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How to Prevent Chronic Instability After a Severe Ankle Sprain
![How to Prevent Chronic Instability After a Severe Ankle Sprain](https://sa1s3optim.patientpop.com/assets/images/provider/photos/2737768.jpg)
Following the RICE regimen — rest, ice, compression, and elevation — the majority of ankle sprains heal in 2-12 weeks. However, severe ankle sprains require expert care to prevent complications. Chronic ankle instability occurs when the ankle doesn’t fully heal and continues to wobble, buckle, or give way.
If you have a severe ankle sprain, the sports medicine specialist at Concord Podiatry, Dr. David E. Biss, can determine the best course of action to prevent complications.
Elevated risk of ankle instability
Ligaments that support the ankle are strong, but they can stretch beyond their limits and tear. Ankle sprains tend to happen when you fall, land awkwardly, or have a sudden twist of the ankle. Sprains are highly common, and you’re more likely to experience an ankle sprain if you play sports or lead an active lifestyle.
There’s a high risk of having ankle instability following an ankle sprain, even if it isn’t severe. It’s estimated that chronic issues, including instability, occur up to 70% of the time following an ankle sprain. That’s why it’s beneficial to work closely with a foot and ankle specialist to reduce the chances of having chronic problems after a severe sprain.
Follow the RICE protocol immediately after injury
When you sprain your ankle, it's crucial to start following the RICE protocol as soon as possible. Avoid putting weight on the affected ankle during the initial healing process. Apply ice packs to the affected area for 20 minutes every two hours to reduce swelling, use an elastic bandage for compression, and keep the ankle elevated.
Seek professional assessment
It's important to see a health care professional, such as a podiatrist, for a thorough assessment of your ankle sprain. Dr. Biss can determine the severity of the sprain and recommend appropriate treatment options.
There are three grades of ankle sprains, with Grade I being mild and Grade III being severe. Dr. Biss has extensive experience treating severe sprains and helping patients recover.
Engage in physical therapy
Physical therapy plays an important role in preventing chronic instability after an ankle sprain. A physical therapist develops a personalized rehabilitation program that focuses on strengthening and restoring range of motion.
Most physical therapy programs for a sprained ankle include exercises aimed at building up the muscles around your ankle and improving your balance. These may include ankle pumps, calf raises, and balancing exercises.
Gradually return to activity
It’s important that you return to activity gradually, and only when pain subsides and you have restored strength and mobility. Returning to activity too soon increases your risk of recurrent sprain or chronic issues like ankle instability.
Wear appropriate footwear
Proper footwear is essential to prevent further ankle injuries. Choose shoes that provide adequate support, particularly if you're engaging in sports or physical activities. Depending on your case, Dr. Biss may recommend custom orthotics to offer additional support and alignment.
Early intervention for severe ankle sprains
Don’t take a chance if you have a severe ankle sprain. Early intervention can prevent long-term problems and help maintain ankle health.
Dr. Biss is a leading expert in foot and ankle care, and as a board-certified podiatric physician, he has more education and training specific to the foot and ankle than primary care providers. You can trust that you’re in good hands if you’re dealing with a severe ankle sprain and looking to prevent complications like chronic ankle instability.
To get started, contact Concord Podiatry to request an appointment with Dr. Biss today.
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