What Is An Ankle Sprain & Can Chiropractic in Medina Help?

What Is An Ankle Sprain & Can Chiropractic in Medina Help?

Of all the sports injuries, ankle is arguably the most common site of injury and reason for time missed playing. Even in the general population, ankle injuries are very common. These include but are not limited to ankle sprains. Ankle sprains can be an umbrella term for the different tissues than can be injured. These are so common that it is estimated that 10 ankle sprains occur per 1000 exposures. Inversion and plantarflexion (toes in and down) are the most common motion which ankle sprains occur, about 80%. The location of the ankle pain may assist us in determining which ligament may be injured. The most common site of pain is on the front and side of the ankle, suggesting the ATFL is the culprit.

The most common ligaments to be injured in ankle sprains are anterior talofibular ligament (ATFL) which is shown in the picture, calcaneofibular ligament (CFL), posterior talofibular ligament (PTFL). The ATFL is the weakest ligament of the three which makes it the most vulnerable to injury. In about 97% of cases, the ATFL is torn.

Chiropractic Medina OH Foot and Ankle PainOur job here at Medina Sports And Family Chiropractic in Medina is to determine the extent of the injury and to rule out fractures. Our goals include assessing the extent of instability, any reduction of range of motion, strength, or neurological deficits. X-rays may be warranted if there is bone tenderness in certain areas and the inability to bear any weight through the foot/ankle.

When we treat these injuries, regardless the extent of the trauma, our rehab stays the same for the most part. In fact, current literature supports non-surgical treatment for grade III ankle sprains. We aim to increase range of motion, strength, increase proprioception (bodies awareness of its position), and returning to sport specific activities. The quickest way to achieve this is being able to load the joint as quickly as possible. If we were to rest, ice, compress, and elevate (RICE) the ankle for too long, we would be setting ourselves back more and risking for future injury. I usually tell my patients to use RICE the day of the injury and limit that going forward.

As we progress through rehab, we should also be leaning off the use of braces. While we work on balance and stability a brace should not be worn so you can have a smoother transition into sport specific movements and a more stable ankle in the long run. I don’t even recommend the use of a brace at all because I do not want to create a crutch. For the more involved tears, a trial of conservative care may take 6-12 weeks, regardless the level of the athlete.

Currently, there is limited and low-level evidence suggesting that the use of manual therapy (ART, massage, etc.) leads to positive short-term effects. Electrical stimulation does not increase outcome measures and are not recommended for acute ankle injuries. Exercise has been shown to be the best indicator for return to sport and shows the best outcome measures.

When ankle sprains are left untreated, the joint may become stiff, weak, and proprioception will be compromised which sets it up for reinjury. 75% of people who suffered a ligament injury in the ankle had a previous injury. This may be due to the ankle not being fully rehabilitated or not rehabilitated at all! This is why active care and finishing the trial of care is so important.

This blog is intended only for educational purposes and not medical advice. If you are experiencing any ankle pain or recurrent ankle injuries, please see your provider! As always, we NEVER sign you up for long expensive treatment plans and NO contracts. We also treat same day as your first appointment so no waiting!


References

Lin, C. W., Hiller, C. E., & de Bie, R. A. (2010). Evidence-based treatment for ankle injuries: a clinical perspective. The Journal of manual & manipulative therapy18(1), 22–28. https://doi.org/10.1179/106698110X12595770849524

Brukner, P., Khan, K., Clarsen, B., Cook, J., Cools, A., Crossley, K., . . . Bahr, R. (2018). Brukner & Khan's clinical sports medicine. Chennai, India: McGraw-Hill Education (India) Private.

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Medina Sports
And Family Chiropractic

3731 Stonegate Drive
Medina, OH 44256
(330) 903-0498