What is an ankle sprain?

Acute ankle sprains are common injuries that occur when the ligaments surrounding the ankle joint are stretched or torn, typically due to sudden twisting or rolling of the ankle. Prompt and appropriate treatment is essential for managing acute ankle sprains to minimise pain, swelling, and the risk of long-term complications. Podiatrists can play a crucial role in assessing and managing acute ankle sprains. Here’s how they typically approach these injuries:

How is an ankle sprain assessed?

Highett Podiatry’s assessment protocol

1. Clinical Evaluation: Our podiatrist at Highett Podiatry will thoroughly examine the injured ankle. They will assess the degree of swelling, bruising, and tenderness.
2. Ankle Stability Testing: To determine the severity of the sprain, our podiatrists may perform stability tests, such as the anterior drawer test and talar tilt test, to assess the integrity of the ligaments.
3. Imaging: The podiatrist can order imaging studies like X-rays, ultrasounds, or MRIs to rule out fractures or assess soft tissue damage. Please note that a referral from a podiatrist enables you to access X-rays and Ultrasound scans bulk-billed, and the MRI cost is the same as if your GP referred it.

What is the recommended treatment for an ankle sprain?

1. RICE Protocol: The initial treatment for an acute ankle sprain often follows the RICE protocol:
   • Rest: Limit weight-bearing and avoid activities that exacerbate the injury.
   • Ice: Apply ice packs to reduce swelling and pain.
   • Compression: Use bandages or braces to support and stabilise the injured ankle.
   • Elevation: Keep the injured ankle elevated to reduce swelling.
2. Medication: Endorsed podiatrists may prescribe anti-inflammatory medication or recommend over-the-counter pain relievers or stronger medications to manage pain and inflammation. At Highett Podiatry our endorsed podiatrists can organise this at the time of your appointment.
3. Immobilisation: Depending on the severity of the sprain, a podiatrist may suggest using a brace, splint, or Moon Boot to immobilise the ankle and promote healing. At Highett Podiatry, we stock a full size range of moon boots for your convenience as well as crutches available for your use.
4. Physical Therapy: Podiatrists are trained in rehabilitating ankle sprains and can design a customised rehabilitation program. Physical soft tissue therapy (usually therapeutic ultrasound) and an exercise program help improve ankle strength, range of motion, and proprioception (balance). Your podiatrist can prescribe this and administer treatment.
5. Gradual Return to Activity: Once the acute phase has passed, podiatrists can guide patients through a gradual return to normal activities and sports. They may recommend additional support, such as ankle taping, bracing, footwear recommendations and orthotics.
6. Preventive Measures: Podiatrists also focus on preventing future ankle sprains by addressing underlying issues such as muscle imbalances, gait abnormalities, or foot biomechanical problems. Custom orthotics or footwear recommendations may be provided to enhance stability.
7. Surgical Intervention: In severe cases of significant ligament damage or recurrent sprains, surgery may be necessary. Specially trained Podiatric Surgeons or Orthopaedic Surgeons can perform ligament reconstruction or repair procedures to restore ankle stability. Our podiatrists can refer on for this assessment and management.
8. Follow-up: Our podiatrists will typically schedule follow-up appointments to monitor the healing progress and make necessary adjustments to the treatment plan.

It’s important to consult a podiatrist or another healthcare professional promptly if you suspect an ankle sprain. Delaying treatment can lead to complications and a more extended recovery period. Additionally, a podiatrist can provide personalised care and guidance tailored to the specific needs of your injury, helping you achieve a full and safe recovery.

At Highett Podiatry, we open at 7.30am on Monday mornings, and can, in most cases, accommodate patients with an acute ankle sprain on the day.  Please contact us on 95553044 to see how we can help.