Tuesday, September 11, 2018

Ankle Sprains - Presentation and Treatment


Since 1996, Dr. Andrew Johnson has practiced as a Family Physician and Hospitalist in Brampton, Ontario. Dr. Andrew Johnson opens his Brampton office to patients with a variety of medical conditions, including ankle sprains.

A common minor injury to one or more of the ligaments that support the ankle, an ankle sprain often occurs when someone steps on uneven ground and the ankle rolls either inward or outward. This causes the ligament on the opposite side of the foot to over-stretch and potentially tear.

Inversion sprains, which are caused by inside rolls that affect the outside (lateral) ligaments of the ankle, are the most common. Eversion sprains, caused by rolling toward the outside of the foot, are less frequent but can indicate a more serious injury to the ligaments or tendons.

If a sprain results in significant swelling or an inability to bear weight, it warrants medical attention. A physician will examine the area and may take X-rays to ensure that no bones are broken. If there is no fracture, the physician will develop a treatment plan.

Mild sprains are usually treatable at home with rest, ice, compression with bandages, and elevation above the heart. This is known as the RICE protocol. Medication may also be helpful in reducing pain and swelling.

Once the ankle can bear weight again, the patient must rehabilitate the joint to recover flexibility, strength, and range of motion. This allows the individual to resume activities gradually, starting with straight-ahead movements and advancing to incorporate more challenging turning or twisting movements.

Severe injuries may require longer immobilization, which often involves a supportive brace. If the ankle fails to heal or becomes repeatedly sprained, a physician may recommend surgery to restore stability.