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: 200+ Representatives Fill All-Time Council Roster
By
Geoff Kimmerly
MHSAA.com senior editor
May 6, 2025
When Plymouth-Canton Community Schools superintendent Monica Merritt attended her first meeting as a member of the MHSAA’s Representative Council on March 21 in East Lansing, she became the 203rd voting member to serve on the association’s legislative body since the first Council convened Dec. 13, 1924.
We covered how the Council is comprised in our Dec. 3 installment – “MHSAA Work Guided by Representative Council.” Briefly, the Council is the 19-member legislative body of the MHSAA. All but five members are elected by member schools. Four members are appointed by the Council to facilitate representation of females and minorities, and the 19th position is occupied by the Superintendent of Public Instruction or designee.
During a typical school year, the Council meets three times, and convened for the third time for 2024-25 this past Sunday and Monday in Gaylord.
The first Representative Council included 11 members, from Ann Arbor, Battle Creek, Detroit, Eaton Rapids, Escanaba, Flint, Grand Rapids, Ishpeming, Otsego, Petoskey and Saginaw. While it’s difficult to say how many high schools specifically have been represented over the years – for example, Detroit Public Schools as a district has one representative, and there are multiple statewide positions – it’s accurate to say at least 130 communities (made of one or more schools) have sent at least one delegate over the last century.
Total, 54 Council members have served at least a decade, and 11 of those 54 have served at least 20 years: Detroit’s George Mead (1930-62) and Roy Allen (1976-96), Gwinn’s Leo P. McDonald (1930-52), Saginaw’s Roy J. McMurray (1932-50, 1952-57), Escanaba’s Dan Flynn (1988-2010), Grand Haven's Scott Grimes (2001-24), Deerfield, Beal City, Hartford and Cheboygan’s Paul Ellinger (1985-2007); Gaylord, Benzonia and Bear Lake’s Karen Leinaar (2000-2021); Clare, Maple City and Sanford Meridian’s William Newkirk (1988-2007), Trenton and Gibraltar Carlson’s Eric Federico (1986-94, 1996-2009) and current director of physical education and athletics for the Archdiocese of Detroit Vic Michaels, who has represented non-public schools on the Council since 2003.
A total of 17 Council members have served multiple terms but not entirely consecutively, with Petoskey’s Robert Doctor the only one with two breaks; he was on the Council from 1972-80, 1988-90 and 1994-95. As noted by his 32 years above, Mead was on the Council longest, representing Detroit Public Schools during his tenure as health and physical education director.
At least eight Council members have represented multiple schools, including current member Fred Smith, who has served a combined 15 years over two tenures while employed at Comstock, Buchanan, Benton Harbor and currently Bangor.
Michigan Department of Education representatives are not counted in the totals above as they are non-voting members – but they has provided an invaluable viewpoint during Council proceedings over the years. The current MDE representative on Council is Ross Fort, who serves as special assistant to the deputy superintendent.
The photo above was taken Monday morning. Front row, from left, are MHSAA executive director Mark Uyl, Michaels (who also serves as Council secretary/treasurer), Midland athletic director and Council president Eric Albright, and Brighton athletic director and Council vice president John Thompson.
Second row, from left, are Gobles athletic director Chris Miller, Freeland Middle School principal Jennifer Thunberg, Kingsford athletic director Chris Hartman and Camden-Frontier superintendent Chris Adams.
Third row, from left: Boyne City High School principal Adam Stefanski, Harbor Springs athletic director Anna Novak, Wyoming Godfrey-Lee Public Schools superintendent Arnetta Thompson, Mt. Morris athletic director Jeff Kline and Fenton High School principal Mike Bakker.
Back row, from left: Westland John Glenn athletic director Jason Malloy, Smith, Merritt, Fort, Detroit Public Schools executive director of athletics Jay Alexander and Calumet assistant principal Sean Jacques. (Portage Northern athletic director Chris Riker is not pictured.)
Previous "Century of School Sports" Spotlights
April 29: MHSAA Programs Prioritize Health & Safety - Read
April 23: Patches Signify Registered Officials' Role in MHSAA Story - Read
April 16: Student Advisory Council Gives Voice to Athletes - Read
April 9: State's Storytellers Share Spring Memories - Read
April 2: Sharp Leadership Synonymous with MHSAA Success - Read
March 25: Athletic Directors Indispensable to Mission of School Sports - Read
March 18: 2025 Finals Begin Next Half-Century of Girls Hoops Championships - Read
March 11: Boys Basketball's Best 1st to Earn MHSAA Finals Titles - Read
March 5: Everything We Do Begins with Participation - Read
Feb. 25: Slogans & Logos Remain Unforgettable Parts of MHSAA History - Read
Feb. 19: MHSAA Tickets Continue to Provide Fan-Friendly Value - Read
Feb. 11: We Recognize Those Who Make Our Games Go - Read
Feb. 4: WISL Conference Continues to Inspire Aspiring Leaders - Read
Jan. 28: Michigan's National Impact Begins at NFHS' Start - Read
Jan. 21: Awards Celebrate Well-Rounded Educational Experience - Read
Jan. 14: Predecessors Laid Foundation for MHSAA's Formation - Read
Jan. 9: MHSAA Blazes Trail Into Cyberspace - Read
Dec. 31: State's Storytellers Share Winter Memories - Read
Dec. 17: MHSAA Over Time - Read
Dec. 10: On This Day, December 13, We Will Celebrate - Read
Dec. 3: MHSAA Work Guided by Representative Council - Read
Nov. 26: Finals Provide Future Pros Early Ford Field Glory - Read
Nov. 19: Connection at Heart of Coaches Advancement Program - Read
Nov. 12: Good Sports are Winners Then, Now & Always - Read
Nov. 5: MHSAA's Home Sweet Home - Read
Oct. 29: MHSAA Summits Draw Thousands to Promote Sportsmanship - Read
Oct. 23: Cross Country Finals Among MHSAA's Longest Running - Read
Oct. 15: State's Storytellers Share Fall Memories - Read
Oct. 8: Guided by 4 S's of Educational Athletics - Read
Oct. 1: Michigan Sends 10 to National Hall of Fame - Read
Sept. 25: MHSAA Record Books Filled with 1000s of Achievements - Read
Sept. 18: Why Does the MHSAA Have These Rules? - Read
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