How to Know When Your Ankle Sprain is Fully Healed and Safe for Sports - Orthopedics

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Ankle sprain


How can I tell if my sprained ankle has fully healed and will not reoccur? Also, why do I keep spraining the same ankle? The doctor mentioned that I have a ligament strain, and it's been over a week now.
I can walk and run without pain; can I start practicing sports? Is wearing an ankle brace effective?

Chen Ge, 10~19 year old female. Ask Date: 2017/06/07

Dr. Shi Guozheng reply Orthopedics


A typical ankle sprain usually requires six weeks for complete recovery.
If a re-injury occurs several months later, it is not considered a recurrence but rather a new injury.
After an ankle sprain, if there is no pain and walking is normal after a period of time, then one can start running and playing sports.
It is advisable to wear an ankle brace for some protection.

Reply Date: 2017/06/07

More Info


When it comes to determining whether your ankle sprain has fully healed and is safe for sports, there are several key indicators and considerations to keep in mind. Ankle sprains can vary in severity, and understanding the healing process is crucial for a safe return to physical activity.


Signs of Healing
1. Pain and Swelling: One of the most important indicators of healing is the reduction of pain and swelling. If you can walk, run, or perform daily activities without pain, this is a positive sign. However, it’s essential to ensure that there is no lingering discomfort during or after these activities.

2. Range of Motion: A full range of motion in the ankle is critical. You should be able to move your ankle in all directions (up, down, side to side) without any pain. If you notice stiffness or discomfort, it may indicate that the ankle is not fully healed.

3. Strength: The strength of the ankle is another vital factor. You should be able to perform exercises that test the strength of the ankle, such as standing on one leg or doing calf raises, without pain or instability.
4. Balance and Stability: Good balance and stability are essential for sports. You can test this by performing balance exercises, such as standing on one leg for 30 seconds. If you can do this without difficulty, it’s a good sign that your ankle is recovering.

5. Functional Tests: Engaging in sport-specific drills can help assess readiness. For example, if you play basketball, try light jogging, lateral movements, and jumping. If these activities can be performed without pain or instability, you may be ready to return to sports.


Why the Same Ankle?
If you find that you are repeatedly spraining the same ankle, it could be due to several factors:
- Weakness or Imbalance: The muscles surrounding the ankle may be weak or imbalanced, making it more susceptible to injury. Strengthening exercises can help address this issue.

- Previous Injury: A previous injury can lead to lingering instability or improper mechanics, increasing the risk of re-injury.
- Improper Footwear: Wearing shoes that do not provide adequate support can contribute to ankle sprains. Ensure that you have proper footwear for your sport.

- Biomechanical Issues: Sometimes, structural issues in the foot or leg can predispose someone to repeated ankle sprains. Consulting with a physical therapist or sports medicine specialist can help identify these issues.


Returning to Sports
Since you mentioned that you have been pain-free while walking and running, you may be ready to start practicing your sport. However, it’s crucial to ease back into it gradually. Here are some tips:
- Start Slow: Begin with light practice sessions that do not involve high-impact movements. Gradually increase the intensity as you feel comfortable.

- Use Ankle Support: Wearing an ankle brace or support can provide additional stability and confidence as you return to sports. This can be particularly helpful during the initial phase of your return.

- Listen to Your Body: Pay attention to any signs of discomfort or pain. If you experience any issues, it’s essential to stop and reassess your readiness.

- Consult a Professional: If you are uncertain about your recovery or how to proceed, consider consulting a physical therapist or sports medicine doctor. They can provide tailored advice and rehabilitation exercises to ensure a safe return to sports.


Conclusion
In summary, knowing when your ankle sprain is fully healed involves assessing pain, swelling, range of motion, strength, and stability. If you are experiencing no pain and can perform functional tests successfully, you may be ready to return to sports. However, take it slow, use ankle support, and listen to your body to prevent re-injury. If you have any doubts, consulting a healthcare professional is always a wise choice.

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