Ankle Instability After a Sprain: Can You Still Play Sports? - Orthopedics

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Ankle sprain


Why does my left ankle feel unstable but not painful? Can I continue practicing basketball? Will it affect my training? It's been over a month since my sprain, and while it doesn't hurt anymore, it still feels somewhat unstable.

Chen Ge, 10~19 year old female. Ask Date: 2017/07/20

Dr. Hong Ximing reply Orthopedics


Ankle sprains can lead to instability, which may indicate more severe ligament damage.
After four weeks, the injury is likely not fully healed, and further protection and observation are necessary before determining if it is safe to resume sports activities.

Reply Date: 2017/07/20

More Info


Ankle instability following a sprain is a common issue that many athletes face, and it can significantly impact your ability to participate in sports. When you sprain your ankle, the ligaments that support the joint can become stretched or torn, leading to a feeling of instability even after the pain has subsided. This sensation of instability can be attributed to several factors, including weakened ligaments, muscle imbalances, and proprioceptive deficits.

Proprioception refers to your body’s ability to sense its position in space. After an ankle sprain, proprioceptive feedback can be impaired, which may contribute to the feeling of instability. This is why many individuals report that their ankle feels "wobbly" or unstable even when they are no longer experiencing pain.
In your case, since you mentioned that the pain has resolved but you still feel instability, it is crucial to address this issue before returning to sports like basketball. Engaging in sports with an unstable ankle can increase the risk of re-injury, as the joint may not be able to adequately support the stresses placed upon it during physical activity.
Here are some recommendations to help you manage your ankle instability and safely return to playing sports:
1. Rehabilitation Exercises: Focus on strengthening the muscles around the ankle. Exercises such as ankle circles, resistance band exercises, and calf raises can help improve strength and stability. Additionally, incorporating balance exercises, like standing on one leg or using a balance board, can enhance proprioception.

2. Gradual Return to Activity: It’s essential to ease back into sports gradually. Start with low-impact activities that do not put excessive strain on your ankle, such as swimming or cycling. Once you feel more stable, you can slowly reintroduce basketball practice, beginning with light drills before progressing to full practice sessions.

3. Use of Ankle Support: Consider using an ankle brace or support during your activities. This can provide additional stability and help prevent further injury as you regain strength and confidence in your ankle.

4. Warm-Up and Cool Down: Always ensure you perform a proper warm-up before engaging in sports. This should include dynamic stretches and mobility exercises for the ankle. After playing, cool down with static stretches to maintain flexibility.

5. Listen to Your Body: Pay attention to how your ankle feels during and after activity. If you experience any pain or increased instability, it may be a sign that you need to take a step back and focus more on rehabilitation.

6. Consult a Professional: If the feeling of instability persists or worsens, it may be beneficial to consult a physical therapist or sports medicine specialist. They can provide a tailored rehabilitation program and assess your ankle for any underlying issues that may need to be addressed.

In conclusion, while you may feel ready to return to basketball, it is essential to ensure that your ankle is stable and strong enough to handle the demands of the sport. By following a structured rehabilitation program and gradually reintroducing activity, you can help prevent re-injury and improve your overall ankle stability. Always prioritize your long-term health and safety over immediate participation in sports.

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