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: Predecessors Laid Foundation for MHSAA's Formation
By
Geoff Kimmerly
MHSAA.com senior editor
January 14, 2025
We have celebrated throughout this school year the 100th anniversary of the Michigan High School Athletic Association – our “Century of School Sports.” But the first high school sports in this state were being played more than a half-century before the MHSAA was established in December 1924 – and it’s important to recognize our predecessor organizations for their pioneering work.
To keep things very brief, it’s fair to say that high school athletics in Michigan followed the increase in number high schools across the state – especially public schools – as well as interest in sports predominantly at the college level.
In lieu of citing detail by detail, the following is based on research from “Athletics in Michigan High Schools – The First Hundred Years” by L.L. Forsythe, who served as the first president of the MHSAA Representative Council after playing a leading role in its creation as an officer of the previous Michigan Interscholastic Athletic Association. Newspaper reports of the day also contributed to what's summarized below.
It is also key to keep in mind a few things about the organizations that regulated high school athletics before the MHSAA, and to understand their relation to our work today:
- Schools at the start of organized athletics sought primarily to create competitive equity and a safe playing environment for their teams and athletes.
- Schools looked to the statewide organization to uphold and consider appeals for those rules regulating eligibility and fair play.
- Schools later asked for the statewide organization to take over sponsorship of the statewide championship events that began to crop up over the 30 years before the MHSAA formed.
According to Forsythe’s research, the first public high schools in Michigan opened during the middle of the 19th century – as of 1850, only 3-4 existed, but after the Civil War that number began to grow, and with it an interest in athletics as part of student life. Football and baseball were main draws, later to be joined by basketball and track & field – which would be among the MHSAA’s first championship offerings several years later.
The Beginning (1895-1909)
Forsythe notes that 1895 saw the first steps toward regulating high school athletics on a statewide basis. A few entities took on roles in an attempt to bring structure.
- The Michigan State Teachers Association, which in 1895 began to recruit schools to become part of an organization that would require eligible athletes to be enrolled students, succeeding academically with at least a “passing grade,” and participating in no more than five seasons or years of a sport. However, the MSTA did not have a program of activities, as those of the day were generally organized by universities.
- The University Athletic Association was formed by University of Michigan in 1898, and was the main organizer of invitational “state” championships in partnership with the MSTA.
- Another organization, the Michigan Inter-School Athletic Association, also pops up in 1895 as the host of what aspired to be an annual field day.
Michigan Interscholastic Athletic Association (1909-1924)
The Michigan Schoolmasters’ Club absorbed control of athletics from the MSTA in April 1909, forming the MIAA and immediately introducing a series of regulations including an age limit of 21 years old, an eligibility limit of four years, and a restriction on participation by athletes who had competed professionally.
The MIAA would continue to set other eligibility rules, charge dues ($1), and also write into bylaws that member schools could play only member schools. That latter detail was a big driver of growth – the revised MIAA constitution in 1921 added that regulation, and the association grow from 26 schools in 1920 to 130 in 1921, to 284 in 1922 to 305 schools in 1923.
On the event side, the MIAA conducted its first state track meet in 1912, then did so coordinating with Michigan State College. The 1921 basketball tournament saw the first mention of classes – Class B for schools with 250 or fewer students, and Class A for schools with more than 250.
It should also be noted that during the early 1920s, MIAA representatives helped form the organization (first of Midwest states) that would become the National Federation of State High School Associations (NFHS) – which continues to write game rules for nearly all MHSAA sports.
The MIAA continued operating into its annual meeting in December 1923, when leaders were presented with an unwelcome surprise announcement – the Michigan legislature, at the close of its recent session, had transferred supervision of interscholastic athletics to the state Superintendent of Public Instruction (to the superintendent's surprise as well, Forsythe noted).
The negotiations between schools and the state over the following year resulted in the dissolution of the MIAA on Dec. 5, 1924 – and the first meeting of the MHSAA eight days later.
Previous "Century of School Sports" Spotlights
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