physiotherapy for ankle sprain

Ankle sprains are a common injury that can significantly impact your mobility and daily activities. Understanding the nature of ankle sprains, the benefits of physiotherapy, and the different grades of sprains can help you manage this injury effectively. This blog will explore these aspects and how physiotherapy can aid in your recovery from an ankle sprain.

What is an Ankle Sprain?

An ankle sprain occurs when the ligaments that support the ankle stretch beyond their limits and tear. Ligaments are tough, elastic bands of connective tissue that connect one bone to another, providing stability to the joints. Ankle sprains typically happen when the foot twists, rolls, or turns beyond its normal range of motion, causing the ligaments to stretch or tear.

The Different Grades of Ankle Sprains Explained

Ankle sprains are classified into three grades based on the severity of the ligament damage:

  • Grade 1 (Mild): This is a minor stretch or tear of the ligament with mild tenderness, swelling, and stiffness. The ankle is stable, and you can usually walk with minimal discomfort. Treatment focuses on reducing swelling and pain through rest, ice, compression, and elevation (RICE), followed by gentle exercises to restore range of motion and strength.
  • Grade 2 (Moderate): This involves a partial tear of the ligament, causing moderate pain, swelling, bruising, and difficulty walking. The ankle may feel slightly unstable. Treatment includes a longer period of RICE, followed by a more extensive rehabilitation program with stretching, strengthening, and balance exercises to restore function and stability.
  • Grade 3 (Severe): This is a complete tear of the ligament, resulting in severe pain, swelling, bruising, and significant instability. Walking is usually very painful, and the ankle feels wobbly. Treatment may involve immobilization with a brace or cast, followed by a comprehensive physiotherapy program to restore full function. In some cases, surgery may be necessary to repair the damaged ligament.

Benefits of Physiotherapy for Ankle Sprain Treatment

Physiotherapy plays a crucial role in the treatment and recovery of ankle sprains by offering several benefits:

  • Pain Relief: Physiotherapists use various techniques, such as manual therapy, acupuncture, and shockwave therapy, to reduce pain and inflammation in the affected area.
  • Restoring Range of Motion: Gentle stretching and mobilization exercises help restore normal movement to the ankle joint, preventing stiffness and improving flexibility.
  • Strengthening Muscles: Targeted exercises strengthen the muscles around the ankle, providing better support and stability, which is essential for preventing future injuries.
  • Improving Balance and Proprioception: Balance exercises help improve coordination and proprioception (the sense of the relative position of body parts), reducing the risk of re-injury.
  • Functional Training: Physiotherapists incorporate sport-specific or activity-specific training to ensure you can safely return to your normal activities and sports.
  • Education and Self-Management: Clients receive guidance on proper footwear, activity modification, and self-care techniques to support long-term ankle health and prevent recurrence.

The Role of Footwear in Ankle Injury Recovery

Proper footwear plays a crucial role in the rehabilitation and prevention of ankle sprains. Wearing supportive shoes can significantly reduce the risk of re-injury and aid in the healing process. 

Shoes with good arch support and cushioning help distribute weight evenly, reducing stress on the ankle joint. High-top shoes or ankle braces can provide additional stability, especially during physical activities. 

It is essential to avoid wearing shoes with inadequate support, such as flip-flops or high heels, as they can increase the likelihood of ankle sprains. Consulting with a physiotherapist about the best footwear options tailored to your specific needs can enhance your recovery and prevent future injuries.

Recommended Physiotherapy Exercises for an Ankle Sprain

Physiotherapy exercises for an ankle sprain focus on restoring strength, flexibility, and stability to the affected area. Some specific exercises commonly recommended by physiotherapists include:

  • Range of Motion Exercises: Gentle movements such as ankle circles, alphabet exercises (tracing the alphabet with your toes), and towel stretches help restore normal motion to the ankle joint.
  • Strengthening Exercises: Exercises like toe raises, heel raises, and resistance band exercises (e.g., ankle dorsiflexion, plantarflexion, inversion, and eversion) are designed to strengthen the muscles around the ankle and improve stability.
  • Balance and Proprioception Exercises: Activities such as standing on one leg, using a balance board, or performing single-leg stands on a soft surface help improve balance and proprioception, reducing the risk of future sprains.
  • Functional Exercises: Depending on the individual’s needs and goals, physiotherapists may incorporate functional exercises that mimic daily activities or sports-specific movements. These exercises might include hopping, lateral movements, or agility drills to ensure a safe return to normal activities.

Physiotherapy for Ankle Sprain: Healing Timeline Expectations

The time it takes to see improvements in an ankle sprain with physiotherapy varies depending on the severity of the injury, the individual’s overall health, and adherence to the prescribed treatment plan. 

Generally, people begin to notice improvements within a few weeks of starting physiotherapy. For mild ankle sprains (Grade 1), significant improvement can often be seen within 2 to 4 weeks. Consistent physiotherapy sessions and adherence to at-home exercises play a crucial role in speeding up recovery. 

For moderate sprains (Grade 2), the recovery period typically ranges from 4 to 6 weeks. A more extensive rehabilitation program with regular physiotherapy sessions helps restore function and stability to the ankle. 

Severe ankle sprains (Grade 3) may require a longer recovery period, often spanning several months. Comprehensive physiotherapy, combined with other treatments if necessary, is essential for achieving full recovery and preventing re-injury.

Activities to Avoid with an Ankle Sprain

During the recovery process for an ankle sprain, certain activities should be avoided to prevent further injury and promote healing:

  • High-Impact Activities: Avoid running, jumping, or any activities that put excessive stress on the ankle joint until it is fully healed. These activities can exacerbate the injury and delay recovery.
  • Uneven Surfaces: Steer clear of walking or running on uneven or unstable surfaces, as these can increase the risk of re-injury by causing the ankle to twist or turn unexpectedly.
  • Excessive Weight-Bearing: Refrain from activities that involve prolonged standing or heavy lifting, as these can put additional strain on the injured ankle and hinder the healing process.
  • Improper Footwear: Avoid wearing shoes that lack proper support or cushioning. Wearing unsupportive footwear can increase the risk of further injury and impede recovery.

Restore Ankle Mobility and Strength

Recovering from an ankle sprain requires a comprehensive approach that includes physiotherapy, specific exercises, and lifestyle modifications. By following the recommended treatment plan and avoiding activities that can exacerbate the injury, you can achieve a full recovery and return to your normal activities.

At Maximum by Body ‘n Balance Physio in Collingwood, our skilled physiotherapists are committed to helping you recover from ankle sprains and regain optimal function. Contact us today to schedule your appointment.