Condition

Sprained Ankle

Know Everything From Causes, Symptoms, To Treatment

Ankle sprains are a relatively common injury that many people experience. They occur when the ankle ligament becomes overstretched or torn. This can happen due to a sudden twist, fall, or impact to the ankle joint. Ankle sprains can vary significantly in severity, with some causing mild discomfort while others result in severe pain and instability.

Understanding the potential causes, symptoms, and treatment options for this type of injury will make it easier to properly manage and recover from it. Otherwise, you risk further complications and prolonged recovery time — and trying to walk on a sprained ankle can be quite painful. Attempting to put weight on a sprained ankle can worsen the injury, making it more challenging to heal.

Exploring Ankle Anatomy and Where Pain Strikes

The ankle joint consists of three types of bones: the tibia, fibula, and talus. The ankle ligaments connect these bones and provide stability to the joint. When these ligaments are stretched beyond their capacity, a sprain occurs. Ankle sprains can happen on the outside (lateral) or inside (medial) of the ankle, depending on which ligament is affected. The most commonly injured ankle ligament is the anterior talofibular ligament (ATFL), which is located on the outside of the ankle.

Based on the severity of the injury, ankle sprains are classified into one of the following three grades:

  • Grade 1: A mild sprain consists of only slight stretching or microscopic tearing of the ligament. Minimal pain and swelling may occur, and the ankle can still bear weight.
  • Grade 2: A moderate sprain consists of partial tearing of the ligament. More significant pain and swelling are present, along with some bruising. Walking may be difficult or painful.
  • Grade 3: A severe sprain consists of complete tearing of the ligament. Severe pain, swelling, and bruising are present. The ankle is unable to bear weight and appears visibly deformed.

It is essential to know the grade of your sprain, as it will determine the most appropriate treatment plan.

What Causes Ankle Sprains?

An ankle sprain can happen to anyone at any age. They are most commonly caused by activities that involve sudden changes in direction or movements that put excessive stress on the ligaments. Some common causes of ankle sprains include:

  • Sudden twisting, turning, or rolling of the foot: These are especially common during sports activities such as basketball, soccer, or running.
  • Falling caused by uneven surface and imbalance: Unsteady footing can cause the ankle to twist or roll, resulting in a sprain. If you’re walking on an uneven surface, be cautious, and take your time to avoid accidents.
  • Wearing improper or ill-fitting footwear: Shoes that do not provide enough support or are too loose can increase the risk of ankle sprains.
  • Weak ankle muscles: Inadequate muscle strength and flexibility in the ankle can make it more likely to sustain an injury.
  • Previous history of ankle sprains: People who have previously injured their ankles are more prone to future sprains.

Common Symptoms Of Ankle Sprains

Ankle sprains can cause a range of symptoms, from mild discomfort to severe pain. How severe these symptoms are depends on the grade of the sprain and individual pain tolerance. Some of the most common symptoms of an ankle sprain include:

  • Popping feeling and sound when twisting your ankle: A popping sensation or sound may be felt or heard at the moment of injury, indicating a tear in the ligament.
  • Pain and instability in the ankle: Pain from an ankle sprain can range from mild to severe based on the grade of the sprain. The ankle may also feel unstable or give out while walking because of the weakened ligament.
  • Bruising: Swelling and bruising may develop around the affected area due to bleeding underneath the skin.
  • Unable to bear weight due to pain on the affected foot: Walking or standing may be difficult and painful, especially with more severe sprains. This can be due to the injured ligament being unable to support your weight.

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How Are Ankle Sprains Diagnosed and Evaluated?

Ankle sprains are typically diagnosed and evaluated by a healthcare professional. The following are some methods they may use to diagnose and assess whether you have an ankle sprain:

  • Physical examination: The healthcare provider will check for swelling, bruising, and instability in the ankle. They may also ask about the history of the injury and any previous ankle injuries.
  • Medical history: The provider will ask about your medical history to rule out other conditions or injuries.
  • Imaging tests: X-rays, MRI, and CT scans may be used to confirm the diagnosis and rule out any fractures or other injuries.

What Treatment Options Are Available?

Several treatment options are available for ankle sprains, and the most appropriate one will depend on the grade of the injury. Some of the standard treatment options include:

R.I.C.E. Method

The R.I.C.E. method is a common approach used to treat mild to moderate ankle sprains. It involves:

  • Rest: Limiting any weight-bearing activity on the affected ankle to allow it to heal.
  • Ice: Applying ice to the ankle can help reduce pain and swelling. Wrap the ice pack in a towel and apply it for about 15 minutes every few hours for the first few days after the injury.
  • Compression: Wrapping an elastic bandage around the ankle can help decrease swelling and provide support.
  • Elevation: Keeping the affected ankle elevated above heart level can help reduce swelling.

Pain Medication

Over-the-counter (OTC) pain medications or NSAIDs (nonsteroidal anti-inflammatory drugs) can help manage pain and discomfort in mild to moderate ankle sprains. These medications effectively reduce inflammation and provide relief, making them a useful option for many individuals.

Devices

Certain devices may be used to provide support and stability to the ankle during the healing process, including:

  • Elastic bandage: This can help compress the injured ankle and provide support, reducing swelling and providing stability.
  • Sports tape or ankle support: These can offer additional support and stability during physical activity.
  • Casting or splinting: In more severe sprains, a cast or splint may be used to immobilize the ankle and promote healing.

Surgery

In rare cases, a doctor may recommend surgery for severe ankle sprains with complete ligament tears or chronic instability. Ankle surgery involves repairing or reconstructing the damaged ligament to provide stability. Physical therapy is often necessary after surgery to aid in rehabilitation and prevent future injuries.
Surgery is typically reserved for extremely severe cases when other treatment options have not been successful. It is important to consult with a healthcare professional to determine the best course of action for your specific condition.

The NextPain Care Approach For Managing Pain From Ankle Sprains

At Next Pain Care, we manage ankle sprains with targeted, evidence-based treatments based upon World Health Organization (WHO) and the American Medical Association (AMA) guidelines.

We start with true conservative care, focusing on non-invasive methods like behavioral health, physical therapy, diet and exercise, bracing, and supplements, avoiding invasive procedures and medications initially. If needed, we progress to minimally invasive procedures for immediate relief and advanced options as necessary. Our methodologies include:

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Target Relief Through Effective Pain Management

Ankle sprains can be challenging to manage. Since day-to-day activities typically require standing and walking, the pain and discomfort of a sprained ankle can significantly impact your daily life and limit your ability to move freely. The issue can worsen over time if left untreated. Fortunately, our NextPain Care holistic approach aims to manage the pain associated with ankle sprains, aiming to reduce discomfort and improve your daily activities. Our dedicated team provides ongoing support to help you achieve lasting relief and improve your quality of life.

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