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.
Lifelong Hawkeye: Joostberns Continues Legacy of Service in Hamilton
By
Zach Harig
Hamilton Community Schools
September 19, 2025
For nearly half a century, the voice behind Friday night football games in Hamilton has belonged to one man: Loren Joostberns.
A 1970 graduate of Hamilton High School, Joostberns has worn many hats in his hometown – teacher, coach, announcer, scorekeeper, school board member – but all of them share a common thread: a deep commitment to giving back to the community that raised him.
“This is my 45th year of announcing football games for Hamilton,” Joostberns said proudly, his voice carrying the same warmth that has welcomed fans to Hawkeye Stadium for decades. “I’ve done some volleyball, a lot of wrestling, occasionally some basketball, but mostly the scorebook in basketball for 44 years, and I do announce baseball in the spring now, which has been fun.”
With so much experience and history from the community, Joostberns is regularly asked to serve as the voice of many school district and community videos. His voice is arguably the most recognizable in town. From morning coffee at the round table at the local restaurant in town, to school board meetings, to microphones all around the district, Joostberns is seen and heard no matter where he goes around Hamilton.
Building a life in Hamilton
Not many can claim that they have been involved in a school district before it was even a school district.
However, Joostberns can make that claim as he was in kindergarten in 1957-58, with Hamilton becoming its own school district on June 23, 1958. He then continued in the school district as a student through graduation.
After graduating from Hamilton and then Hope College, Joostberns returned to the district as a teacher. He taught for 30 years, then continued his connection to the classroom as a substitute teacher for another nine. Today, he remains an active part of Hamilton Community Schools as Board of Education secretary, now in his 13th year of service.
Through it all, he has found joy in staying close to athletics. Since announcing his first football game in 1981, he’s become a fixture at sporting events year-round. His passion is not about statistics or wins and losses – it’s about making sure young athletes have the best possible experiences.
“I think one thing is, what can you do to contribute to kids having good experiences?” he said. “That’s one thing I always keep in the back of my mind. You want to do what you can to help kids have positive experiences, and if that contributes in a small way, then it’s worth it.”
Of course, Joostberns admits there’s a little fun in the job, too. “You’re in the center of the action. I’ve got the best seat in the house for football, and for basketball you’re at center court. You get to know the officials, get to know people from other schools, and it’s a good way to be involved.”
Memories from the press box
The Hamilton facilities Joostberns works in today look nothing like what he started with in the early 1980s. He chuckled as he recalled the first press box from which he worked.
“In football, if you would have seen what we had in Hamilton back in 1981 and 1982 compared to what we have now in terms of facilities, it’s incredible,” he said. “The press box was a little green building basically on stilts that swayed with heavy winds, and it held six people – two coaches from each team on either side and an announcer and timer in the middle. You were elbow to elbow and you felt in a precarious position because you didn’t know if the press box was going to stand up or not.”
That humble start makes him especially proud to see how the district has grown its athletic facilities and opportunities for students.
While Joostberns has devoted his life to Hamilton, he also holds a special passion for the University of Michigan. He has been a season ticket holder for 51 years, attending countless games at “The Big House” in Ann Arbor. The dual loyalties complement one another: Hamilton football on Fridays and Michigan football on Saturdays.
But no matter how big the stage gets, his heart always comes back to Hamilton. “At Hamilton, we have always prided ourselves in trying our best to do the best we can for kids, to do things the right way,” Joostberns said. “That’s why I’ve stayed involved for so long.”
Lasting Legacy
Few communities can point to someone who has continuously served across so many different roles for more than four decades.
Joostberns’ contributions can’t be measured in titles or statistics, but rather in the memories he has helped shape – whether it’s an athlete hearing his name announced before a big play, a student remembering him as a teacher, or a fellow community member working alongside him on the school board. Numerous times a year, veteran opposing coaches greet Joostberns before the game to say hi because he is such a staple of the community and school district. His warm and friendly demeanor is appreciated by all, both on the home and opposing sidelines.
Hamilton’s athletic director and coaches often describe him as the kind of person every school hopes to have: reliable, passionate, and selfless. He doesn’t do it for recognition, but for the chance to leave things a little better than he found them.
For Joostberns, the motivation is simple: “It’s about helping kids, and being part of something bigger than yourself.”
And for Hamilton, the community is grateful that one of its own has been willing to give back for so many years. As recognition for his countless years of service in and out of the classroom, “Mr. Hamilton” was honored with the high school basketball court being renamed the Loren Joostberns Court in 2021.
From the rickety old press box of 1981 to the modern facilities of today, from chalkboards in the classroom to discussions in the boardroom, Joostberns has remained a steady, positive presence. His story is a reminder of how one person’s steady commitment over a lifetime can shape a school and community for generations.
Not all lessons or legacies are cemented in the classrooms or fields, but some are passed on from behind the mic and echoed over the airwaves for all to hear and cherish.
PHOTOS (Top) Hamilton’s Loren Joostberns poses for a photo in front of the high school stadium this fall. (Middle) Joostberns has served the district in several roles over the years, including as a member of the school board. (Below) Joostberns takes a moment for a photo while behind the microphone. (Photos courtesy of Hamilton Community Schools.)