of a walking boot for two weeks. This prevents movement so that the ligaments can heal properly.
Approximately two weeks later (depending on the patient’s recovery), we switch to an ankle brace. Wearing this ankle brace is necessary for 2 to 4 weeks to allow the ankle ligaments to heal continuously.
2. Balance and proprioception
Il a été démontré que le rétablissement de l’équilibre et de la posture est l’aspect le plus important dans la prévention d’entorses de la cheville. Bien que de nombreux patients se soient immobilisés correctement jusqu’à ce que la douleur et l’enflure s’apaisent, ils développeront des symptômes d’instabilité puisque la restauration de l’équilibre au niveau de la cheville est ignorée. Les patients commenceront par des exercices simples, aboutissant à des exercices sur une planche d’équilibre.
3. Orthèses plantaires
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 thus 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. Evaluation for orthotics should therefore take place within three weeks of injury – when normal walking is likely to be restored and swelling is significantly reduced.
If you are unable to obtain custom-made orthotics for any reason, we recommend the use of the most stable prefabricated orthotic available.
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. Look for stable shoes with room for an orthotic.
Ankle sprains that are not properly treated can lead to long-term problems. If you have a sprained ankle or experience symptoms, make an appointment in our podiatric clinic in Montreal.2021