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.
Novak Mourned, Missed After 42 Years of Telling Southwest Michigan's Stories
By
Scott Hassinger
Special for MHSAA.com
November 5, 2024
DOWAGIAC - One seat at the media table at five schools in Cass and Berrien counties will remain vacant when the 2024-25 high school basketball season tips off in a few weeks.
Scott Novak, legendary sports editor for Leader Publications for the past 42 years, won't be there to occupy his.
Novak, 63, passed away Oct. 23 following an extended illness.
Throughout his storied career, Novak earned several awards from the Michigan Press Association, The Associated Press and the Basketball Coaches Association of Michigan.
Personal recognition wasn't anything Novak sought out. In fact, the Decatur native made it his crusade to see that he got the name of every athlete he covered each sports season into the newspaper at least once.
Novak formed long-lasting relationships with coaches, athletes, parents, officials and athletic directors in the communities of Cassopolis, Edwardsburg, Buchanan, Niles Brandywine and Niles High School, along with Southwestern Michigan College.
Not only did Novak cover local high school sports, but Little League and many other youth and adult recreational sports, along with professional motocross racing at the RedBud Motocross Park in Buchanan.
Novak devoted countless hours during the week and on weekends bringing thorough coverage to Southwestern Michigan. The sports pages Novak designed for the Niles Daily Star, Dowagiac Daily News, Edwardsburg Argus and Cassopolis Vigilant contained more than just stories and photos. The weekly sections Novak produced also contained an entire page or two devoted to statistics and box scores. He took great pride in including those as part of the sports section. Leader Publications is one of very few community newspapers that still does so.
Novak was passionate about his sports coverage in every community, especially Dowagiac where he resided.
Dowagiac High School's 1990 Class BB championship football team was one of the most notable stories Novak covered, along with the Chieftains' 2011 Class B semifinalist boys basketball team. Edwardsburg's 2018 Division 4 championship football run, along with a Final Four run by Niles in softball, were other big events he covered.
Ken Fox, sports editor at the Elkhart Truth, remembers a comment Novak made in the media room following Dowagiac's 35-14 win over Oxford in that 1990 Football Final at the Pontiac Silverdome.
"I'm not sure anyone could have been happier than Scott covering that Chieftains team. We both covered Dowagiac games in the tournament, and each win made Scott's smile grow bigger," Fox recalled. "Somehow we timed it right the day of the game and ended up walking into the Pontiac Silverdome together. When he was ushered right onto the field for the game, that smile was as wide as it had ever been. His first words to the rest of the media when he came into the interview room after the win over Oxford was vintage Scott."
"I told you all back in August that Dowagiac would win it," Novak said.
Robert Oppenheim, a sportswriter at the Elkhart Truth, remembers Novak for being upbeat and positive.
"Scott certainly enjoyed his high school sports and was very knowledgeable about the area,” Oppenheim said. “Personally, he was great to me. He was one of the first people to reach out to me about a job when I was looking for one after my past job experience as a sportswriter ended. I remember having a meeting with him at a Subway in Niles talking about what the job would involve. Each week we would discuss my assignment, and he was great to work with. He understood and wasn't upset when I got a full-time sports writing opportunity at the Elkhart Truth. That's the type of person Scott was. He cared about others. Heaven got a great sportswriter and an even better person."
Brent Nate, a 1997 Dowagiac graduate now in his 14th year as the school's athletic director, grew up knowing Novak.
"I've known Scott my entire life. Looking back, I now realize how special it was to have the local sports editor there covering our middle school football games. You always knew there would be an article on the game in Saturday's newspaper," Nate said.
Nate remembers fondly the night Novak visited his home to interview his older brother after Scott Nate was selected by the Milwaukee Brewers in the 1994 Major League Baseball Amateur Draft.
"I just remember the great interest he took in getting to know our family that night. Later when I returned to Dowagiac as athletic director, we rode together to several games,” Brent Nate said. “Scott was a great advocate for high school sports, and what he did for Dowagiac athletics will never be duplicated."
The Dowagiac athletic department will have Novak's empty seat on display this winter in the exact spot where he regularly sat during home basketball games.
Edwardsburg football coach Dan Purlee remembers Novak riding the bus with the team to playoff games when Purlee coached at Cassopolis.
"I always thought very highly of Scott and got to know him really well. He just really loved the Cass and Berrien County area in terms of covering high school sports and did a tremendous job," Purlee said.
Josh Hood, Niles Brandywine's assistant principal and varsity girls basketball coach, first met Novak when Hood was a student-athlete at the school.
"Scott just loved sports, and it was more than just a job to him,” Hood said. “He was very passionate about what he did. I'll remember all the laughs we had in the Bobcat Den and just sitting around talking to him before games and all the friendly banter."
Novak was nominated by Hood as a media member to BCAM's Hall of Honor in 2022.
"It was an easy decision to nominate Scott. I was so excited that he was selected in his first time on the ballot. The articles he wrote were unbelievable," Hood said.
On the day of Novak's passing, Niles Brandywine athletic director David Sidenbender left the school's football stadium lights on overnight in his memory.
"I got to know Scott pretty well when I attended and played baseball at Southwestern Michigan College. He was always fair in his writing and always showed interest in other people's opinions about what he put in the paper," Sidenbender said.
"We will always feel Scott's presence. He always made our kids feel special by interviewing them after covering our games. He will be greatly missed."
Matt Brawley knew Novak both as an athlete and more recently as Niles’ athletic director.
"Scott was a staple in Southwestern Michigan sports. He was very accessible and he knew his stuff,” Brawley said. “He really enjoyed the area and covered me as a player during our District championship and Final Four runs. I also was privileged to work with him during my time at Cassopolis and Niles as AD. He was just an amazing human being, a good friend and was there for everything. You could trust him if you told him stuff off the record as well.”
Brawley set up a table in Novak's memory at last Friday's home football playoff game with Paw Paw. The table contained candles, Novak's photo and a Niles Vikings hat as a memorial to him.
"Scott was the ultimate writer who was an even better human being,” Niles varsity boys basketball coach Myles Busby said. “I can see him, even now, sitting in his chair in the corner of our gym. He had an incredibly warm and welcoming presence about him that made it easy to talk to him. I always enjoyed talking to him as a student-athlete, but I found great appreciation learning more about him during my time as head coach.”
Niles senior tailback Sam Rucker stated that Novak's presence at the games never went unnoticed.
"It means a lot to us to see the media at our games. Just having him at the games inspired us and made everyone feel good," Rucker said.
Sports weren't the only thing Novak covered for Leader Publications. He also enjoyed country and classic rock music and covered many popular artists when they appeared at area venues. He conducted interviews with Tommy James and Kenny Loggins, along with several other stars.
Outside of work, Novak enjoyed being a father to his daughter Kirsten, who survives him.
Scott Hassinger is a contributing sportswriter for Leader Publications and previously served as the sports editor for the Three Rivers Commercial-News from 1994-2022. He can be reached at [email protected] with story ideas for Berrien, Cass, St. Joseph and Branch counties.
PHOTOS (Top) Niles High School set up a memorial table in honor of Scott Novak at Friday's home Division 4 playoff game against Paw Paw. (Middle) Novak, right, conducts a postrace interview with former professional motocross and supercross racer Mike LaRocco at the RedBud MX track in Buchanan during the Red Bud Trail Nationals several years ago. (Below) The Dowagiac High School athletic department will honor Novak by keeping his vacant chair present in the school gymnasium throughout the upcoming 2024-25 basketball season. (Top photo courtesy of the Niles athletic department. Middle photo by Amelio Rodriguez. Dowagiac photo courtesy of the school’s athletic department.)