Overview
The ankle is a part of the foot that connects the lower leg to the feet. The ankle bone is held by three ligaments that prevent it from stretching. When any of these ligaments stretch too far or tear, it is called a sprain.
These sprains are graded based on their severity level.
- Mild sprain (Grade 1): The ankle is stretched but not torn. The ankle is stable, with some pain and stiffness.
- Moderate sprain (Grade 2): The ligament could be partially torn. It could involve one or more ligaments. The joint is stiffer than grade 1 and can be more painful. The ankle movement may be challenging.
- Severe sprain (Grade 3): A ligament is completely torn. It could involve either one or more ligaments. The pain will be severe, along with swelling. Ankle movement will be very difficult.
Sprained Ankle Causes
All the ligaments have a specific range of motion. When these ligaments are stretched beyond this boundary, they tear. There are various reasons why this can happen:
- Placing your feet wrong while running, stepping up and down, and walking down the stairs.
- Stepping on an uneven surface.
- Stepping on someone else while walking, running, or playing a sport.
Who are at Risk of Getting a Sprained Ankle
Some people are more likely to sprain. It can happen to anyone at any time. Women, teenagers, and athletes are more likely to get sprains. You can get a sprain by playing indoor sports, if you have difficulty balancing, wear heels that don't fit well, or have stiff ankles.
Sprained Ankle Symptoms
- Pain
- Stiffness
- Swelling
- Change in colour of the skin around the ankle
- Difficult to apply weight on the ankle
- Tenderness
The ankle can sustain different types of sprains. It is always better to meet a doctor before proceeding with self-medication.
Sprained Ankle Diagnosis
The doctor first confirms if it is a sprain or a more serious injury. A thorough physical is performed. During the examination, the doctor moves the ankle in different directions. This helps in understanding which ligament may be involved.
The doctor then orders X-rays and other imaging tests to rule out a bone fracture. An MRI is ordered if there is a suspicion of serious injury to the ligament. A proper diagnosis helps determine the treatment.
Sprained Ankle Treatment
It is important to treat a sprained ankle to prevent further damage. Ankles sustain the body's weight. It is important not to put any pressure on the area until it has fully recovered.
Sprained Ankle Treatment at Home
Mild ankle sprains can be managed at home with some of these remedies:
- Using elastic bandages like an ACE bandage to stabilise the ankle. These bandages should be worn lightly; blood flow should not be compromised.
- Wearing an ankle brace.
- Cold compression with ice packs and hot compression with a hot water bag.
- Using crutches when necessary.
- Elevating the feet with a pillow while resting.
- Taking pain relievers can help with the initial pain and swelling.
Icing can be done for 20–30 minutes the first few days. It is better to avoid walking and putting strain on the ankle. It helps with faster recovery.
Sprained Ankle Surgery
Surgery for sprains is rare. It is needed when the damage to the ligament is severe. Such injuries do not go away with simple traditional treatments.
- Arthroscopy is performed to see inside the joint area. It shows signs of internal damage or a fracture within the joint.
- Reconstruction repairs the torn ligament with stitches. Tendens can be used to repair the damaged ones.
The type of surgery will depend on the ankle's damage. The recovery period is essential after surgery. Regular doctor visits are required until complete recovery.
How to Treat an Ankle Sprain in the Long Run?
An ankle sprain is not a serious condition. It will completely heal with proper management. Recovery depends on the extent of the injury. But it takes a few months to heal completely. A severe injury might take a few months to heal. Although the pain will go away, the ankle should be stabilised for a while. Physiotherapy is beneficial.
When to Call the Doctor?
A doctor can be contacted when you see the following symptoms:
- The illness is severe and does not improve after treatment.
- It is impossible to move the ankle.
- Ankle swelling does not go away.
- The ankle is badly twisted.
- There are bony bumps on either side of the ankle.
An ankle sprain can be completely healed with immediate attention and proper management. Always meet the doctor to diagnose the problem. Most sprains can be managed at home with a good amount of rest.
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