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Ankle Sprain

Ismat Khoja
Ismat Khoja
So how many of you have tripped after wearing a high heel at a party or while running on an uneven surface to catch a bus? ⁣
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I believe many of us! 😅⁣
& We self diagnose it as Ankle Sprain! ⁣
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🔹So What exactly is Ankle Sprain?⁣
When the ligament known as Anterior Talofibular Ligament at the ankle is stretched or torn it results as ankle sprain. ⁣

🔹What is the mechanism of injury?⁣
Ankles are commonly sprained when the foot is twisted inwards. It result in gross swelling around the joint and its usually very painful.⁣
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🔹What are the degree of ankle sprain?⁣
We had already discuss about the degree of ligament injury earlier
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So here lets be specific to ankle joint:⁣
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🔸1st Degree/ Grade 1: ⁣
•Most common⁣
•Minor sprain ⁣
•Slight swelling ⁣
•No instability ⁣
•Resume activity in 1 to 3 weeks after good rehabilitation ⁣
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🔸2nd Degree/ Grade 2:⁣
•More Pain & Swelling compared to grade 1⁣
•Pain at weight bearing activities such as walking⁣
•Little instability⁣
•Requires braces⁣
•Rest and rehab for 3- 6 weeks before resuming full physical activity.⁣
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🔸3rd Degree/ Grade 3:⁣
•Gross swelling.⁣
•Excruciating Pain.⁣
•Unable to place foot on the ground.⁣
•Immediate cast for immobilisation required.⁣
•Walking using walker or crutches would be advised.⁣
•Instability of the joint is very common here.⁣
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🔹Treatment ⁣
The management of ankle sprain will depend on the degree of sprain, swelling, pain present.⁣

🔸Control Swelling 
Rest- Give your ankle time to heal properly. Stop all activities that cause pain. ⁣
Ice- Use a bag of crushed ice or frozen vegetables for 20 minutes. Repeat 4-5 times a day. (There are different schools of thought over icing)
Compression- You can use an elastic bandage to provide support and help reduce swelling. ⁣
Elevation- Elevating your ankle above your heart will also help reduce swelling. ⁣
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🔸Encourage pain free movement ⁣
• After the stage of rest and immobilization post injury your ankle might get stiff. Early movement will help you regain your range of motion and prevent your muscles weakness. ⁣
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 🔸Strengthen the surrounding muscles to provide support to injured ankle ⁣
• Your ankle must be strong before you can return to your activities. A crucial part of your rehabilitation is strengthening the muscles that support the ankle. Simple exercises can be done using elastic/resistance bands to create resistance. ⁣
•Proprioception, your ability to tell the precise position of a joint, is also impaired when your ankle is sprained. ⁣
Simple balance exercises done with the eyes open and eyes closed will help improve your proprioception and prevent recurrent sprains⁣
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🔸Prevention ⁣
• Proper athletic footwear will help stabilise your foot during activities and help prevent re-injury or a chronic problem from developing. An ankle brace, taping, or high top shoes can provide added support and stability. Limit brace wear to high impact activities. ⁣
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🔸Return to sport ⁣
• To safely return to your sport, you should be able to: ⁣
(1) Walk and run without pain or altered pattern, ⁣
(2) Complete minimum 20 one leg heel/calf raises⁣
(3) Balance on one foot easily for 30 seconds, and ⁣
(4) Hop easily 10 times on your injured leg. Test your injured leg against your good leg. ⁣
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⚠️Disclaimer: This health information is for general education purposes only. Always consult with your doctor or other health professional to get yourself clinically diagnosed & treated.

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