Ankle sprain is one of the most common sports and activity related injuries. Have the foot roll in or out during the injury with a “pop” is common with ankle sprain, The number of ligaments torn with the injury determine the grade of sprain. Immediate and large swelling and bruising from the toes to the middle leg is common. Pain with motion, or ambulation is expected initially after injury. If there is tenderness over the bone region of the ankle, a X-ray may be needed to determine if a fracture occurred. Examination from the doctor and possibly X-rays
are usually all that is required. In rare cases MRI may be needed. Depending on the patient age, activity, and grade of sprain, will determine treatment and duration for recovery or return to activity.
Bracing, limited weight bearing, ICE, NSAIDS, elevation, and physical therapy, are the most common treatments. In rare cases injections such are PRP, or surgery for recurrent instability are indicated. Swelling in the ankle is common and can last 6-9 months after the injury, even after return to activity or sport. Bracing may be required for initial return to activity or sport.