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.
Recent Stars Build on HS Sports Foundation
By
Pam Shebest
Special for MHSAA.com
January 23, 2018
Mattawan’s Allie Havers experienced high school sports in part as a stepping stone to a scholarship and eventual national championship at the University of Nebraska.
Hackett Catholic Prep’s Hope Baldwin earned two national awards and several scholarships for an essay on the role of high school sports in shaping her future.
But for both Kalamazoo-area athletes, high school sports had a much deeper impact than just national recognition.
Baldwin, who is not playing varsity sports as a freshman at University of Notre Dame, was an MHSAA Scholar-Athlete Award winner, received the National Interscholastic Athletic Administrators Association National Scholar Athlete of the Year award in Phoenix in December and will travel to Atlanta in April for the Coach Wooden Citizenship Trophy.
She wrote the essay while a senior at Hackett and, looking back, she said, “When I wrote that essay, I think it was probably March of my senior year. Now, being in college and not being involved in those athletics any more has given me the opportunity to appreciate them even more.
“Reading my speech and being able to look back on how I was writing from that perspective still in high school, I was like, ‘Oh my gosh.’ I knew it was important then, but now not having it any more I realize even more what a benefit high school sports are.”
The lasting impression for both athletes is not a specific game or highlight, but “mostly I miss my teammates and coaches,” Baldwin said.
“In each season, coming in every day to practice with the same people really made unique bonds because we were all working toward the same goals.”
Havers, who was first-team all-state in three sports at Mattawan, said looking back, it’s the people who made the deepest impression.
“I remember the people, the coaches, my teammates and the seniors who were on the team my senior year,” she said. “I look back, and it was a pretty cool experience. I’m really humbled.
“I didn’t do it by myself. I had help from my parents, siblings, coaches and teammates.”
Words of wisdom
Baldwin was stunned when her essay won for the state of Michigan and then for her NIAAA section (Michigan, Wisconsin, Iowa, Illinois, Indiana).
She then was chosen as the female national award winner, earning a $2,500 scholarship in addition to a plaque.
Among points she emphasized were the following:
- “Sports have taught me valuable time management skills.”
- “I learned … how to deal with disappointment gracefully, an ability I will carry with me in the years after high school.”
- “Developing a mindset of good sportsmanship has enabled me to look beyond winning or losing. … I realize a disappointing experience is still worthwhile.”
- “I broke my collarbone in a soccer game and had to undergo surgery. … I learned how to lead my team from the bench.”
She added that although most enjoy the thrill of competition, “the true value of athletics lies in the transformation off the court. That is, in the time management, leadership, work ethic and teamwork skills that are carried in one’s character beyond sports and beyond high school.”
Baldwin, who is majoring in neuroscience and behavior with a pre-med concentration, said she chose Notre Dame for academics rather than attending a smaller school where she might have played sports.
While she played four years of volleyball, basketball and soccer at Hackett, that drive for competition has not completely left her.
“I’ve been doing some intramural sports, which is really fun,” she said. “Sand volleyball, basketball and our dorm had a flag football team. We actually ended up making it to the championship and we got to play in the Notre Dame football stadium, so that was really cool.”
Succeeding, switching, succeeding again
Havers had no doubt she would be playing college sports after an outstanding career in basketball, volleyball and softball at Mattawan, graduating in 2013.
She earned a basketball scholarship to University of Michigan but when the coach left, she de-committed and eventually ended up with the Cornhuskers.
The transition from high school to college hoops was an eye-opener.
“I had to catch up to the game,” Havers said. “In college, the girls are a lot bigger, a lot stronger, a lot faster and more physical. I knew the girls at post, my position, were a lot stronger than me.
“I came in at (6-foot-4) 140 pounds, and most others in the post position were 180 to 200 pounds.”
Her practice schedule was also different.
In high school, the team practiced about two hours a day.
But in college, “We practice four hours and on the court just about every day,” Havers said. “You have school work, lifting, meetings, tutors. You will definitely come out with great organization skills.”
After playing four years of basketball at Nebraska and graduating with a degree in psychology, Havers knew she did not want to give up competition in a college atmosphere.
“I had a fifth year of eligibility left but not in basketball, so I went out for the volleyball team,” said Havers, who is working toward a master’s degree in journalism and mass communications. “I knew if I didn’t try, I would regret it. Nebraska is a volleyball dynasty.”
She was faced with a situation unfamiliar to her.
“I played every basketball game, but I played just two volleyball games,” she said. “It was a lot different. I was used to playing a lot in basketball and all through high school, too.”
“No athlete likes sitting the bench, but you learn your role and you go with it. I feel really blessed for the opportunity and knew I had to work hard for a spot.”
The payoff was the NCAA National Championship when Nebraska defeated Florida in the four-set final Dec. 16.
Even though her college eligibility is gone, Havers, who hopes coach once she graduates, is still playing sports at the intramural level.
“Beach volleyball is a college sport at Nebraska,” she said. “It’s a three-month season with an indoor court.”
Havers' advice for high school athletes is: “Go in with an open mind, go in with heart and leave nothing on the table. Go to practice earlier and stay later.
“Coaches promise you anything, but that’s not always the way it goes. You have to go with the flow.”
Pam Shebest served as a sportswriter at the Kalamazoo Gazette from 1985-2009 after 11 years part-time with the Gazette while teaching French and English at White Pigeon High School. She can be reached at [email protected] with story ideas for Calhoun, Kalamazoo and Van Buren counties.
PHOTOS: (Top) Mattawan’s Allie Havers, left, and Kalamazoo Hackett’s Hope Baldwin enjoyed outstanding high school athletic careers. (Middle) Baldwin, top, and Havers. (Below) Havers went on to play both basketball and then volleyball at Nebraska. (Basketball photo courtesy of Nebraska’s athletic department; soccer photo courtesy of Hackett’s girls soccer program.)
ESSAY: See the full text of Baldwin’s essay below that contributed to her selection as an NIAAA Scholar Athlete winner for 2017.
