Acute Ankle Sprains

Ascreen-shot-2017-12-01-at-4-36-16-pmcute ankle sprains account for 80% of all ankle injuries! (1) Inversion sprains being by far the most common. (As pictured)
Your ankle injury should have been Graded from 1-3 (4) by your practitioner. This is dependant on imaging results, weight bearing, amount of swelling and case history.

 

About your injury
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Inversion ankle sprain is caused by over stretching the ligaments on the out side of the ankle, shown in the picture, usually due to trauma (3).

After one sprain there is a higher chance of re- injury this is why rehabilitation is so important.

Ankle instability and chronic restriction can be a result of incorrect management and poor rehabilitation (1,4).

Try to avoid inflammatory foods, such as: alcohol.

Anti-inflammatory medications will assist with swelling (1); consult your doctor before taking any medication.

Turmeric is a natural alternative to non- steroidal anti-inflammatories. For more information visit this website http:// www.webmd.com/vitamins-supplements/

MANAGEMENT PLAN
Your management plan and prognosis will be dependent on the Grade of your ankle sprain. This is a general take home guide to help you with rehabilitation and recovery. Should you have any questions, please ask your consulting practitioner.

RCE: DAY 1-3screen-shot-2017-12-01-at-4-37-11-pm
Rest, Compress, Elevate. (1) During the first few days after injury, rest from strenuous physical activity. Compress the ankle with a compression bandage to help reduce swelling and excessive movement. Elevate the ankle to help drain the swelling.

DO NOT ICE as this has recently been proven to retard the healing response and prolong the recovery (2)

BRACING: UPTO 6 WEEKS
Grade 1: compression bandage only
Grade 2: flexible wrap or splint
Grade 3: rigid support Eg. Moon boot or cast
Braces provide support and stability to the ankle preventing further injury

screen-shot-2017-12-01-at-4-37-24-pm

 

 

 

REHABILITATION: FROM DAY 1screen-shot-2017-12-01-at-4-37-40-pm

Rehabilitation should start as soon as possible (1).

1 – “ABC” Range of motion. These exercise help to improve the ankle mobility and should be started as soon as possible (4).

screen-shot-2017-12-01-at-4-38-08-pm2 – Balance training. Builds stability in the ankle. This should only be done if there is no pain weight baring. Progressively increasing the challenge Eg. Stand on a pillow (4)

 

3 – Calf Stretches. Should be done to help increase range of motion at the ankle and lengthen the calf muscle (4)

4 – Calf raises. Will strengthen the calf muscle to help provide stability to the ankle and regain power.screen-shot-2017-12-01-at-4-38-18-pm(4)screen-shot-2017-12-01-at-4-37-55-pm

 

 

 

 

This is a general guide to help you manage your acute ankle sprain and is to be used in conjunction with osteopathic treatment and management.

Personalised rehabilitation plans will be provided additionally.

If symptoms persist or progress to include following; inability to weight bare, excessive swelling and/or unexplained pain, Consult your health care practitioner.

REFERENCES

  1. Al-Moherj O. A. & Al-Kenani N. S. Acute ankle sprain: conservative or surgical approach? EFORT Open Rev 2016;1:34-44 doi:10.1302/2058-5241.1.000010.
  2. Singh D. P., Lonbani Z. B., Woodruff M. A., Steck R. & Peake J. M. Effects of Topical Icing on Inflammation, angeogenesis, revascularisation, and myofiber regeneration in skeletal muscle following injury. Front. Physiology., 2017; 8:93 doi:10.3389/fphys. 2017.00093
  3. Guillodo Y., Le Goff A. & Saraux A. Adherence and effectiveness of rehabilitation in acute ankle sprain. Ann Phys Rehabil Med. 2011; 225-235. doi:10.1016/ j.rehab.2011.03.002.
  4. Bruner P. & Khan K. Clinical Sports Medicine. 3rd Ed. McGraw-Hill, NSW Aust, 2009.
  5. Osteopathy Australia. 2017. http://m.osteopathy.org.au/pages/about-osteopathy.html

 

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