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: Everything We Do Begins with Participation
By
Geoff Kimmerly
MHSAA.com senior editor
March 5, 2025
For 100 years the MHSAA and its member schools have trumpeted the many benefits of educational athletics. The list of positive reasons to play has only grown.
But every idea and effort to make school sports excellent starts with one underlying theme that has served as a primary motivation from the beginning:
Participation.
The MHSAA long has been driven by a desire to see as many students participate in sports as possible, within a framework of rules that intentionally makes that opportunity so valuable that playing for the school team becomes the dream for thousands of kids all over our state.
And MHSAA member schools have a long history of succeeding at that mission.
A few comparisons and a decent share of context are necessary to explain how. We will dive into some numbers, but these two points sum up the story:
The total number of high school students in Michigan has been shrinking annually over several years – high-school aged population in this state is down 21 percent since 2006-07. But the numbers of students playing sports at MHSAA schools has grown three straight years and has declined by only 13.5 percent over the same stretch of time.
Michigan participation in high school sports annually outpaces where it ranked nationally in high school-aged population. We may have fewer students than some states, but more of them are playing more sports for their schools.
How do we know all this?
Every spring since 1971, the MHSAA has reported how many athletes from member schools participate – by sport – as part of a survey from the National Federation of State High School Associations (NFHS). Those numbers are crunched by the NFHS for all 50 states and Washington, D.C., and over the last several years the MHSAA has taken that data and then compared how Michigan participation stacks up to state populations of people aged 14-17.
(The NFHS collects data on all school sports, whether they receive state association sponsorship or not. Participants also are counted once for every sport they participate in, so two-sport athletes are counted twice, three-sport athletes are counted three times, etc.).
For this narrative’s sake, let’s start with the 1977-78 school. By then, several girls sports had begun to receive MHSAA sponsorship and also had a few years to get established and grow. For that school year, the MHSAA reported 242,616 participants. Just under a decade later, for 1985-86, that total had grown to 265,227 (and a few more girls sports had been added), and those totals continued to rise during the 1990s reaching 295,858 in 2000-01.
A key high point came in 2006-07, when the MHSAA reported 320,479 total participants in all sports at member schools including 313,093 in MHSAA-sponsored sports. The grand totals then shifted downward slowly once again – but in proportion to falling student enrollment at MHSAA member schools, which has dropped nearly 113,000 students (21 percent) since that notable year. It’s also fair to make an educated guess – because students are counted once for every sport played – that a trend toward sport specialization also affected those numbers to some degree.
Fast forward to today. For the 2023-24 school year, there were 270,664 participants in MHSAA sports, plus another 19,920 in sports not sponsored by the association (weight lifting, etc.). So while Michigan hasn’t approached 300,000 participants in more than a decade, the total for MHSAA sports this past year was only 13.5 percent fewer than that 2006-07 season – again, compared to 21-percent fewer students at those schools. And the even better news? Participation has increased three straight years coming out of the COVID-19 pandemic.
Another telling comparison is how Michigan participation continues to compare nationally.
Going back to at least the 2012-13 school year – not counting 2019-20 and 2020-21, when the NFHS survey was suspended because of COVID-19’s effect on school sports – Michigan consistently has ranked either seventh or eighth in participation nationally, falling past that ranking only once to ninth. For 2023-24, Michigan ranked eighth for participation.
Meanwhile, Michigan ranked ninth nationally for high school-aged population from 2012-13 through 2015-16 before sliding into its current 10th spot on that list. So for this past school year, participation at MHSAA member schools ranked two spots ahead of its ranking for high school-aged population.
The first step to receiving the benefits of school sports is getting out there and playing them. And Michigan high schoolers are continuing to do so – both at rates that compare well historically over the last 50 years, and compared to states across the country of similar sizes. This has long been a point of MHSAA pride, and will continue to be a primary focus of its work.
Previous "Century of School Sports" Spotlights
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