Ankle Sprain

Andreas Leonidou

Orthopaedic Surgeon

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An ankle sprain or ankle joint sprain is an injury that occurs when the ligaments of the ankle joint are stretched or torn. These ligaments hold the bones together and help provide stability and smooth movement of the joint. Sprains occur when the foot moves beyond its normal limits – twisting excessively in one direction. This causes the ligaments to stretch and, in some cases, tear. An ankle sprain is a common injury and the most frequent cause of ankle pain.

Ankle Sprain – Causes

  • Sports injuries
  • Simple injury after a misstep during daily activities. As patients often describe it: “my foot rolled.”
  • People who wear shoes that are not suitable for their sport are more likely to suffer an ankle sprain.
  • Athletes who make sudden changes of direction or run on uneven surfaces have an increased risk of ankle sprain. Such sports include basketball, volleyball, and football.

Ankle Sprain – Classification

Depending on the severity of the injury to the affected ligament, sprains are classified as follows:
  • Grade 1: Simple stretching of the ligaments.
  • Grade 2: Partial tear of the ligaments.
  • Grade 3: Complete tear of the ligaments resulting in joint instability.

Ankle Sprain – Symptoms

Symptoms of an ankle sprain include:
  • Pain
  • Swelling
  • Redness
  • Stiffness
  • Bruising of the area
  • Inability to bear body weight

Ankle Sprain – Diagnosis

A patient with an ankle sprain requires a clinical examination by an Orthopaedic Surgeon. Dr Leonidou will take a detailed medical history and examine you. The doctor may perform an ultrasound scan and will discuss the recommended treatment options with you. Occasionally, further examinations such as plain X-rays or an MRI scan may be required to confirm the diagnosis and assess severity. An X-ray is useful for ruling out an ankle fracture, while MRI provides detailed imaging of ligament injuries as well as other possible joint problems, such as cartilage damage.

Ankle Sprain – Treatment

Treatment of an ankle sprain during the first hours after the injury includes:

  • Elevation of the leg above the level of the heart

  • Ice therapy for 15 minutes, 4–5 times per day

  • Compression with an elastic bandage

  • Use of painkillers (simple analgesics or non-steroidal anti-inflammatory drugs)

  • Rest

Depending on the severity of the injury, crutches or immobilisation with a specialised brace may be required for a period of time. Physiotherapy helps with soft tissue healing and restoration of ankle range of motion. If symptoms persist, injection therapy with biological factors (PRP) may be required.

Ankle Sprain – Surgical Treatment

In severe cases of ankle sprain, surgical treatment may be required. This may include either arthroscopy to treat cartilage injuries or other associated injuries, or ligament repair and reconstruction.

In cases where the patient experiences recurrent dislocations and chronic instability, ligament reconstruction is recommended. The results are excellent, with full return to daily activities.

Ankle Sprain – Prevention

There are several ways to prevent an ankle sprain, including:

  • Wearing comfortable and appropriate footwear for the sport you participate in.

  • Proper warm-up and stretching.

  • Avoiding sudden changes of direction.

  • Balance, core, and back strengthening exercises.

Ankle Sprain – Return to Sports

Return to sports activities is recommended once symptoms have completely subsided, with a gradual increase in intensity and frequency.

If you have sustained an ankle sprain, it is important to consult an Orthopaedic Surgeon to receive the appropriate treatment. With proper treatment, the injury will heal and you will be able to return to your usual activities. For more information and appointments, please contact us.

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