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Sprained ankle

You may well recognise this: you take a wrong step, your ankle twists, and you feel pain straight away. Afterwards, the ankle may feel tender, swollen or unstable. Walking, exercising or putting weight on the ankle can then become difficult.

A sprained ankle often occurs suddenly, for example whilst playing sport, taking a wrong step or walking on uneven ground. Most ankle sprains heal on their own. However, symptoms can sometimes recur, particularly if the ankle remains less stable or if you sprain it frequently.

Sprained ankle
What is it?

A sprained ankle involves the ligaments being stretched or damaged. Sometimes, damage also occurs to the joint capsule, tendons or cartilage.

The ankle can be sprained either inwards or outwards. The most common type of sprain is an inwards sprain of the ankle. This causes pain on the outside of the ankle.

Causes

Was this information helpful?

A sprained ankle is usually caused by a sudden movement in which the ankle twists awkwardly. This causes the ligaments around the ankle to stretch too far or become irritated.

Possible causes include:

  • exercising or jumping;
  • to miss a step or a kerb;
  • smoothness;
  • walking on grass, sand or uneven ground;
  • previous sprains;
  • reduced muscle strength;
  • less balance or stability;
  • an abnormal position of the foot;
  • shoes with little support.
What do you notice?

After a sprain, you often feel a sudden pain. The ankle can quickly become swollen and sometimes a bruise develops.

You may notice that:

  • standing or walking causes pain;
  • the ankle is getting thicker;
  • a bruise develops;
  • the ankle feels unstable;
  • you’re worried about spraining it again;
  • exercising or walking on uneven ground remains difficult.
The impact of a healthy lifestyle and your mental health

After a sprain, ligaments, muscles and joints need time to recover. Sufficient sleep, a healthy diet and a good balance between exercise and rest support this recovery.

Exercise remains important, but should be gradually built up after spraining your ankle. Doing too much too quickly can prolong symptoms. On the other hand, not exercising enough can lead to stiffness, reduced muscle strength and a loss of confidence in your ankle.

Mental health also plays a role. Fear of spraining your ankle again can affect the way you walk. This can put different strain on the ankle and cause symptoms to keep recurring. Our lifestyle coaches can work with you to consider lifestyle changes that may support your recovery, such as sleeping better, eating more healthily and working towards a healthy weight.

What can you do yourself?

Check whether you can take four or more steps without assistance after the sprain. If not, please contact your GP or the GP out-of-hours service. This is important to rule out a fracture.

To reduce symptoms, you can:

  • elevate the ankle;
  • cool down if that feels comfortable;
  • trying to walk carefully;
  • temporarily restrict sport;
  • wear sturdy shoes;
  • gradually build up balance and strength exercises;
  • Please get in touch if the pain and swelling do not subside after a few days.
Advice and treatment

Our podiatrists can help if you continue to experience symptoms, if your ankle feels unstable or if you frequently twist your ankle. We assess your foot position, stability and gait.

Treatment may consist of:

  • shoe advice;
  • podiatric insoles;
  • advice on a brace;
  • exercises for balance, strength and stability;
  • advice on building up a fitness programme;
  • ultrasound examination;
  • collaboration with a physiotherapist.

Together, we’ll look at how you can walk more confidently again and prevent further sprains as much as possible.

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