A high ankle sprain is a common injury that affects the ligaments connecting the tibia and fibula bones in the lower leg. Unlike a typical ankle sprain, which affects the ligaments on the outer side of the ankle, Alamo Heights high ankle sprain involves damage to the ligaments above the ankle joint.
Causes of High ankle sprain
High ankle sprains commonly occur during sports activities or traumatic accidents. The main causes include:
Twisting or rotational forces
High ankle sprains often result from sudden twisting or rotational forces applied to the ankle. This can happen during football, soccer, skiing, or gymnastics activities.
Falls or trauma
Falling from a height or experiencing a direct blow to the ankle can cause a high ankle sprain. These types of injuries are also common in car accidents.
Repetitive stress
Overuse or repetitive stress on the ankle joint, such as running on uneven surfaces or engaging in repetitive jumping, can weaken the ligaments and make them more susceptible to sprains.
Diagnosis of high ankle sprain
Proper diagnosis is best to determine the severity of a high ankle sprain and develop an appropriate treatment plan. Healthcare professionals use the following methods for diagnosis:
Medical history
The healthcare provider will discuss the patient’s symptoms and the injury’s circumstances to understand the potential cause and impact.
Physical examination
A thorough physical examination will focus on the affected ankle. This includes assessing swelling, tenderness, range of motion, and ankle joint stability.
Imaging tests
X-rays may be conducted to rule out fractures or dislocations. In some cases, more advanced imaging techniques like magnetic resonance imaging (MRI) or ultrasound may be used to assess the extent of ligament damage.
Rehabilitation techniques for high ankle sprain
The primary goal of rehabilitation for a high ankle sprain is to restore the affected ankle’s strength, stability, and flexibility. The rehabilitation process generally involves the following techniques:
R.I.C.E method
Rest, ice, compression, and elevation (R.I.C.E) is the initial treatment for high ankle sprains. It helps reduce pain, swelling, and inflammation in the early stages of the injury.
Immobilization
Depending on the severity of the sprain, a healthcare professional may recommend using a cast, brace, or walking boot to immobilize the ankle and allow the ligaments to heal.
Physical therapy
Once the initial healing phase is complete, physical therapy plays a crucial role in rehabilitation. The therapist will design a customized exercise program to improve ankle strength, stability, and range of motion.
Balance and proprioception exercises
These exercises improve balance and proprioception (awareness of the body’s position in space), such as balancing on a single leg with closed eyes. They help prevent future injuries and restore the coordination of muscles around the ankle joint.
Gradual return to activity
As the ankle gains strength and stability, the individual can gradually return to normal activities and sports. It is essential to follow a gradual progression under the guidance of a healthcare professional to avoid re-injury.
Speak to your doctor at Marque Allen, DPM, FACFAS, to learn more about high ankle sprain rehabilitation techniques.
