Welcome Hand Specialist Nicholas Foeger, MD, PhD

Ankle Sprains

Aug 21, 2019

Lori L. Edmonds, APRN

ankle sprain

A sprained ankle is a common injury that can happen when you take part in sports and physical activities. It can also happen when you simply step on an uneven surface, or step down at an angle. The ligaments of the ankle hold the ankle bone and joints in position. They protect the ankle joint from abnormal movements-especially twisting, turning, and rolling of the foot. A ligament is an elastic structure. Ligaments usually stretch within their limits, and then go back to their normal position. When a ligament is stretched beyond its normal range, a sprain occurs. A severe sprain causes actual tearing of the elastic fibers. Your ankle sprain may range from a slight stretching and some damage to the fibers of the ligament to a complete tear of the ligament.

Significant sprains may mask related ankle injuries and may lead to long term instability, disability, and arthritis.

Classification of Ankle Sprains

  • Grade 1 Sprain – Stretching out of the ligaments.
  • Grade II Sprain – Tearing of some of the ligament fibers.
  • Grade III Sprain – Complete tear of the ligament.

Treatment

Once the diagnosis of ankle sprain has been made, the course of treatment usually requires a period of protection in order to heal. Your healthcare provider may suggest crutches for walking or to keep weight off of your ankle. Depending upon the type of injury you may require a cast, cast boot, or a removable air splint.

Grade I Sprain: (R.I.C.E. = rest, ice, compression, and elevation). Rest your ankle by not walking on it. Ice should be applied 20 to 30 minutes 3 or 4 times daily. Compression dressing such as bandages or ace-wrap immobilization and support of the injured ankle should be used. Elevate your ankle above your heart level for 48 hours.

Grade II Sprain: The R.I.C.E. guidelines can also be used. You may require a device to immobilize or splint the ankle.

Grade III Sprain: This type of sprain can be associated with permanent instability. Surgery is rarely needed, but may be required to repair torn ligaments. A short leg cast or a cast-brace may be used for several weeks.

Rehabilitation

The goal of rehabilitation is to assist you in returning to your daily activities. Our goal is for each patient to regain full range of motion (the ability to move your foot and ankle, as well as you did before your injury), full strength, and to alleviate pain.

Remember:

  • Rest your ankle by not walking on it.
  • Ice should be applied 20 to 30 minutes 3 or 4 times daily
  • Compression dressing such as bandages or ace-wrap immobilization and support of the injured ankle.
  • Elevate your ankle above your heart level for 48 hours.
What our patients are saying
Shaun H.
I was able to get a office visit on short notice. It seemed to be a very busy day. Rebecca took the time to listen to all of my issues and discuss a plan for additional treatment. I have always been impressed with her knowledge and bed side manner.
Reviews from Google
Joanna S.
Dr Goodin has replaced both of my knees this year with excellent results. He and Carly listen to my concerns, act promptly and work hard to make this journey the best it can be. Carly and Dr Goodin both have GREAT bedside manner and I feel I am in expert care with them.
Reviews from Facebook
Carolyn K.
Dr. Yakkanti did my knee replacement in June. He is an excellent surgeon with a great bedside manner. I have recovered nicely and plan to have my other knee replaced within the next year. I would highly recommend Dr. Yakkanti to anyone thinking about knee replacement!
Reviews from Facebook
Juanita S.
The New Albany office of Louisville Orthopedic is full of terrific people who know what excellent customer service is about! From the front desk to the lab, they are great. Doctor Lewis is my surgeon and I love him. He’s good at what he does and he’s compassionate. I would recommend him to anyone.
Reviews from Facebook
Erin Z.
This was my first time at Louisville Orthopaedic Clinic and I saw Melissa Parshall PA-C. I was very impressed with how fast I got in, had x-rays, and met with her. She was very thorough and extremely friendly. So glad A friend told me to come see you guys! Thank you!
Reviews from Facebook
See All Reviews
Louisville Orthopaedic Clinic

4130 Dutchman's Lane,
Suite 300,Louisville 40207
(502) 897-1794

Northgate Medical Center

3605 Northgate Court,
Suite 207,New Albany 47150
(812) 920-0408

Locations
*MAIN LOCATION
Louisville Orthopaedic Clinic
4130 Dutchman's Lane
Suite 300
Louisville, KY 40207
Northgate Medical Center
3605 Northgate Court
Suite 207
New Albany, IN 47150