Navigating Twists, Turns Of Ankle Sprains
November 30, 2020
Henry Ford Health System
Oh, how the ankle turns! If you’ve had a misstep or wrong turn result in a sprained ankle, you know how painful this injury can be. Henry Ford podiatric surgeon Paul Di Liddo, DPM, discusses ankle sprains and treatments.
Ankle Injury 101
From risk factors to treatments (and nearly everything in between), here’s what to know — and do — about ankle sprains.
Sprained Ankles Are Painfully Common
In fact, they’re among the most frequent injuries in the United States, with up to 25,000 people per day spraining their ankles. Although often associated with sports, ankle sprains can happen to anyone, anywhere. “I see ankle sprains from tripping over curbs, stepping in holes in a yard or simply walking,” says Dr. Di Liddo. “Ankle sprains — like accidents — happen.”
Ankle Sprains Injure Ligaments
“Ankle sprains occur when the ankle suddenly and forcefully twists or rolls past a point that the ankle ligaments can tolerate,” remarks Dr. Di Liddo. “The ankle ligaments will stretch or tear, either partially or completely.” An ankle can twist, turn or roll during a fall, jump or change of direction, while walking on uneven ground and more.
A Weak Ankle Is A Vulnerable Ankle
Most sprained ankles heal without long-term concern. In some cases, however, ligaments may not fully heal, resulting in a weak or unstable ankle. “A weak or unstable ankle can make an individual more susceptible to repeated ankle sprains,” explains Dr. Di Liddo.
High Arches Can Be Risky Business
People who have high-arched feet are more at risk of rolling — and therefore spraining — their ankles. So are people who have “loose joints,” because the ankle can overstretch with a seemingly minor twist. People who are at-risk for ankle sprains should take extra precautions when playing sports or performing other activities.
Some Sprains Can Be Treated At Home — Emphasis On Some
How you treat a sprained ankle depends on the severity of the injury. Minor sprains can be treated at home with the RICE method. The RICE method include:
- Rest by avoiding use of the injured ankle
- Ice applied to the ankle (without touching the skin) for no more than 20 minutes every three to four hours
- Compression with an elastic bandage
- Elevation above the heart
Ice, compress and elevate your ankle for the first few days. Rest and refrain from sports until ankle pain and swelling have subsided.
At-home treatments aren’t right for everyone — or every ankle injury. “A swollen ankle is typical if you have experienced a sprain,” says Dr. Di Liddo. “However, if you have severe ankle swelling, are in extreme pain or notice an odd ankle appearance, seek medical attention.” This is also true if you can’t walk more than a few steps or have limited ankle mobility. A foot and ankle specialist can diagnose your injury and begin treatment.
Ankle Treatments Abound
Ankle sprain treatments are designed to decrease pain and swelling, while protecting the ligaments from further injury. Treatments include wearing an ankle brace, walking boot or cast. Physical therapy to strengthen the ankle and maintain range of motion may also be incorporated after the ligaments have started to heal.
“Of course, for more severe injuries, a thorough physical exam and X-rays are necessary,” says Dr. Di Liddo. “This helps ensure that there is no other underlying injury, such as a fractured ankle or Achilles tendon rupture.”
Healing Times Vary
The recovery time for a sprained ankle depends on the severity of the injury. Sprains with minimal ligament stretching and no tear require one to three weeks. Partially torn ankle ligaments may take up to six to eight weeks to heal. A fully torn ligament can take several months to fully heal.
What To Do When Ankle Problems Persist
For people who continue to experience ankle instability, there are a host of options. “Physical therapy is the first step — but not the only one,” says Dr. Di Liddo. “If physical therapy has not been beneficial, we can discuss surgical approaches.”
Surgical options include:
- Ligament repair or reinforcement via an outpatient procedure
- Osteotomy, which is surgical cutting of bone, to lower arches when ankle instability is caused by high arches
For those with frequent ankle sprains or instability, a medical assessment is necessary and may include:
- Physical exam
- X-rays to assess bones and joints
- MRI to evaluate ankle ligaments
With this information in mind, you can prevent — or address — the twists and turns of ankle sprains.
Want to learn more? Henry Ford Health System sports medicine experts are treating the whole athlete, in a whole new way. From nutrition to neurology, and from injury prevention to treatment of sports-related conditions, they can give your athlete a unique game plan.
Visit henryford.com/sports or call (313) 972-4216 for an appointment within 24 business hours.
Century of School Sports: Why Does the MHSAA Have These Rules?
By
Geoff Kimmerly
MHSAA.com senior editor
September 18, 2024
MHSAA administrators are two trips into their annual seven-stop fall tour that has become a tradition during nearly half of the Association’s “Century of School Sports” – and this year, a focus has been on answering a key question at the heart of educational athletics since long before the MHSAA was formed during the 1924-25 school year.
The MHSAA’s Update meeting series is in its 47th year and includes half-day conferences in seven locations – generally in the Kalamazoo, Metro Detroit, Grand Rapids, Saginaw, northern Lower Peninsula and mid-Michigan areas, and at Northern Michigan University in Marquette. The six Lower Peninsula sessions begin with an athletic director in-service during which MHSAA assistant directors explain recent rules changes and discuss challenges our administrators face on a daily basis (with Upper Peninsula athletic directors participating in a similar in-service during the spring).
Those in-services are followed by a session with executive director Mark Uyl, who speaks to athletic directors, superintendents, principals and school board members on a variety of topics including the MHSAA’s current objectives and ideas for the future, while also reinforcing the longstanding values that remain the bedrock of our daily work.
And that leads to the question he’s presenting across the state this fall:
Why does the MHSAA have these rules?
Frankly, the answer goes back to the beginning of school sports in Michigan – all the way back to 1895, when the first MHSAA predecessor organization was formed.
The first MHSAA Representative Council president Lewis L. Forsythe explained in his book “Athletics in Michigan High Schools – The First Hundred Years” how regulations always have been necessary:
“Eligibility rules are a necessity in interscholastic competition. It was common acknowledgement of this fact that led to the first State inter-school organization in 1895. The rules at first were few, simple and liberal. But with the passing of the years they came to be more numerous, more complex, and more restrictive, again through common acknowledgment of desirability if not of necessity.”
That necessity – and the reasoning behind it – has not changed.
Two main points explain why rules are absolutely imperative for educational athletics to thrive.
► 1. Participation – through providing as many opportunities as possible for students to play – has been the mission of school sports since their start. Rules contribute to the value of participation.
If there are requirements for children to participate in athletics – for example, an academic standard or rules that dissuade students from switching schools every year – then school sports programs mean more to all involved.
If we raise the bar, raise the standards of eligibility and conduct, we raise the value of our school sports programs. If we lower the bar, we lower the value of being part of school sports – because without rules, contest results are meaningless, and the value of participating is diminished.
► 2. We have rules where the stakes are higher, and agreement is lower – because where the stakes are highest, there is the greatest tendency for some people to try to gain an unfair advantage, and the greatest need for rules to curb possible dishonest activity.
This statement goes to the heart of the history, rationale and application of MHSAA rules. Obviously and simply put, school sports mean a lot to those who take part, and that significance is high enough to stoke disagreement – and we need rules to govern those disagreements. We have the most rules for high school sports, where championships are at stake and the possibility of disagreement is greatest.
***
Finally – and perhaps providing the strongest reinforcement of the two points above – is this:
Schools choose to make MHSAA rules their own.
Quite literally, school districts vote annually to be part of the MHSAA – and confirming this voluntary membership comes with the requirement to follow all MHSAA rules.
When schools challenge our rules, they literally are seeking to break the rules they already have committed to uphold.
These rules, and this commitment, are the strength of our organization across 752 member high schools and several hundred more middle schools and junior high schools. They have been constructed on a century of precedents and after considerations by representatives of those same member schools – representatives those schools have voted to elect every school year during the MHSAA’s history.
Previous "Century of School Sports" Spotlights
Sept. 10: Special Medals, Patches to Commemorate Special Year - Read
Sept. 4: Fall to Finish with 50th Football Championships - Read
Aug. 28: Let the Celebration Begin - Read