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.
English's Hall of Fame Contributions to St. Francis Continue Behind Camera Lens
By
Tom Spencer
Special for MHSAA.com
October 9, 2025
The name Julie English is now synonymous with Traverse City St. Francis football.
English spent her first two decades contributing to the school behind the scenes, helping the Gladiators launch boys and girls soccer programs, and scoring volleyball and basketball. She served as team manager for boys and girls soccer and even bus driver, so to speak, for the latter.
She’s also very noticeable on the sidelines of football, soccer and volleyball games, taking pictures with the aid of a motorized wheelchair.
This past Saturday, she was front and center. She was inducted into the Grand Traverse Area Catholic Schools Hall of Fame – established in 2007 to recognize individuals who inspire others by being exemplary role models.
English was paralyzed 10 years ago as she reached the end of a zip line while chaperoning a girls soccer team trip weeks ahead of the 2015 season. Many recall snow on the ground as she went first, intending to take pictures of the team as they planned to follow. She decided to go first that March day despite a fear of heights.
“It was all part of God's plan because I am afraid of heights – I really had to talk myself into going on the zip line,” said English, who considers it a freak accident and doesn’t discourage anyone from giving zip lining a try. “I was thinking, you know, I'm trying to convince these girls to step outside their comfort zone. And if I'm too afraid to do something like that, what kind of an example am I? So I breathed it and went up and actually it was fun – until it wasn't.“
Past TCSF athletic director Tom Hardy introduced English at the induction ceremony last weekend. He lauded the “amazing women he had the privilege” of working with during his 18-year tenure.
“While such a devastating event might have broken many, it only served to strengthen Julie's unwavering faith,” Hardy said. “She approaches each day with grace, fully aware of the challenges ahead, yet she embraces them with joy, love, and laughter. Following her accident, Julie dove deeper into her passion of photography.”
English now generously volunteers her time capturing St. Francis athletic events and creating lasting memories for students and their families through her lens, leaving school officials, coaches, players and supporters in awe.
Current TCSF athletic director Aaron Biggar has personally been touched by English’s work, through her photographs of his boys playing football for St. Francis. He’s thrilled to have English for home game, and she also travels to – and is welcomed by – volleyball, football and soccer opponents.
“Julie’s ability to capture those life events for parents who are watching the game and not taking pictures, has been such a gift for our community,” Biggar said. “She's been around so long and (is) so accepted by our community. And even by opposing teams, they allow her to be on the field and make precautions and stuff so she can. Our opponents in other schools have also been so accommodating of her and helping.”
English was at Thirlby Field last week capturing the Glads’ big Homecoming win over Boyne City, 20-13. She won’t be on the road tonight as the Glads put their undefeated football record on the line against Pontiac Notre Dame Prep. But she will be back on the football sidelines Oct. 18 when St. Francis hosts Jackson Lumen Christi. And she’ll also be on the sidelines next week when the boys soccer team continues what it hopes will be another deep run into the postseason.
English’s humility, deep faith, and enduring optimism have had a profound and lasting impact, supporters note. Not surprisingly, her biggest concern as she takes pictures today is not her safety – it is the safety of the home and visiting athletes.
“I think sometimes I make people nervous, but I am always cognizant of what's going on, because the last thing I want to do is hurt anybody, like, have them run into me and then get hurt,” English said. “I want to be where I can get a good picture, but definitely not where someone could get injured if they ran into me.”
English’s photos are treasures for St. Francis families, points out Mike Kanitz, who was inducted into the Hall of Fame alongside English. In fact, he nominated her. Kanitz is the junior varsity girls basketball coach, volleyball game manager, volleyball announcer and volleyball scorekeeper, football press box manager, and the Glads’ soccer game manager.
“Julie’s ability to capture time for SF families, I mean, is priceless,” said Kanitz, who also can be found at the scorer’s table for boys basketball. “She catches kids in their level of joy, and it's cool. It's a snapshot in time, and she does it for every family. I mean, this is all free. She posts it all free. She doesn’t charge anybody. And she she's such a hard worker. She's everywhere.”
Kanitz vividly recalls English’s efforts to bring soccer to St. Francis. It happened in 2002. The Glads first had a club team coached by volunteer Reggie Rix.
“She had to fight some hurdles and it was a lot of work, and to start a new sport – her vision was the correct vision,” Kanitz said. “There were coaches, but Julie was really the one that took care of everything. Julie was fair to all children. She wanted all kids to have that good experience of high school sports.”
Kanitz, one of many who regularly see English’s photos and read her inspiring messages on social media, finds it difficult to think about the zip line accident. His daughter was one of the St. Francis soccer players waiting to come down the line next.
“It's still hard for me to actually think about and talk about, but Julie's handled it better than anybody,” he said. “Her faith in God is so strong, and her message she writes … these Facebook stories about where she's at in her journey … they're moving and people read them, and it affects people.”
Early on, Julie recognized the vital importance of a Catholic education for her children and committed herself wholeheartedly to making it a reality, Hardy recalled. In addition to operating a full-time in-home daycare for more than 30 years, she worked weekends to help make ends meet and ensure that her four children – Ian, Caitlin, Jordan and Chelsea – remained enrolled in the Catholic schools.
As the owner of a daycare business, English drove a 12-passenger blue van. She often emptied the car seats in time to get 11 players – including Caitlin and Chelsea – to soccer games wherever TCSF was playing.
Caitlin English played on the first TCSF girls soccer team in 2002. She presented Hardy with a petition to offer soccer, signed by St. Francis athletes. As a club, English is proud to say, the team won all 17 of its games. When soccer became a school-sponsored varsity sport a year later, it was a cooperative with Traverse City Christian called Liberty.
Ian English was on the field for St. Francis boys’ first game, played through a co-op also with TC Christian during the fall of 2008. Chelsea English also played soccer for the Glads. Jordan English played rugby.
Ian, Jordan and Chelsea were at Julie’s induction ceremony. Caitlin, now living in the Grand Rapids area, was unable to attend because she is coaching soccer for her own daughter, Emilia, although Julie’s son-in-law did attend.
English gets around today with a vehicle adapted for her. She is supported regularly by Ian and Chelsea, along with a mother of nearby Kingsley High School athletes. She’s been spotted on the sidelines taking pictures at Kingsley volleyball and soccer matches, too. English also has been able to get to Grand Rapids and capture her granddaughter’s early soccer days with her camera.
She is enjoying a new beginning with soccer as well as her newer role for the Glads.
“Back in the day, I was able to run the clock, take pictures and do the book,” English said. “I don't think my brain would handle all of that now, but, you know, it was it was fun to do at the time. Not being able to do daycare anymore and not being able to do the things I did at St. Francis are the hardest things about being in a wheelchair – just not being able to do all the things I used to do.”
This spring marked the 10-year anniversary of the accident. English said she never asks, “Why me?” Rather, she is determined to can find the good and take advantage it.
Hardy agreed.
“Julie has said, ‘Never doubt who and what God puts in front of you,’” Hardy said. “This encapsulates the guiding ethos of her life.”
Tom Spencer is a longtime MHSAA-registered basketball and soccer official, and former softball and baseball official, and he also has coached in the northern Lower Peninsula area. He previously has written for the Saginaw News, Bay County Sports Page and Midland Daily News. He can be reached at [email protected] with story ideas for Manistee, Wexford, Missaukee, Roscommon, Ogemaw, Iosco, Alcona, Oscoda, Crawford, Kalkaska, Grand Traverse, Benzie, Leelanau, Antrim, Otsego, Montmorency, Alpena, Presque Isle, Cheboygan, Charlevoix and Emmet counties.
PHOTOS (Top) Longtime Traverse City St. Francis supporter Julie English readies for her next shot while attending a Gladiators football game this season. (Middle) English captures a few frames. (Below) English recently was inducted into the Grand Traverse Area Catholic Schools Hall of Fame. (Top two photos by Rick Sack/TC Rick Photo. Below photo by Tom Spencer.)