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.

Granlund's Voice Continues to Tell Story in 56th Year Serving Clarkston Schools

By Keith Dunlap
Special for MHSAA.com

February 13, 2025

CLARKSTON — When many people think of Clarkston as a community, high school and athletic program, they understandably think of Dan Fife. 

Greater DetroitAfter all, Fife was a hometown hero as a standout basketball and baseball player at Clarkston High School, a college basketball player at Michigan, a professional baseball player and ultimately, the longtime boys basketball coach and athletic director who built that hoops program into a state power.

But what some might not know is that there is another prominent figure connected to the school and athletic program, one who has served the community since the year after Fife graduated from high school in 1967. 

It’s hard to imagine anyone having Clarkston more in his heart and soul than Neil Granlund.

The 79-year-old Granlund has been a part of the Clarkston community since starting his teaching career in the district in 1968. He is best-known at the moment not just as an announcer within the athletic program, but as pretty much THE announcer for Clarkston athletics.

Granlund is the main announcer for contests in football, boys and girls basketball, hockey, boys and girls soccer, and track & field. He also helps out announcing for volleyball, wrestling, lacrosse and field hockey. 

And those are just the high school sports within the community. Granlund also announces middle school track events. 

Granlund took over the football and basketball duties in 2018 after the longtime “Voice of the Wolves,” Dale Ryan, retired. For all those years, Granlund was Ryan’s right-hand man spotting in the press box and working the clock. 

When Ryan stepped away, it was a no-brainer to have Granlund take over, even if he was seemingly announcing every other sport for the school. 

Granlund, right, takes his place in the Michigan Stadium press box in advance of announcing Clarkston’s “Battle at the Big House” football game. When Granlund stepped into Ryan’s role for football and basketball, he said Fife offered some advice. 

“He gave me instructions on what to and how he wanted it done,” Granlund said. “He told me that you’re not the cheerleader. He didn’t want nicknames for the kids. Just keep it strait-laced and treat both schools fairly. I’ve always stuck to that.”

Granlund said announcing Clarkston football games when the Wolves played at Michigan Stadium in Ann Arbor and doing Clarkston team introductions when they advanced to championship games at Ford Field have been thrills, adding others in the community have helped make his life easier when switching from sport to sport.

“I had mediocre understanding of the sports, but I’ve had good people to work with,” he said. “In football, you are only as good as your spotter.”

Clarkston as an athletic program has had many memorable moments since 2013, whether it’s been the football team breaking through and winning Division 1 titles in 2013, 2014 and 2017, or Fife finally realizing a lifelong dream by leading the basketball team to Class A titles in 2017 and 2018. 

But Granlund said the most memorable moment came during a basketball game at the old high school between Clarkston and historic archival Pontiac Northern. 

Clarkston was coached by Fife, while Northern was coached by the legendary Sy Green, and the game was played before the 3-point line. 

Granlund said before that game, referees told him that they couldn’t hear the buzzer on the scoreboard. 

So they gave Granlund a task.

The referees gave Granlund a towel and said If the game came down to a buzzer-beating shot, Granlund would monitor the clock and the action on the court to see if the player beat the clock with his shot. Granlund would then throw the towel to the middle of the court to indicate that the shot counted. 

Granlund narrates the action during another event at the school.“Sure thing, that’s what did happen,” said Granlund, adding Clarkston was down by two and attempting a game-tying shot. “Clarkston went on to tie the game. I remember when that did go off — I had that panel in front of me so I could see exactly what the time was on the clock when it had left the player’s hand — both Sy Green and Dan Fife looked at me and I gave the signal that the basket was good. That tied the game, and it went into overtime. That was exciting. Everything in that old gym was exciting.”

While that was the most memorable moment to date for Granlund at Clarkston, the one he wants to see most hasn’t happened yet. 

Granlund’s biggest dream is to see the boys soccer team win a Finals championship, something it came closest to accomplishing in 2007 when the Wolves lost to East Kentwood in the Division 1 title match. 

Granlund was the school’s first boys soccer coach, starting the program in 1983, and helped build it up until he stepped away as coach in 1990. But he has stayed involved as the announcer and a general supporter.

“I wish we could (win a state title) one of these days,” he said. “Having started the soccer program here, I always stuck with it.”

Even though he is nearing 80, Granlund might still be around to one day see the Wolves win that soccer championship. He still teaches a construction tech class for the high school, doing so for the same reason he still announces: He loves being around kids he says are so good to him. 

Teaching also gives him an opportunity to spend more time with his grandson, who is in the class.

“He said ‘Grandpa, will you stick around for a couple more years?’” Granlund said. “I said, ‘Oh yeah.’”

As for announcing, listen for his voice to still be a fixture at Clarkston sporting events for the foreseeable future.

“For a while longer,” he said. “I really do enjoy it.”

Keith DunlapKeith Dunlap has served in Detroit-area sports media for more than two decades, including as a sportswriter at the Oakland Press from 2001-16 primarily covering high school sports but also college and professional teams. His bylines also have appeared in USA Today, the Washington Post, the Detroit Free Press, the Houston Chronicle and the Boston Globe. He served as the administrator for the Oakland Activities Association’s website from 2017-2020. Contact him at [email protected] with story ideas for Oakland, Macomb and Wayne counties.

PHOTOS (Top) Neil Granlund, speaking into the microphone, announces during a Clarkston home basketball game. (Middle) Granlund, right, takes his place in the Michigan Stadium press box in advance of announcing Clarkston’s “Battle at the Big House” football game. (Below) Granlund narrates the action during another event at the school. (Photos by Larry Wright.)