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: These Record-Setters Were Nearly Impossible to Defeat
By
Geoff Kimmerly
MHSAA.com senior editor
May 13, 2025
Most days, across Michigan high school sports and athletics at every level, a rare big-time upset is going to grab a bigger headline over yet another win by a usual favorite that comes out on top all the time.
But today, we’re going to celebrate teams that have made winning something of a daily routine over long stretches during the MHSAA’s 100-year run.
For the majority of head-to-head team sports, the MHSAA tracks winning streaks and lists the longest in their respective record books. And while all making those lists are impressive, the longest seem almost inconceivable.
Let’s start with the 192-match winning streak by Marysville from Dec. 10, 1996, through Jan. 15. 2000, the longest by number of victories. That incredible run made up most of the first half of an also incredible eight-straight Class B Finals championship seasons for the Vikings. Three others volleyball teams have won at least 92 straight matches, but none more than 98.
Traverse City Central girls tennis’ 107-dual match winning streak from 1989-2000 is the longest by length of time, and the only other to reach triple digits for total wins – with a seven-year, 71-match run by the Okemos boys tennis team from 1990-97 also reaching toward nearly a decade of similar success.
Several more have approached the 100-consecutive-win milestone. Hudsonville Unity Christian girls soccer won 86 straight games from 2005-08, and actually was 97-0-1 over those four seasons. The Allen Park Cabrini softball team won 80 straight games during the 2006-08 seasons, the Powers North Central boys basketball team won 84 straight games between 2014-17, and Orchard Lake St. Mary’s baseball team became our latest winning streak record-setter with 84 straight victories from May 1, 2021 through May 3, 2023.
Okemos is the one of only two schools with two record winning streaks, having also won 64 straight girls lacrosse games from March 21, 2009, through May 3, 2011. The other is North Central, which also won 41 straight 8-player football games between Sept. 18, 2020, and Sept. 15 2023, with many of the same athletes who played on the record-setting boys basketball team.
Also from the Upper Peninsula, Carney-Nadeau’s girls basketball teams of 1989-91 held on to their record of 78 consecutive wins despite a 76-victory pursuit by Pittsford from 2015-18. Bloomfield Hills Brother Rice won the first 13 Division 1 boys lacrosse championships, and the early years of that run included a 29-game winning streak during the 2008 and 2009 seasons.
The record holders in boys soccer and 11-player football require a little bit of explanation. While Genesee Christian owns the boys soccer winning streak record of 33 from 2015 and beginning of the 2016 season, Detroit Country Day easily outpaces the rest for longest unbeaten streak in that sport having gone 69-0-10 between 1991-94.
Hudson football also remains legendary for its record streaks of 72 straight wins (including playoffs) from 1968-1975 and 81 straight during the regular season from 1968-1977 – although that playoff era streak included only one playoff win, as the Tigers won their Semifinal in 1975 but fell to Ishpeming in the inaugural Class C title game. The longest football playoff streak built entirely during the playoff era belongs to Ithaca, which won 69 straight games beginning with its opener in 2010 and ending in the 2014 Division 6 championship game as the Yellowjackets pursued what would have been a fifth-straight title in that division.
The lack of winning streak lists in wrestling and ice hockey are a noticeable gaps in this collection. Those lists hopefully will be constructed in the future.
Previous "Century of School Sports" Spotlights
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 Clockwise from top left: Allen Park Cabrini catcher Amanda Chidester celebrates her team's 2007 softball championship. (2) Genesee Christian's Caleb DuPree (11) controls possession as Kalamazoo Hackett Catholic Prep's Kawika Singson pursues during their 2015 championship match. (3) Shaleene Glombowski sets for Marysville during the 1998 Class B Final. (4) The 1995 Okemos boys tennis team takes a photo after clinching another Finals championship. (5) Carney-Nadeau's Jill Wetthuhn drives against Fowler during the 1990 Class D Final.