If not diagnosed accurately and treated properly, a “simple” ankle sprain could lead to chronic ankle problems. To prevent long term complications, the source and extent of the ankle injury should be assessed thoroughly by a trained foot and ankle specialist.

 

Ankle sprains occur when the ligaments around the three main ankle bones are stretched or torn, resulting in a loose or unstable ankle joint. Ankle injuries most commonly occur when the ankle rolls over onto the outside and the foot twists under the leg or up toward the front of the leg. When these injuries are overlooked they can lead to dislocation of tendons, Achilles tendon injuries, heel bone fractures, and injuries to the ankle joint cartilage.

 

A fresh ankle injury will exhibit swelling and bruising. Apply ice and compression, such as an ace wrap, immediately and avoid weight bearing. Get to a podiatric physician as soon as possible for a physical examination and evaluation. Physical examination will identify the most tender a nd swollen areas. X-rays will help to identify possible fractures. If no fractures are evident and ankle ligaments appear to be intact, the podiatrist will perform a stress exam on both ankles for comparison using a Telos machine. This apparatus can accurately evaluate the extent of ligament damage.

 

The treatment is dependent on the extent of the ligament injury. Casting or surgical repair, depending on the extent of the injury, most often leads to return to a normally functioning ankle. If severe ligament damage is left untreated, the ankle often develops long-term instability, making it vulnerable to re-injury. Fortunately, recent technological advances allow successful diagnosis and treatment of old ankle injuries.

 

With accurate diagnosis of injury and treatment by a podiatric physician, “simple” ankle sprain injuries can be successfully restored to normal function, avoiding the common complications of untreated or poorly treated injury.