Dr Ozello's Sports Medicine Report: Lateral Ankle Sprain
Disclaimer: Viewing this video does not take the place of seeing a medical professional, working with a nutritional professional, working with a fitness professional and receiving proper training in the medical profession. Please visit a medical professional for evaluation, diagnosis and treatment. Please work with a nutritional profession to develop individualized nutrition strategies. Please work with a fitness professional to learn proper exercise technique and to develop a proper training program. Never perform an exercise that elicits or intensifies symptoms. If an exercise elicits or intensifies symptoms, stop immediately and use a viable substitute. Always perform all exercises through a symptom free range of motion. Begin your training at your current health, fitness and strength levels. Increase intensity in small gradual calculated increments.
Serious ankle sprains may possess long-term sequelae. If not healed properly, ankle sprains commonly recur. A serious ankle sprain can be worse than a broken bone because bones grow back stronger while an injured ligament may not heal completely.
Ligaments are connective tissues made of tough collagen fibers that attach bones to other bones. Ligaments provide support and stabilize joints by preventing excessive motion.
The most common location of ankle sprains is the outer or lateral region. Eighty percent of ankle sprains take place in the lateral area. Strong ligaments attach the bone of the lower leg to several bones in the foot. The ligaments of the lateral ankle function by preventing excessive inward turning of the ankle, or inversion.
Three ligaments attach the lower aspect of the fibula to the foot. The anterior talofibular ligament, calcaneofibular ligament and posterior talofibular ligament. Most ankle sprains occur to the anterior talofibular ligament or calcaneofibular ligament.
Sprains are injuries to ligaments. Sprains are classified according to severity. Mild (Grade 1) Stretching and microscopic tearing. Grade 2 (moderate) Partial tear. Grade 3 (Severe) Complete rupture.
In most cases, a lateral ankle sprain occurs traumatically when the athlete’s ankle twists or turns to a larger degree than the ligaments would normally move. Traumatic ankle sprains usually occur when the runner is on uneven ground or an unsteady surface. Traumatic ankle sprains are one of the most common sports injuries.
Lateral ankle sprains can occur or recur in a non-traumatic fashion. Non-traumatic ankle sprains develop from overuse, poor training technique, incorrect lower leg biomechanics, poor proprioception and incomplete healing of a prior ankle sprain. Correct these contributing factors to lessen & prevent the occurrence and recurrence of non-traumatic ankle sprains.
Symptoms of traumatic ankle sprains begin immediately. Sharp pain is felt instantly. Followed by lack of motion, limited strength, inability to bear weight, swelling & bruising. Symptoms of a severe ankle sprain may persist for months.
Symptoms of non-traumatic ankle sprains usually begin insidiously. Symptoms are described as a deep, dull ache that is tender to the touch and increases with walking, running and standing, or with foot & ankle motions. Localized ankle swelling may persist for months.
If a lateral or medial ankle sprain occurred in the past, the ligaments might not have healed properly. Improper ligament healing leads to joint instability or a feeling of the ankle weakness or a sensation of “giving way.” A prior ankle sprain that did not heal properly or completely is the major intrinsic factor in the recurrence of the injury.
Effective ankle rehabilitation may be long and tedious. Ligaments take time to heal completely and properly. Prevent recurrences by providing your ankle the tools and time it needs to heal properly. Your patience will pay off in the long run.
Execute a comprehensive rehab program for optimal results. A detailed ankle rehabilitation program includes motion, strengthening, stabilizing and proprioception exercises.
Pay close attention to your ankle before, during and after training. Never attempt to push through pain when returning from an ankle sprain.
Ankle injuries are common. Train smart and listen to your body to prevent and better rehab ankle sprains.
Dr Donald A Ozello DC of Championship Chiropractic in Las Vegas, NV
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Lateral Ankle Sprain
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