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: All-Time 'Parade of Champions'
By
Geoff Kimmerly
MHSAA.com senior editor
June 25, 2025
As we do every June, we will complete 2024-25 this week by publishing our “Parade of Champions” – a listing of every team to win an MHSAA Finals championship trophy this school year.
Recognizing about 130 champions annually – give or take a few if there were shared titles along the way during that past fall, winter and spring – it’s always an impressive list. So we’re plenty stoked – maybe even 100 times more – to present as our second-to-last “Century of School Sports” feature a few findings from our work-in-progress all-time “Parade of Champions.”
Eventually, the data we’ve collected will be provided on the MHSAA website as a searchable data base – there’s more work to come, and I’ll explain some of that below. But for today, here are some of the first facts that jump off the pages from this massive collection.
Starting with the biggest: Since its first titles were awarded to finish the Winter 1924-25 season, the MHSAA has recognized 6,876 teams for winning Finals championships.
Five schools have won at least 100 Finals titles, and 17 schools have won 50 or more. Marquette leads the list with 295, followed by East Grand Rapids (145), Escanaba (134), Ann Arbor Pioneer (122) and Detroit Country Day (107).
For several reasons, it’s difficult to compare championship totals among Upper Peninsula and Lower Peninsula schools as apples to apples – chiefly, schools in both peninsulas compete against each other in postseason competition in only 16 of 28 MHSAA-sponsored sports, and a handful of those 16 have little or no representation from the U.P. despite being statewide tournaments.
That said, here’s a look at some expanded school Finals title rankings, but by peninsula, going deeper on Lower Peninsula schools ranked because the majority of Michigan’s high schools are below Mackinac Bridge:
Lower Peninsula: 1. East Grand Rapids (145), 2. Ann Arbor Pioneer (122), 3. Detroit Country Day (107), 4. Bloomfield Hills Cranbrook Kingswood 88, 5. Detroit Catholic Central (74), 6. Bloomfield Hills Brother Rice (69), 7. Grosse Pointe Woods University Liggett (64), 8. Jackson Lumen Christi (55), 9. Petoskey (46), 10. Traverse City Central (45).
11. Okemos (44), 12. Detroit St. Martin dePorres (41), 13. East Lansing (39), 14. Rockford (37), T-15. Ann Arbor Greenhills (35), T-15. Birmingham Seaholm (35), 17. Flint Powers Catholic (33), T-18. Bloomfield Hills Marian (32), T-18. Kalamazoo Central (32), 20. Grand Rapids Forest Hills Northern (31).
Upper Peninsula: 1. Marquette (295), 2. Escanaba (134), 3. Iron Mountain (78), 4. Menominee (66), 5. Ishpeming Westwood (65), T-6. Ishpeming (64), T-6. Pickford (64), T-8. Negaunee (50), T-8. Ontonagon (50), 10. Houghton (49).
A few more interesting notes:
• Note Detroit dePorres at No. 12 among Lower Peninsula schools; dePorres closed in 2005. Flint Northern ranks 21st among Lower Peninsula schools with 30 championships despite closing in 2013. The former Ypsilanti High School, which consolidated with Willow Run in 2013 to form Ypsilanti Community, also is high on the list with 24 titles.
• Larger schools generally play more sports, and hence have more opportunities to win Finals titles. But Lower Peninsula small schools fell just outside those listed above, including Battle Creek St. Philip and Fowler – both with 29 championships – and Flint Beecher, Kalamazoo Hackett Catholic Prep and Pewamo-Westphalia with 26 apiece.
• We don’t have an easy way – yet – to figure out which schools have won at least once in the most sports. But among the top five, East Grand Rapids and Marquette both have won titles in 18 sports, Country Day has won in 17, Ann Arbor Pioneer in 15 and Escanaba in 13. Pioneer’s 15 include boys gymnastics, which was sponsored by the MHSAA from 1925-31 and 1961-81.
• Detroit Catholic Central has the most championships among all-boys schools, among 11 sports. Bloomfield Hills Marian ranks highest among all-girls schools, with its titles covering seven sports.
As noted, this remains a work in progress, as we’re continuing to research several school closings, consolidations or other name changes over the last 100 years and how those might affect our championship totals. We also need to continue figuring in how to list championships won by cooperative programs and if those are credited to primary schools or as standalone programs.
In the meantime, we’ll continue to update the data with championships won each season, including in our new sports of girls field hockey and boys volleyball debuting in 2025-26. Once the data is fully edited and complete, we’ll add this substantial source to our growing collection of historical information available for all to enjoy.
Previous "Century of School Sports" Spotlights
June 17: Top Performers Tell Us What High School Sports Mean to Them - Read
June 10: 'The Mitten' Becomes Sought-After Symbol of MHSAA Greatness - Read
June 3: MHSAA's Move to TV, Now Internet, 60 Years Old & Growing - Read
May 27: Upper Peninsula Helps Make Michigan's School Sports Story Unique - Read
May 20: From Nearly A to Z, Schools Repped by 221 Nicknames - Read
May 13: These Record-Setters were Nearly Impossible to Defeat - Read
May 6: 200+ Representatives Fill All-Time Council Roster - Read
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
PHOTOS These are all past MHSAA Finals champions, clockwise from top left: The 2016 Detroit Country Day girls tennis team, 2004 Marquette ice hockey team, 1978 Ann Arbor Pioneer girls cross country team, 1981 Escanaba football team and 2013 East Grand Rapids girls lacrosse team.