Ankle Sprain
  2. Ankle Sprain

Ankle Sprain

What is an Ankle Sprain?

An ankle sprain occurs when the ligaments that support the ankle joint are stretched or torn. It commonly happens when the foot twists, rolls, or turns beyond its normal range of motion.

Ankle sprains are one of the most common musculoskeletal injuries, especially in sports and daily activities such as walking on uneven surfaces.

Common Causes

  • Stepping on uneven ground
  • Sudden change of direction
  • Sports activities (football, basketball, running)
  • Wearing unstable footwear
  • Falling or losing balance

Types and Grades of Ankle Sprain

Grade 1 (Mild)

  • Ligaments are stretched with tiny tears
  • Mild pain and swelling
  • Little or no instability
  • Able to walk with minimal discomfort

Grade 2 (Moderate)

  • Partial tear of ligaments
  • Moderate pain and swelling
  • Bruising may appear
  • Difficulty walking
  • Mild joint instability

Grade 3 (Severe)

  • Complete ligament tear
  • Severe pain and swelling
  • Significant bruising
  • Joint instability
  • Difficulty or inability to bear weight

Common Symptoms

  • Pain around the ankle
  • Swelling
  • Bruising
  • Tenderness to touch
  • Reduced range of motion
  • Feeling of instability
  • Difficulty walking

Initial Management (First 48–72 Hours)

We recommend the RICE method:

Rest

Avoid putting weight on the injured ankle.

Ice

Apply ice for 15–20 minutes every 2–3 hours.

Compression

Use an elastic bandage or ankle support to reduce swelling.

Elevation

Keep the ankle elevated above heart level when resting.

When to Seek Medical Attention

The ankle looks deformed or has changed shape (do not apply ice — seek medical care immediately)

When to See Us for Treatment

In the acute phase (first 48–72 hours) after an ankle sprain, the main focus should be on rest, swelling control, and protection. During this stage, hands-on therapy is usually not recommended, as the tissues are still inflamed and sensitive.

We recommend seeing us when:

  • Swelling and heat have started to reduce
  • Pain is more manageable
  • You can begin gentle movement
  • The injury is no longer in the acute inflammatory stage

This is usually after 3–5 days, depending on the severity of the injury.

At this stage, we can safely help with:

  • Reducing residual pain and stiffness
  • Improving mobility
  • Supporting tissue healing
  • Restoring strength and stability
  • Preventing re-injury

If you are unsure whether your ankle is ready for treatment, please contact us for advice before booking.