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Writer's pictureMehdi Bensaid

Twists and Turns: A Closer Look at Ankle Sprain Prevention and Recovery for the Active


Side view of a swollen ankle with noticeable swelling and bruising, typical of an inversion sprain, affecting the outer ligaments
The outer ligaments are often most affected in an inversion ankle sprain.


Imagine sprinting down the field, feeling the adrenaline surge, only to feel a sharp twist in your ankle. The pain is immediate, the swelling starts, and suddenly, your active lifestyle comes to a halt. Ankle sprains are a common injury, particularly among athletes and fitness enthusiasts, yet they are often misunderstood and poorly managed.

This guide dives deep into ankle sprains—what causes them, how to prevent them, and the best strategies for recovery. Whether you're an athlete, a weekend warrior, or someone simply looking to stay active, this comprehensive overview will help you get back on your feet stronger than ever.


What is an Ankle Sprain?

An ankle sprain occurs when the ligaments surrounding the ankle joint are overstretched or torn, usually due to a sudden twist, turn, or roll. These ligaments are responsible for stabilising the joint, so damage can result in pain, swelling, and instability.


Types of Ankle Sprains:

  • Inversion Sprain: The most common type, where the foot rolls inward, damaging the outer ligaments.

  • Eversion Sprain: Less common, involving damage to the inner ligaments when the foot rolls outward.

  • High-Ankle Sprain: A more severe injury involving ligaments above the ankle joint, typically caused by twisting.


Severity of Sprains:

  • Grade I: Mild stretching with minor swelling and discomfort.

  • Grade II: Partial tear of ligaments, moderate swelling, and instability.

  • Grade III: Complete ligament tear with significant pain, swelling, and loss of function.


What Causes Ankle Sprains?

Understanding the causes is the first step in prevention. Here are the most common culprits:

  1. Sudden Directional Changes: Quick pivots, common in sports like basketball or football, can increase the risk of rolling the ankle.

  2. Uneven Surfaces: Trails, potholes, or poorly maintained sidewalks can challenge ankle stability.

  3. Weak Ligaments or Muscles: Previous injuries or lack of strengthening exercises make the ankle more vulnerable.

  4. Improper Footwear: Shoes without proper support or grip can lead to instability.

  5. Fatigue: Tired muscles and reduced focus increase the likelihood of missteps.


Symptoms of an Ankle Sprain

It’s essential to recognise the signs early to ensure proper treatment:

  • Immediate pain, especially during movement or when bearing weight.

  • Swelling around the ankle joint.

  • Bruising or discoloration.

  • Limited range of motion.

  • A popping sensation at the time of injury, often indicating a ligament tear.

If you experience severe pain or cannot bear weight on the affected foot, it’s important to seek medical attention to rule out fractures or severe ligament damage.


Prevention Tips for Ankle Sprains

The good news is that many ankle sprains can be avoided with proactive measures. Here’s how:

1. Strengthen Your Ankles

Strong muscles and ligaments support stability. Add these exercises to your routine:

  • Resistance Band Exercises: Strengthen the ankle by performing eversion, inversion, dorsiflexion, and plantarflexion.

  • Heel Raises: Strengthen calf muscles and ankle stability by standing on your toes and lowering slowly.

2. Improve Balance and Proprioception

Enhancing your body’s awareness can help prevent missteps:

  • Single-Leg Stands: Balance on one leg for 30 seconds, gradually increasing the time.

  • Balance Boards or Bosu Balls: Practice dynamic stability by performing exercises on unstable surfaces.

3. Wear the Right Footwear

Choose shoes designed for your activity with adequate arch and ankle support. Consider ankle braces or tape for added protection during high-risk activities.

4. Warm Up and Stretch

Prepare your ankles and legs with dynamic stretches like:

  • Ankle circles.

  • Toe-to-heel walks.

  • Walking lunges.

5. Be Cautious on Uneven Surfaces

Pay attention to your surroundings and avoid high-risk terrains, especially when fatigued or rushing.


Recovery and Rehabilitation

If you’ve sprained your ankle, don’t rush the healing process. Following these steps ensures a smoother recovery:


Immediate Care: The R.I.C.E. Method

  1. Rest: Avoid putting weight on the injured foot for the first 24–48 hours.

  2. Ice: Apply ice packs for 15–20 minutes every 1–2 hours to reduce swelling.

  3. Compression: Use an elastic bandage to minimise swelling but avoid cutting off circulation.

  4. Elevation: Raise your foot above heart level to decrease fluid buildup.


Rehabilitation Timeline

  1. Early Stage (1–2 Weeks): Focus on pain relief and reducing swelling. Gentle range-of-motion exercises, such as tracing the alphabet with your toes, can help maintain mobility.

  2. Mid Stage (3–4 Weeks): Gradually introduce weight-bearing activities and strengthening exercises. Resistance bands and heel raises are excellent at this stage.

  3. Late Stage (4+ Weeks): Transition to balance and proprioceptive exercises, such as single-leg stands and wobble board training.


Rehabilitation Exercises

  • Toe Tapping: Tap your toes on the ground while seated to improve circulation and mobility.

  • Calf Stretches: Stretch the back of your leg to relieve tension and improve flexibility.

  • Ankle Pumps: Move your foot up and down while seated to enhance blood flow.


When to See a Physiotherapist

If you experience persistent pain, instability, or difficulty performing daily activities, consult a physiotherapist. They can create a personalised rehabilitation plan to address your specific needs.


A person performing a resistance band exercise for ankle sprain recovery, strengthening the ankle ligaments and improving stability during rehabilitation
Rehabilitating an ankle sprain with a resistance band exercise to strengthen the ligaments and improve stability


Get Expert Help at Back 2 Fitness London

At Back 2 Fitness London, we specialise in helping active individuals prevent and recover from injuries like ankle sprains. Our tailored rehabilitation programs include:

  • Personalised treatment plans.

  • Advanced recovery techniques, such as massage therapy and corrective exercises.

  • Guidance on long-term prevention strategies.

Whether you're an athlete or someone who simply enjoys staying active, we’re here to help you get back on track. Contact us today to book an appointment or explore our services.




Conclusion

Ankle sprains may be a common hurdle for the active, but they don’t have to slow you down permanently. With the right preventive measures, timely care, and dedication to rehabilitation, you can not only recover but come back stronger than ever.

Have you experienced an ankle sprain? Share your recovery journey in the comments below, or reach out for more tips on staying injury-free!

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