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.
Parents Master Art of Schedule Juggling
By
Pam Shebest
Special for MHSAA.com
October 18, 2016
If it’s Tuesday, it must be volleyball — or is it soccer or maybe swimming?
Time to check the calendar, the phone app or the white board.
To keep up with two or more students involved in different sports in the same season, families have devised their own ways for keeping track of schedules.
The Carpenters, who have sons Matthew and Alex at Kalamazoo Hackett Catholic Prep, use several calendars, including a master schedule in the kitchen.
The Perkins, whose daughters Lauren and Audrey attend Mattawan High School, rely mostly on the phone app Cozi to keep schedules straight.
For the parents, it’s a question of logistics and juggling, which sometimes takes a lot of creativity.
“We have electronic calendars and paper calendars to look at every morning,” dad Tim Carpenter said. “We talk about who’s going where and who’s going to do what at the start of each day to figure it out.
“I keep a sports calendar to share with all the family so they can see the different things going on. If we are ever home at night without a game, it’s a strange feeling.”
Besides the composite kitchen calendar, “We also have our iPhone calendar so we both can see one another’s calendar at the same time,” mom Julie Carpenter said.
“It’s pretty much Monday through Saturday, some game or practice. Sunday it’s Mass, groceries and laundry.”
The Perkins use a phone organizer app called Cozi.
“We try to get all the schedules in there so everybody knows where everybody else is,” mom Valerie Perkins said. “I usually have a white board on the kitchen counter that I update weekly, and it kind of tracks who’s got what when.
“The girls’ meets are on opposite days. Like Audrey will have something on Monday, Wednesday and Lauren has Tuesday and Thursday. Occasionally they both have Saturdays. Then we divide and conquer, for sure.”
With five children, the Carpenters try to split time evenly between all the activities.
Matthew, a senior, is Hackett’s soccer goalkeeper and Alex, a sophomore, plays junior varsity football. Oldest son, Josh, a sophomore at Michigan Tech, plays broom ball – and while his parents don’t travel to watch him play, the games are webcast during the winter.
The activities won’t end soon. Bennett, a sixth grader and Bethany, a third grader, both at St. Augustine in Kalamazoo, also are involved in sports.
The Carpenters try to attend all of their children’s games together, but sometimes that is not possible.
In that case, “We usually base it on who’s closer,” Tim Carpenter said. “If there’s one game south near where I work in Portage (at MANN+HUMMEL), I’ll usually go to that.
“If Julie (who works at Borgess-ProMed Physician Pediatrics in Richland) has only seen one of Alex’s games and I’ve seen two, she’ll go to Alex’s. We try to keep it even.”
Both parents were introduced to new sports once their sons got involved.
“(Our sons) haven’t done tennis or golf,” Julie Carpenter said. “Soccer’s got more action and excitement; basketball is similar. Skiing was neat because it’s such a close-knit community. Cross country was fun because it was a very team environment.
“I had not seen cross country before, but when Josh started cross country it was really exciting because we thought ‘OK, how much can you get out of cross country as a spectator?’ It was pretty exciting for us just to run from spot to spot. They’re such a close-knit group of kids.”
Whether there are five children or two, as in the Perkins family, parents face the same dilemma: trying to juggle work, practices and events.
“We usually try to trade off so we get an even mix of seeing the girls,” said Valerie Perkins, who works at Bronson Urology in Kalamazoo. “Sometimes Rob’s schedule dictates that. Sometimes it’s who’s ever closest.”
Rob Perkins, who works at TRW in Mattawan, said sometimes there’s a glitch.
“When they give us advance warning of what’s going on and it doesn’t change, then I can work around it,” he said.
“The only time it gets frustrating is when something changes at the very last minute, or maybe it was always the same and the girls’ stories change at the last minute,” he added, laughing.
Neither parent was familiar with the sports their daughters chose.
“With dive, Lauren started in eighth grade, so it evolved from a summer camp and she really enjoyed it,” Rob Perkins said. “We kind of fell into Kyle Oberhill, who’s the diving coach for (Kalamazoo College) and he manages the facilities for Western (Michigan University).
“He’s just really easy-going. (Lauren) excelled in it right away. As a freshman, she broke the school record. That kind of kept her motivated to keep going.”
Oberhill also had a workshop for parents to explain the intricacies of competitive diving, and that helped. Audrey, meanwhile, took on another sport new to her parents when she started playing volleyball in seventh grade.
“We didn’t know much about it, but the important thing to know about it is she enjoys it,” her dad said.
Rob Perkins said it would be much easier if volleyball and dive were not in the same season, but there is an upside.
“I would say, generally speaking, being in sports certainly builds their self-confidence, keeps them occupied.”
Their mother said she can see a positive influence of sports on their girls.
“I think sports have definitely improved them,” she said. “They’ve learned how to become leaders and work as a team, and I really appreciate that.
“I can see it develop in both of them over the years. Both are captains of their teams.”
And both sets of athletes said it’s important to see their parents at their games.
“It gives me more confidence,” Alex Carpenter said, “and makes me feel good that they want to see me play.”
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 parents Rob and Valerie Perkins cheer on their daughter Lauren during a recent swimming & diving meet. (Middle top) The Carpenters, clockwise from top left: Tim, Julie, Alex and Matthew. (Middle) The Perkins daughters, Lauren (left) and Audrey. (Middle below) Matthew, the Hackett soccer goalkeeper, looks to pass after gathering up a loose ball. (Below) Lauren Perkins dives during a meet. (Lauren Perkins head shot by Becky Anderson Photography, all other photos by Pam Shebest.)