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.
Wozniak 'Crew' Serves Together in Stripes
May 1, 2019
By Tim Miller
Mio teacher, former coach and graduate
If you were to attend a high school basketball game in northeast Michigan, or watch the local sports highlights from the evening on TV, you might see a member of the Wozniak family running up and down the basketball court.
You won’t see them dribbling the ball, or pulling up for a jump shot. The pressure to get a rebound, or to play defense, is no longer part of the game plan for them. The red jersey they once wore so proudly in high school has been replaced by a black and white uniform that’s worn only by referees.
Take a drive north on M-65 and you will eventually reach the home of the famous Potato Festival, located in Posen, Michigan. Don’t expect to see a McDonald’s, Subway, or even a stoplight when you arrive. The town consists of a few small businesses, managed by a group of people who take pride in calling Posen their home.
One such family is Stanley and Virginia Wozniak, who just finished celebrating 68 years of marriage. During this time, they became the proud parents of Chuck, Ken, Cheryl, Frank, Donna, Mary Ellen, Michelle, and Linda.
Although I’ve never met Mr. and Mrs. Wozniak, it’s obvious to me, and anyone who knows their children, that they instilled some very important life lessons in them while raising them. One such lesson was getting involved. At one time Stanley was an official, so I guess it’s no surprise to see his children follow in his footsteps.
Living in northern Michigan during the winter can be brutal. Frigid temperatures and a large accumulation of snow can make it challenging. The key to surviving these long hard winters is staying busy. One such way is to attend a high school sporting event, and like so many people throughout the area, I watch as many games as I can.
Whether I’m attending a home game, or traveling out of town to an away game, it’s not uncommon to walk into a high school gym and see the Wozniak officiating crew from Posen standing courtside, patiently waiting to start the game.
What’s been striking to me over the years is to see them working as a unit, game after game. Rarely have I seen one of them working on another crew. Another lesson learned from home: family staying together. Years of experience has allowed them to officiate a regular-season game or much-anticipated playoff game with confidence.
When the game begins, I like sitting by myself. I look for the little things that players do or don’t do. I also watch the officials and compare my observations with their calls. Having watched them for many years in a variety of games, I’ve been impressed with their ability to call a game, regardless of whether it’s two teams battling to stay out of last place or a championship game packed full of screaming fans. Their passion for the game and commitment to getting it right has earned the respect of coaches, players and fans throughout northern Michigan.
They would be the first to admit they’ve made a mistake or missed a call here and there. Another lesson learned from home: be honest and stay humble. There have been games where the fans, players and coaches have disagreed with them, and a variety of facial expressions and comments have been made. It doesn’t stop them; they just keep moving forward.
They know this type of behavior comes with the territory, even though it’s the reason why so many officials have decided to quit. Another lesson learned from home: don’t give up.
The same drive that earned Donna and Mary Ellen both Female Athlete of the Year at Posen Consolidated Schools – in 1978 and 1981, respectively – fuels them on the court. While attending a girls junior high game, I witnessed Donna put an end to a loud-mouth fan. She calmly stopped the game, walked over to him, looked him square in the eyes and said, “Are you done?”
To which he replied “yes.” After speaking with him and making her point, she continued to officiate the game all by herself. For some reason, she was the only official for the game. She didn’t complain or make excuses; she simply made the best of the situation in front of her. Another lesson learned at home: don’t complain and do your best.
I’ve also seen Mary Ellen straighten out a few coaches and players during her career. Like her sister Donna, she’s not afraid to put an end to poor sportsmanship during the game.
Being an official isn’t easy. They’re constantly under scrutiny and harassment by unruly fans, coaches and players. The sacrifices they make to officiate a game often go unnoticed or are rarely even discussed. I wonder how many dinners they’ve missed with their families.
The technology used at the games has changed over time. From the Kodak camera, to the 35 millimeter, to the camcorder. And now the popular cell phone, perhaps the best and worst device ever created. Now anyone can snap a picture or record a video of an official. Spend a few minutes adding disrespectful comments, and post it online. Even through this evolution of tasteless unwarranted behavior, the Wozniaks keep rolling on.
Like all officials, they don’t do it for the money! What little they make can’t possibly offset the cost of maintaining their vehicles, gas, tires and worn out parts along the way. They do it because they love and respect the game. As spectators, we often place the blame on officials when we lose. However, I’ve never heard anyone say we won because of the officials. In my 40-plus years of watching sports, I have never seen an official miss a free throw or turn the ball over during the game, nor have I seen an official play sloppy defense. I’ve never seen them get out-coached or out-hustled by the opposing team.
We also have a tendency to undervalue the officials. Instead, we put our focus on the coaches, players and the games. That all changes in a split second when we think a foul should be called. Then, all eyes are fixed on the official, and immediate results are expected. The official is expected to see everything, which is an unrealistic expectation.
As officials, the Wozniaks do an outstanding job. Running up and down the court with a whistle in your mouth can’t be easy. I wonder how many of us could do that. I can only imagine how many inadvertent calls would be made as we tried keeping up with the players. Trying to spot every rule infraction is impossible, and yet, they keep striving to do their best. They’re not perfect, nor would you ever hear one of them claim to be. However, they’re doing something that the majority of fans, coaches and players would never even consider! They’re willing to put that official’s uniform on and have the courage, determination and commitment to doing the best job they can.
Over the years, I’ve had the pleasure of getting to know them. They have the ability to look past those negatives. They choose to remember the big games, the respectful players, the quality coaches, the new friendships they made, and most important of all, spend time on the court with one another.
Here are some of their amazing accomplishments:
• Chuck has been an official for 46 years. During this time, he has officiated multiple playoff games for girls and boys basketball, including MHSAA Semifinal and Final games. He was the track coach at Posen Consolidated Schools for 38 years and is currently a member of the Posen Fire Department.
• Ken has been an official for 43 years. He has officiated multiple playoff games for girls and boys basketball as well, including Semifinal and Final games. He currently serves on the Posen Consolidated School Board and has for the last 19 years – 17 as school board president.
• Frank has been an official for 42 years and has been selected to work a Basketball Semifinal. He coached junior varsity boys basketball for four years and umpired youth softball and basketball for many more. He was also the director of the local softball tournaments in Posen for 13 years.
• Donna has been an official for 41 years, working multiple playoff games for girls and boys basketball including Semifinals and Finals – including a boys Semifinal. She may be one of the most respected officials in Michigan, at any level! She coached softball at Posen Consolidated Schools and coached youth softball and basketball in the community for many years.
• Mary Ellen has been an official for 34 years and was selected to officiate a Girls Basketball Semifinal. She coached the varsity girls basketball team at Posen Consolidated Schools for nine years. She is currently an assistant coach for the Alpena Community College softball team.
• Linda officiated volleyball for 13 years. She volunteers at a variety of youth events throughout the community. She runs the scoreboard at athletic events, along with keeping the books. She is currently the class advisor for the graduating class of 2019 at Posen Consolidated Schools. She’s also involved in the chamber of commerce, where she served as treasurer for eight years.
• Although Cheryl doesn’t officiate, she’s involved in her community in many ways. She volunteers her time in the sports booster program and the little league programs. She was the secretary of the sports boosters for 15 years and selected as its “Volunteer of the Year.” She’s a strong supporter of promoting youth sports in her community.
• Michelle is also a strong supporter of youth programs in Posen and Alpena. She was selected as Female Athlete of the Year at Posen Consolidated Schools in 1983 and was appointed by former Governor Rick Snyder to serve on the Michigan Public Health Advisory Council. Like the rest of her siblings, she continues to stay involved in her community and volunteers in a variety of ways.
Aside from high school basketball games, the Wozniaks also have officiated other sports such as volleyball, track, and softball, and basketball at the college level.
I’m not sure how many more years the Wozniaks will continue to officiate. Hopefully for the coaches, players and fans, they’ll continue until they can’t run up and down the court anymore.
I can’t imagine how many whistles they’ve went through, or how many shoes they’ve bought along the way. The miles they’ve put on their vehicles, or the worn out tires they’ve replaced. The time they’ve missed with their families, or the TV shows they couldn’t watch. The quick meals eaten on the road, or the leftovers waiting at home.
Jonathan Lockwood Huie once said, “The path to your own happiness is usually found in service.” With all those years of officiating games and volunteering in their community, the Wozniaks understand the value of service. My guess is they’ve never heard of Johnathan Lockwood Huie, but his quote is deeply embedded in their DNA. They learned it from their parents; it’s the Wozniak way. Get involved, stay close to family and cherish your time together.
It’s the same formula that Stanley and Virginia used to spend 68 years together in marriage. So, Mr. and Mrs. Wozniak, thanks for teaching your children all those life lessons. To their spouses and families, thanks for sharing them. To the Wozniak crew, thanks for all the years you’ve dedicated to high school sports!
I can only imagine what they’ve seen and experienced during this time span. My guess is they could write a book filled with memories. The long drives, the late nights, the fall colors, the cornfields, the pumpkin patches, the icy roads, the snowstorms, the road construction, the price of gas, the vehicle mishaps, the missed deer, the big bucks, the coaches both good and bad, the great players and the not-so-great, the big games, the ejections, the technicals, the broken scoreboards, the athletic directors, the uniform styles, those ugly tube socks, the hairstyles, the rule changes, the news clips, the gyms, the good fans and the bad ones, the songs on the radio, the tickets, those aching body parts, who drove the most, who napped the most and the friendships made along the way.
Finding a family like the Wozniaks is rare. Becoming an official is one thing; doing it for 30 to 40 years is remarkable. What an impressive run – what a commitment to high school sports. So many games, so many stories, a lifetime of memories in the gym, on the track, at the softball field and in the car.
Eventually, the time will come when they decide to hang up their whistles for good. After it happens, I can picture them all sitting around the table on a cold winter night, drinking a cup of hot coffee, reflecting on their careers and all those games, all those memories, all those years, the stories, the laughs, and the time spent together as a family.
PHOTOS provided by Tim Miller.
