Sprained Ankle: Symptoms, Treatment & Recovery

Written By: Dr. Mohamed Ghanem

Updated On:January 29, 2025

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What is a Sprained Ankle?

Your lower leg and foot are joined at the ankle joint. Your ankle bones are prevented from moving out of place by three ligaments. When one of these ligaments is overstretched or ruptured, the ankle becomes sprained. Ankle sprains are categorized by severity as follows:

  • Mild (grade I): Although strained, your ligaments are not ruptured. There could be some stiffness and soreness, yet your ankle still feels stable.
  • Moderate (grade II): There is partial tearing of one or more ligaments in your ankle. You can't move the joint as much as you normally would because it isn't completely stable. Your ankle is swollen, and you are in fair pain.
  • Severe (grade III): Your ankle is unstable because one or more ligaments have been completely torn. You're in excruciating pain and unable to move.

Causes of Sprained Ankle

A ligament injury can result from anything that extends your ankle beyond its normal range. This typically occurs when your foot is twisted or rotated inside, as when you:

  • Plant your foot incorrectly on the ground when you are jogging, stepping up or down the staircase, or performing any daily activity
  • Take a step on an uneven service
  • Losing balance
  • Participating in sports that would require you to roll your feet

Symptoms of Sprained Ankle

Signs and symptoms of sprained ankles may include the following:

  • Pain
  • Sensitivity to touch on the ankle
  • Swelling
  • Bruising
  • Inability to move ankle
  • Ankle instability
  • Popping sounds or sensations when moving ankle

When to see a doctor for Sprained Ankle?

Call your doctor as soon as possible if your ankle pains and swells and you suspect a sprain. Self-care methods could be sufficient, but speak with your doctor to determine whether you also require an ankle checkup.

Sprained Ankle Risk Factors

Ankle sprains are more common in some people than others. Women, children, and teenagers frequently sustain sprains. Moreover, you may be more vulnerable if you:

  • Play sports
  • Have issues with balance
  • Wear stilettos or poorly fitting shoes
  • Have weak or tight ankles, possibly as a result of past injuries

Sprained Ankle Complications

If you don't treat a sprained ankle, try to do too much before it's fully healed, or sprain it more than once, other issues may emerge over time. These difficulties comprise of the following:

  • Joint instability
  • Pain
  • Arthritis

Sprained Ankle Diagnosis

Your doctor will check your ankle, foot, and lower leg during a physical examination. The doctor will move your foot to assess its range of motion, feel the area around the injury for soreness, and determine which postures are painful or uncomfortable.

If the injury is serious, your doctor might advise one or more of the imaging tests listed below to rule out a broken bone or to more precisely assess the degree of ligament damage:

  • X-ray: X-rays create images of the ankle bones. Bone fractures can be ruled out using this technique.
  • MRI: MRIs create fine cross-sectional or 3-D pictures of the soft internal ankle structures, including ligaments, using radio waves and a strong magnetic field.
  • CT Scan: CT scans can provide more information about the joint's skeletal structure. In a CT scan, X-rays are collected from numerous angles and combined to create cross-sectional or three-dimensional images.
  • Ultrasound: Ultrasounds create live images using sound waves. Your doctor may use these images to assess the health of a ligament or tendon.

Sprained Ankle Treatment

Healthcare professionals advise utilizing the PRICE technique for the first 24-48 hours following injury for the majority of ankle sprains. PRICE includes the following:

  • Protection. Use crutches, a splint, or a brace to restrict movement of your injured ankle.
  • Rest. Minimize any exercise that could aggravate the sprain (no running, jumping, exercising).
  • Ice. To minimize swelling, place ice or a cold pack wrapped in a towel on your ankle for 20 minutes at a time.
  • Compress. To assist reduce swelling, gently wrap your ankle in an elastic bandage.
  • Elevate. While sitting or lying down, prop your ankle up on pillows so that it is higher than your heart.

Also, anti-inflammatory medicine may help reduce sprain-related discomfort and swelling. In some cases, physical therapy may be advised to help you restore your strength and mobility. Physical therapy is proven to be crucial for effective healing. In rare cases, surgery is required.

Essentially, the majority of sprains heal on their own, however strengthening your ankle can help you avoid further injuries. You risk having chronic instability (ankle sprains that recur frequently) or repeated ankle sprains if you don't give your ankle ligaments enough time to recover. You can have a chronic ankle sprain if your symptoms persist for more than four to six weeks after the accident and you still have weakness when walking on your foot.

Sprained Ankle Prevention

You can do the following to avoid ankle sprains:

  • Keep strong muscles by exercising frequently.
  • Before exercising or engaging in physical activity, warm up and stretch.
  • Watch out for uneven surfaces when you're running or walking.
  • If you start to feel fatigued during an activity or a workout, slow down or stop.

Sprained Ankle Recovery Time

The length of time it takes to recover from a sprained ankle depends on how bad the damage was. A small sprain might take two weeks to recover, whereas a major sprain might take six to twelve weeks.

References

Fong, D. T. P., Hong, Y., Chan, L. K., Yung, P. S. H., & Chan, K. M. (2007). A systematic review on ankle injury and ankle sprain in sports. Sports medicine37, 73-94.

Ivins, D. J. (2006). Acute ankle sprain: an update. American family physician74(10), 1714-1720.

Tropp, H., Askling, C., & Gillquist, J. A. N. (1985). Prevention of ankle sprains. The American Journal of Sports Medicine13(4), 259-262.

Wolfe, M. W., Uhl, T. L., Mattacola, C. G., & McCluskey, L. C. (2001). Management of ankle sprains. American family physician63(1), 93.

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