Showing posts with label ankle sprain. Show all posts
Showing posts with label ankle sprain. Show all posts

Tuesday, January 6, 2009

Ankle Sprain Rehab and Prevention of Re-Injury

Given that ankle sprains are the most frequently reported sports related orthopedic injury, you should know how to get back in the action after a sprain.

Although the initial treatmet involes P.R.I.C.E (protection with a brace, rest, ice, compression, and elevation) strengthening exercises are a must if you are to avoid develpoing chronic ankle instability.

There is no other way to make sure that the injured ankle heals completely and is not prone to re-injury. We know that following an ankle sprain, the risk of re-injury increases anywhere from 40-70%. Our physical therapist provides all of the ankle re-hab and pre-hab in our office.

Give the injured ankle at least 48 hours before starting strength training.

The following are ankle rehab exercises:

Stretching exercises: Use a towel or stretch rite to get loose and moving again. Start by gently pulling your foot towards you. This can be done several times a day. Don't advance to the next phase until you are pain free at this stage.

Balancing exercises: Balance on one foot for as long as you can. Next try it with your eyes closed. If you do well, you can advance to a wobble board.

Strengthening the flexors: Push your foot outwards against a wall with you leg straight. Stay in this position, contracting the calf muscle for at least 3-5 seconds. Repeat at least 3 times a day.

Therabands: Using resistance at home or in a hotel when traveling will allow you to actively strengthen the muscles that support the ankle and provide stability.

Ankle Weights:can work much like a theraband by providing resistance. But use caution, you can overdo it.

Strength, balance, and retraining the muscles are crucial to preventing re-sprain and re-injury. If the ankle still feels unstable, use an ankle brace to provide some additional safety and stability as you increase your activity level.

Be smart, strong, and careful and will be able to be stronger than ever. No more painful ankle sprains.


Dr. Christopher Segler is an Ironman Triathlon Finisher and award winning foot doctor specializing in elite athletes. He is a former sufferer of unstable ankles who now runs without sprains. His podiatry sports medicine practice is at the Ankle & Foot Center of Chattanooga. You can register for a FREE membership and will receive the monthly newsletter “Finisher’s Circle,” which provides expert advice on increasing your running efficiency and preventing injuries and foot pain by visiting http://www.AnkleCenter.com .

Friday, January 2, 2009

New Years Pro Athlete Ankle Sprain Report

Jan 1, 2009: New Begins With Many Pro Athletes Sidelined with Ankle Injury.

Atlanta Falcons defensive end Jamaal Anderson has still not practiced since suffering a high ankle sprain against Minnesota on Dec. 21 and will likely will be inactive Saturday.

San Diego Charger's Antonio Gates, who is still suffering from a high ankle sprain, may not play in the playoff opener against the Colts.

Washington Wizards' Caron Butler twisted his left ankle during a Christmas night game versus the Thunder and has missed the last three games.

Minnesota Vikings' Adrian Peterson aggravated his nagging ankle sprain in a game against the Giants, and may be out.

Eagles' running back Brian Westbrook has been limited because of ankle injuries.

Don't let ankle injuries keep you out. See the Ankle Injury Prevention and Treatment Page at www.AnkleCenter.com.


Dr. Christopher Segler is Marathon Runner, Ironman, as well as an award-winning podiatrist, and sports medicine foot surgeon practicing at the Ankle & Foot Center of Chattanooga. For more information about heel pain, bunions, ingrown toenails and ankle pain, and other common causes of foot pain, you can order a FREE copy of his book, My Fit Feet, by visiting http://www.MyRunningDoc.com or http://www.AnkleCenter.com.

Thursday, December 11, 2008

Houston Rockets’ Forward Still Out with an Ankle Sprain

The Houston Rockets’ forward Ron Artest is still out with an ankle sprain. Artest will probably be out for at least two games and is not expected to accompany the Rockets on the two-game road trip this weekend. He needs to rest his sore and swollen right ankle, Rockets general manager Daryl Morey said. “Ron will likely not travel with the team in order to rehab his right ankle,” Rockets athletic trainer Keith Jones said.

An MRI on Tuesday showed slightly torn ligaments (known as a Grade 1 sprain) in Artest’s ankle, a condition that has been aggravated by an ankle sprain suffered Nov. 17 during a game in Oklahoma City.

Usually high level athletes will back in the game sooner than this with a mild sprain. “While our medical staff agrees that the ankle injury is fine to play on, Ron is understandably frustrated that the pain has not subsided as he had hoped, so he wants to try sitting out the two-game road trip in order to see if the pain recedes.” Artest’s agent, David Bauman, said the swelling was particularly bad after Artest played for only 39 minutes in Tuesday’s 92-84 winning game over Atlanta.

“Looks like now is the time to do this and let him rest,” Bauman said. “It’s a back-to-back. It’s one of these things, unless he gets a chance to get a consistent chance to rest, it’s not going to get better. Taking off the Memphis game made him a little better. But today it was swollen and painful.”

Ankle sprains are common injuries and account for about 85% of all orthopedic injuries and 45% of all sports-related injuries.

There are three categories of sprains, based on the severity of the ankle injury.

1. First degree ankle sprain:
Some stretching or minor tearing of ligaments.
Mild pain and swelling.
Some difficulty walking.

2. Second degree ankle sprain:
Moderate tearing of ligaments.
Moderate pain and swelling.
Moderate difficulty walking.
Minor instability of the joint.

3. Third degree ankle sprain:
Rupture (complete tear) of at least one ligament ligament.
Instability of the joint (with risk of further injury).
Severe pain and swelling.
Inability to bear weight.

The best way to treat an ankle sprain is the PRICE method (Protection, Rest, Ice, Compression, Elevation). Wear a splint or brace to protect it. Resting the foot will prevent further damage, and crutches should be used to prevent applying pressure to the ankle. Once you are able to bear weight without pain, it is best to do so because it accelerates the recovery process. Applying ice will initially reduce the swelling. Compression reduces swelling as well as providing ankle support. Elevating the ankle allows blood to flow away from the sprain and further reduces the swelling.

Since ankle injuries are usually accidental, it is difficult to prevent them. Bracing or taping can help. Always wearing proper fitting shoes that offer support around the ankle. This can reduce will the chances and severity of an injury. Ankle injuries cause damage that makes them unstable. The instability can increase the future risk of another sprain. By following a rehabilitation program and doing strengthening exercises, you can reduce the chances of a repeat injury.



Dr. Christopher Segler is an Ironman Finisher and award winning foot and ankle surgeon specializing in elite athletes. His podiatry practice is at the Ankle & Foot Center of Chattanooga. To learn more about Achilles tendonitis, runner’s heel pain, stress fractures, bunions and other common causes of foot pain, you can register for a FREE membership and copy of his monthly newsletter “Finisher’s Circle” by visiting http://www.AnkleCenter.com .