Saturday Morning with Jack TameSaturday Morning with Jack Tame

Dr Bryan Betty: How to treat a sprained ankle

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A sprained ankle, one of the most common injuries seen at practice.

What is a sprained ankle?

  • Injury that occurs when you roll, twist or turn your ankle in an awkward way.
  • Commonest injury when the sole of foot turned inwards – called an inversion injury – damages outside of ankle.
  • The injury strains or tears the ligaments that help hold and stabilise the joint.

What are the risks of a sprained ankle and main symptoms?

  • Obvious risk is playing sport – rugby soccer where the ankle ‘rolls’
  • Uneven surfaces, being unfit, improper shoes causing you to fall, landing awkwardly after jump, higher risk if previous sprained ankle. .
  • Main symptom one:  immediate pain after roll the ankle,  difficulty walking swelling and painful to touch.
  • Bruising  and restricted movement of the ankle, popping sound, sensation  when the injury occurs.  

How do we teat them?

Immediate treatment:

  • Rest, Ice, Compression, Elevation.
  • Pain relief with things such as paracetamol.

If not settled in 48 hours see your doctor to:

  • Examine the ankle, may order x-ray to make sure not broken.
  • Get physio involved to start exercise program to get the ankle back to normal.
  • May take up to 6 weeks to heal.
  • In severe cases : may use a ‘moon boot’ or walking boot to immobilise the ankle till swelling goes down.

How do we prevent them?

  • Warm up before sports ankle support if previously injured.
  • Good fitting shoes important ( high heels a risk!)
  • Stay fit, practice balance exercises.
 
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