MANAGEMENT OF ANKLE SPRAINS
Ankle sprains are a common injury with a very high risk of recurrence. They are often thought of as a minor concern, and are therefore not managed or rehabilitated properly. This leaves people with significant deficits in mobility, strength & stability despite being able to return to sport. These residual deficits increase the risk or recurrent sprains, and chronic ankle instability (CAI).
A recent review published in the British Journal of Sports Medicine looked at 46 papers published on the treatment of ankle sprains (Doherty et al., 2017). It found:
-Strong evidence for NSAIDs (anti-inflammatories) and early mobilisation after ankle sprain in improving pain, swelling and function.
-Good evidence to support exercise and manual therapy techniques in rehabilitation.
-Minimal/no evidence to support the use of therapeutic ultrasound or acupuncture.
-Strong evidence to support bracing as well as neuromuscular training/exercise based rehabilitation in preventing recurrent sprains & CAI.
Ankle sprains need to be treated seriously due to the high risk of recurrence & chronic instability. Ensure you seek professional advice after an ankle sprain and complete your rehabilitation diligently to reduce your risk of re-injury and be able to continue your sport/exercise of choice!
Chris Bryceson
B. Health Sciences (Physio), APAM
CB Physiotherapy