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: Slogans & Logos Remain Unforgettable Parts of MHSAA History
By
Geoff Kimmerly
MHSAA.com senior editor
February 25, 2025
Logos and slogans are meant to stick in your mind – and the MHSAA has created several that have become synonymous with the story of school sports.
When was the first time you saw the MHSAA logo? For me, it was on a ticket to watch my school at the 1993 Girls Basketball Semifinals at Kellogg Arena.
And I thought “Good Sports Are Winners” was just something everybody said about all things sportsmanship. I had no idea it headlined as the first of now several memorable MHSAA statements meant to do precisely what it did inside my teenage head – bury itself in our minds so we would hopefully recall the importance of being a good sport whenever we heard it.
The MHSAA’s “Century of School Sports” have really included only about a half-century of this type of messaging and branding. But no matter if you’ve spent your time with us as an athlete, coach, administrator, official, fan or a combination of those roles, some of what follows should jog your memory – and hopefully stir up plenty of good ones as well.
- Good Sports Are Winners!
Jack Roberts was hired as the MHSAA’s fourth full-time executive director in 1986. His first hire was John Johnson as one of, if not the first-of-a-kind communications director at a high school athletic association in the nation. One of their first undertakings was a campaign to improve sportsmanship – and “Good Sports Are Winners!” became their first and perhaps still most recognizable phrase.
- Sportsmanship Begins At Home
- We Need You To Be A Good Sport!
Sportsmanship is an idea that never graduates, but it also needs to be reintroduced frequently as generations of families make their ways through middle school to high school graduation. These were two more messages meant to encourage appropriate behavior at sporting events.
- Help Wanted: Just Whistle
- You Can Be A Referee
Recruiting and retaining game officials also is an annual drive, and these became part of the slogan-sphere over the last 15 years as those efforts increased due to decreasing numbers. “Be the Referee” became a weekly segment of the “This Week in High School Sports” five-minute show that airs on radio stations all over the state during the fall and winter seasons, and they always end with the call out “You Can Be A Referee” to enlist those who might be interested.
- We Are The MHSAA
This carried a certain boldness when read over the microphone at tournament events, and summed up neatly what being part of the MHSAA was all about. Paraphrasing: “We are … Coaches … administrators … and officials. … We are your school. We promote and protect the privilege of interscholastic competition. We make rules and follow them as a condition of membership. … We Are The MHSAA.”
- Promoting The Value – And Values – Of Educational Athletics
This sums up the MHSAA’s work and remains perhaps the favorite of all slogans used to describe it. We believe educational athletics have value – to participants, to their communities, and to society as a whole because of the adults they help produce. We also believe that educational athletics are reliant on specific values – sportsmanship, scholarship, safety and scope.
Those are the messages you’ve likely heard. But producing an identifiable image with the MHSAA and its work has been just as important – and below are explanations behind some of the familiar logos you see at the top of this page.
- First Logo: A Traditional Emblem (Last Used in 1987-88)
The first MHSAA logo featured the seal from the state flag, with “Michigan High School Athletic Association” surrounding it. It appeared on medals and official documents through the 1987-88 school year.
- The Round Logo: A Recognizable Symbol
In 1988, the MHSAA introduced a circular logo featuring Michigan’s Upper and Lower Peninsulas within a red border, with "MHSAA" prominently displayed.
- The Championship Logo: A Mark of Excellence
During the early 2000s, the MHSAA introduced a “championship” logo initially for tournament merchandise. Over time, it became the standard for all championship-related materials.
- The Modern MHSAA Logo: Evolving with Time
Debuting in 1987 – and designed by a pair of Sterling Heights Stevenson students as part of a contest – the modern logo introduced the bold "MHSAA" lettering with an interwoven "S" designed to convey motion and energy. Over time, its contours softened while maintaining its distinctive look. Initially, "Michigan High School Athletic Association" appeared beneath it, but in recent years, the text was removed for a cleaner, more streamlined design.
- The Centennial Celebration Logo
To mark its 100th anniversary, the MHSAA introduced a centennial logo, honoring its history. This commemorative design reflects a century of commitment to student-athletes and school communities.
Previous "Century of School Sports" Spotlights
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