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: MHSAA Tickets Continue to Provide Fan-Friendly Value
By
Geoff Kimmerly
MHSAA.com senior editor
February 19, 2025
A buck went a lot farther a century ago, and a family of four wishing to watch the MHSAA Class A Boys Basketball Final in 1928 could have done so, at the minimum, for a grand total of $2 – or $6 if they were looking to splurge on the best seats.
Of course, relating the value of money 100 years ago to now is not apples to apples. But for Michigan school sports, a deal like that is meant to last forever.
The MHSAA has made it part of long-standing philosophy to keep ticket prices for its tournament events as low as possible, continuing to provide opportunities for entire families to attend together, and hoping to provide the best bargain as tickets to sporting events at other levels have climbed much more rapidly over the decades.
For the sake of comparison, consider tickets over the years for the Boys Basketball Tournament – the first event hosted by the newly-created MHSAA in 1925.
In 1928 (the first year for which cost of admission could be found), ticket prices for the MHSAA Boys Basketball Finals at the Olympia in Detroit were listed at 75 cents, $1 and $1.50, and a newspaper report after noted that in fact the cheapest seats were sold for 50 cents apiece instead. One ticket was good for all four games.
Less than 30 years later, $1.50 still got a fan two championship games – reserved seats for 1955 Boys Basketball Finals at Jenison Field House cost $1.50 per session, with Class C and B Finals in the afternoon and Class A and D in the evening. A decade after that, in 1965, tickets still cost $1.50 per session – although sessions were now split into the Class B game in the morning, Class D and C games in the afternoon, and a Class A session that night.
Sixty years later, prices have continued to rise incrementally – but again, while prioritizing keeping them as low as possible.
These days for boys basketball, District tickets cost $7, Regional tickets cost $9, Quarterfinals cost $10, and Semifinals and Finals tickets cost $12 per two-game session.
On its face, that’s quite a jump from the 1960s, much less the 1920s. But consider: Multiple inflation calculators say that $1.50 ticket for two games in 1955 would be worth more than $17 for two games now, meaning MHSAA Finals ticket prices have grown at a much slower rate.
Consider as well MHSAA ticket prices against Consumer Price Index data over the last 20 years. The U.S. Bureau of Labor Statistics reported in 2023 that admission costs to sporting events nationally had doubled over the previous two decades – literally going up 100 percent – yet price increases for the MHSAA Boys Basketball Tournament since 2005-06 have increased just 40 percent at the District level, where 60 percent of our boys basketball tickets are sold. Ticket prices for Regionals and Finals also have grown slower than that national rate.
And it remains tough to argue with what spectators get for their money at the MHSAA Tournament level.
For the 2024-25 school year, tickets for all District and Regional competitions – and some Quarterfinals and Semifinals – remain in the $7-$9 range. Finals tickets cost $10-$12, except for Individual Wrestling Finals ($18) and 11-Player Football Finals ($20) both at Ford Field – and one ticket for those is good to watch championships in five divisions in wrestling and four football championship games over one day, respectively.
In fact, the most recent change to ticketing has had nothing to do with the price – but instead, the move away from the paper tickets you see above. All tournament tickets are now digital, which keeps the MHSAA current with what’s done in college and pro sports and other forms of entertainment and assists in efficiency by taking cash out of the equation.
Previous "Century of School Sports" Spotlights
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