Ankle Sprains

Ankle sprains are one of the most common injuries treated in orthopaedics. Whether you’ve twisted your foot on uneven surfaces or suffered a sports injury, this article explains what happens when an ankle sprain occurs and what to do next.

At Orthopedic Foot & Ankle Center in Greater Columbus, we specialize in treating all levels of ankle sprains. Contact our expert team today to begin healing your injured ankle with proper treatment.

Do I Need Surgery?

Visiting an orthopedic surgeon doesn’t mean that surgery is necessary. Our orthopedic doctors always prefer to use non-surgical procedures to treat injuries.

What Our Patients Say

Always treated like a person, not a number. Treated with courtesy and respect. I drive 3hrs to be there. I arrive early and never have to wait long. Employees are very pleasant and knowledgable. The doctors are well educated and concerned about your problems, treatment, and recovery. Would recommend Ortho Foot & Ankle to anyone. There’s no better in my opinion.” — Rodney B.

What is a Sprained Ankle?

A sprained ankle happens when the ankle ligaments are stretched beyond their normal range or torn. These tough bands support the ankle bones on the inside and outside of the joint. Most often, the foot rolls inward, affecting the ligaments on the outside of the ankle. This is known as an inversion injury.

It is also possible to stretch the ligaments on the inside of the ankle by rolling the foot outwards, known as an eversion injury.

There is also the high ankle sprain, which affects the ligaments between the lower leg bones. These are less common and are typically caused by more forceful impacts, taking longer to heal.

This common injury can range from minor to severe. Even a mild ankle sprain requires careful management to prevent complications, such as chronic ankle instability, especially in cases of repeated ankle sprains.

What Are the Types of Ankle Sprains?

An athlete with an ankle sprain while exercising in Ohio.

Ankle sprains are typically classified into three grades based on the severity of the injury:

  • Grade I (Mild): Minor stretching of ligament fibers. Often includes moderate swelling, mild pain, and little to no instability.
  • Grade II (Moderate): Partial tearing of ligaments, difficulty walking, and difficulty bearing weight.
  • Grade III (Severe sprain): A complete tear or rupture of the injured ligament, leading to significant swelling, bruising, and a major loss of ankle stability.

What Are the Symptoms of a Sprained Ankle?

When a sprained ankle occurs, you may notice:

  • Immediate pain and tenderness around the ankle joint
  • Moderate to significant swelling and bruising
  • A popping sound at the moment of injury
  • Difficulty walking or bearing weight on the affected foot
  • Reduced range of motion and noticeable instability
 

In more severe ankle sprains, the ankle may visibly deform or swell significantly, and a torn ligament may completely limit mobility.

What Causes a Sprained Ankle?

A sprained ankle can be triggered by many routine and athletic activities. Common causes include:

  • Walking or running on uneven surfaces
  • Poor footwear that doesn’t support the ankle joint
  • Jumping or pivoting during sports, leading to a common sports injury
  • Previous injuries or a chronic ankle sprain history, which may weaken ankle ligaments
 

People with weak ankle strength or poor balance are at higher risk. Preventing future ankle sprains means taking proactive steps, including proper warm-up and strength conditioning.

How is a Sprained Ankle Diagnosed?

A proper physical exam is the first step. A healthcare provider will examine the affected foot, checking for tenderness, swelling, and stability. The severity of the injury often determines the course of treatment.

If a severe sprain is suspected, imaging tests may be required:

How is a Sprained Ankle Treated?

Effective treatment for a sprained ankle depends on the severity of the injury, but timely care and proper rehabilitation are key to a full recovery and preventing future ankle sprains.

Initial Care

In the first 48–72 hours after an acute ankle sprain, you need to focus on minimizing inflammation. The following method can be used initially:

  • Rest: Limit activities that strain the injured ankle
  • Ice: Apply cold packs to reduce swelling
  • Compression: Use an elastic bandage or brace
  • Elevation: Keep the affected foot raised above heart level
 

For pain and swelling, over-the-counter anti-inflammatory medications can be helpful. However, persistent pain or severe injuries need medical attention from orthopaedic surgeons.

Medical Treatment

The proper treatment for an ankle sprain depends on the severity. Medical treatment for a sprained ankle may include the following:

  • A walking boot may be prescribed for stabilization
  • Ankle taping provides support during activity
  • In severe sprain cases, surgery may be required for torn or displaced ligament fibers

Recovery and Rehabilitation

Rehabilitation is crucial. Our practice strongly recommends physical therapy, which is proven to speed recovery and prevent chronic ankle instability.

A licensed physical therapist will guide you through:

  • Strengthening exercises to restore ankle strength
  • Agility exercises to rebuild balance
  • Activities that help maintain good muscle strength and coordination
 

This approach ensures most sprains heal properly and prevents future ankle sprains.

Preventing Ankle Sprains

You can significantly prevent ankle sprains with proactive care:

  • Strengthen muscles around the ankle joint with targeted exercises
  • Improve balance and flexibility with physical therapy
  • Avoid activities on uneven surfaces without proper footwear
  • Use ankle taping or braces if you’re prone to repeated ankle sprains
  • Don’t rush recovery. Returning too soon increases the risk of chronic ankle problems
 

Early intervention, consistent therapy, and a tailored recovery plan are essential for long-term ankle stability.

Get Expert Care for Your Ankle Sprain in Greater Columbus

If you’re dealing with a sprained ankle, proper care from the start is essential to prevent long-term issues like chronic ankle instability or repeated ankle sprains. The team at Orthopedic Foot & Ankle Center in Greater Columbus is here to help you heal, regain function, and get back to the activities you love.

Contact us today to schedule a comprehensive evaluation. Our expert orthopaedic surgeons and physical therapists are ready to guide your recovery and provide the care you need to stay strong, active, and pain-free.

Medically reviewed by Sarah Abshier, DPM, CWS

 

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