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.
History in the Making - New and Old
By
Geoff Kimmerly
MHSAA.com senior editor
October 24, 2013
Last week’s MHSAA Lower Peninsula Girls Golf Finals marked the 42nd anniversary of the association’s sponsorship of the sport, and we've been researching some of the first and finest performances from the tournament's history – coincidentally, as a current player added a small touch with a big shot Saturday.
Read on to learn more about that feat and the first team to hoist an MHSAA girls golf championship trophy. And speaking of trophies, we've also got the story behind one of the oldest football traveling prizes still making the rounds in the Upper Peninsula.
An Ace Arrives
Fenton’s Madi Shegos finished her 2013 Finals by making history at Michigan State’s University’s Forest Akers East, a frequent MHSAA Finals site over the last two decades.
The course redesigned its 18th hole from a short par-4 to a par-3 this season. And Shegos became the first to score it a hole-in-one, doing so during the second round of the Division 2 Final.
Retired longtime East Lansing coach George Jones, also a longtime assistant at the Finals and the taker of the photo at right, added: “Madi Shegos did something almost every golfer around the world never gets a chance to do or if given the chance, doesn't do.
“Sure, every par three at Forest Akers and nearly every other par three around the world has had an ace, but on Friday Madi was the very first to accomplish this on the newly-constructed 18th hole on the East Course. No one else will ever be the first. This honor goes to Madi Shegos, a sophomore at Fenton High School.”
Shegos improved six strokes during her second round to shoot a 103 on Saturday as Fenton finished fifth in Division 2 for the second straight season.
First to Reign
Although Lower Peninsula girls golf was played during the spring for its first 35 years, and Upper Peninsula girls golf remains in the spring to this day, the first girls MHSAA championship tournament actually took place during the fall of the 1972-73 school year – with Pickford claiming the first title by winning the Upper Peninsula Final by three strokes over Escanaba on an October day at Lake Bluff Country Club.
Thanks to some quick work by Pickford athletic director Chuck Bennin and one of the four players on that championship team who now teaches at the high school, we'll soon be adding results of that tournament to our growing archives at MHSAA.com.
Here's a quick flashback from that inaugural 9-hole event: The Panthers were led by Patsy Nayback’s 49, which was good for second place individually. Joni Hamilton and sisters Bonnie and Kathleen MacDonald rounded out the lineup and are pictured above. Ishpeming’s Marge Farley shot a 44 to finish as medalist.
Another fun fact from that October day: The Escanaba Daily Press reported that in the boys MHSAA Final, Pickford’s Kevin Hamilton recorded an eagle on the par-5, 472-yard third hole, with his second shot running through a sand trap, up the green and into the cup.
The Lower Peninsula Girls Finals teed off for the first time the following spring, with Bloomfield Hills Lahser defeating East Grand Rapids by a stroke at Grand Ledge’s Troy Hills Golf Course.
Wanted: More Finals Archives
For the majority of MHSAA sports, we’ve published on MHSAA.com results, box scores, etc., for most of our Finals dating to at least the late 1990s. For years prior, we've begun filling in with what we can gather from our formerly-published Books of Champions and MHSAA Bulletins.
But realizing there are complete copies of results out there in scrap books, trophy cases, newspaper archives and the like, we’d love to gather as many as possible to add to the site.
If you’ve got results from an MHSAA Finals in any sport that aren't showing at MHSAA.com or that can augment our current collection, please email me at [email protected].
First of many
Certainly the most prevalent prize awarded for winners of Michigan’s high school football trophy games is some version of a “little brown jug.” And this weekend, the oldest of the jugs will be on the line when Newberry faces Sault Ste. Marie.
They first played for the trophy in 1925, with the original jug replaced by the current version in 1934. Sault Ste. Marie leads the series 58-33-5 including 46-28-5 in games for the Jug.
Below is an excerpt from a brief history of the trophy researched by Ron Pesch:
In the state’s Upper Peninsula, Newberry High School first played Sault Ste. Marie on the gridiron in 1911 and, for the most part, they have squared off annually since 1923. To commemorate the battle between these schools, legend has it that in 1925, a Newberry druggist donated a Jug to serve as a trophy. The prize was to be retained by the winning team until the next meeting would determine ownership. The idea, of course, came from the Michigan-Minnesota rivalry.
In 1934, for reasons unknown, a new jug debuted. Fittingly, that game between the rivals ended in a 7-7 tie.
Over the years, the rivalry has generated many classic contests between the larger school from the Soo and the smaller Newberry district. The series was interrupted in 1940 and 1959, and then went on a five-year hiatus between 1999 and 2003. As school officials recognized the importance of the series to the residents of the area, the rivalry was resumed in 2004 when the Blue Devils joined Newberry in the Straits Area Conference.
PHOTOS: (Background) The members of the 1972 Pickford girls golf team, as they appeared in the January 1973 MHSAA Bulletin. (Foreground and below) Fenton’s Madi Shegos stands with the flag after drilling the first hole-in-one at the redesigned No. 18 at Forest Akers East during last weekend’s Lower Peninsula Division 2 Final.