Ankle Sprain
What is an Ankle Sprain?
An ankle sprain occurs when the ligaments that support the ankle are overstretched or torn, usually after rolling the ankle inward (inversion sprain). It’s one of the most common sports injuries.
Common Symptoms
Pain and swelling around the ankle
Bruising that develops within hours
Tenderness over the injured ligaments
Difficulty bearing weight or walking normally
Instability or “giving way” sensation
Physical Therapist Diagnosis
A PT evaluates the mechanism of injury, swelling, tenderness, strength, and stability with different tests. Functional testing (balance, hopping, gait, cutting) helps determine severity and readiness for return to sport.
Why it Happens
Ankle sprains typically result from sudden cutting, landing, or stepping on uneven surfaces. Sports like basketball, soccer, and football carry higher risk.
Why it Doesn’t Always Heal on Its Own
Ligaments heal slowly, and without rehab, lingering instability and weakness are common. This leads to chronic ankle instability and recurrent sprains.
Ideal Physical Therapy Treatment
Treatment focuses on restoring motion, strength, and stability. Dry needling can reduce muscle tightness in the calf or peroneals after injury and promote proper healing.
Key strategies include:
Manual therapy for ankle mobility
Dry needling for surrounding muscle spasm and swelling
Progressive strengthening of ankle and calf muscles
Balance and proprioceptive training for joint stability
Sport-specific drills for cutting and jumping
Expected Outcomes
Most sprains recover in weeks with therapy, but more severe sprains may take months.
Key Takeaway
Ankle sprains heal best with structured and progressed rehab. Proper strengthening and stability training reduce the risk of repeat injuries.