Ankle Sprain and Pain

It is very common to find the ankle joint afflicted by injuries and the most common form is sprain. Anatomically, various ligaments that are stretched or torn surround the ankle joint when it is forced to land in varied unnatural positions. This is of common occurrence during exercises, playing certain sports or accidentally.

The usual presentation could be an individual landing his foot forcefully on an uneven surface or the foot is turned inwards suddenly with force. This force in-turn stresses the ligaments that normally help stabilize the outer part of the joint. There might be a history of sudden snap/pop when this type of injury happens.

The ankle sprain ranges in severity from grade-I to grade-III, depending on the extent of injury to the ligament. An examination of the ankle reveals swelling and discoloration due to the accumulation of blood and fluid. The X-ray is an integral part of diagnosis as it rules out the possibility of fracture. An MRI examination provides a conclusive picture of injuries to various ligaments.

Prolonged immobilization in cases of ankle sprain is a common treatment error. Early mobilization stimulates collagen bundle orientation thereby promoting healing and regaining the range of motion.

Improper rehabilitation may result in instability vis-