Ankle Sprains: Recovery Timeline and Rehabilitation Tips - Rehabilitation

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Ligament ankle sprain


Hello Doctor, I would like to ask about an injury I sustained on July 31 while playing basketball.
When I jumped for a rebound, I landed on someone else's foot, and I heard two popping sounds from the outside of my ankle.
It swelled significantly, and I was unable to walk for a few days.
After about four days, I was able to walk a little.
I suspect that I may have injured my lateral ligaments, but I'm not sure about the extent of the injury.
It took about three weeks before I could walk normally again, although my foot feels slightly sore when I put weight on it.
Sometimes, when I move my foot up and down, I hear a popping sound in my Achilles tendon, followed by a feeling of relaxation.
Now, nearly six weeks later, pressing on the inner ankle still causes noticeable pain, and there is still some swelling, although it is not as severe as before.
I would like to ask the doctor how long it might take for the swelling to subside and for me to fully recover.

Zhuang Yuhao, 20~29 year old female. Ask Date: 2020/09/07

Dr. Wang Zhaomin reply Rehabilitation


A mild ankle sprain typically heals within one to two weeks.
If there is still significant discomfort six weeks after the injury, there may be more severe tissue damage or chronic inflammation.
Online consultations cannot replace an in-person visit; please consult an orthopedic or rehabilitation specialist for an accurate diagnosis and treatment.

Reply Date: 2020/09/07

More Info


Ankle sprains are a common injury, particularly in sports like basketball, where sudden changes in direction and jumping can lead to awkward landings. Understanding the recovery timeline and rehabilitation tips is crucial for a successful return to activity.

When you sustained your ankle injury on July 31, the immediate symptoms you experienced—such as swelling, pain, and difficulty walking—are typical of an ankle sprain. The "pop" sounds you heard could indicate a ligament injury, possibly involving the anterior talofibular ligament (ATFL), which is commonly affected in ankle sprains. The severity of the sprain can range from mild (Grade I) to severe (Grade III), depending on the extent of the ligament damage.


Recovery Timeline
1. Initial Phase (0-3 Days): During the first few days post-injury, the focus should be on managing pain and swelling. This can be achieved through the R.I.C.E. method: Rest, Ice, Compression, and Elevation. Avoid putting weight on the injured ankle to prevent further damage.

2. Subacute Phase (3-7 Days): After the initial swelling decreases, you may begin gentle range-of-motion exercises. It's essential to listen to your body and not push through severe pain. You might start to notice some improvement in your ability to walk.

3. Rehabilitation Phase (1-3 Weeks): As you progress, you can introduce more active rehabilitation exercises. This includes strengthening exercises for the ankle and surrounding muscles, balance training, and proprioceptive exercises. The goal is to restore function and prevent future injuries.

4. Return to Activity (3-6 Weeks): Depending on the severity of your sprain, you may be able to return to normal activities within three to six weeks. However, if you still experience significant pain, swelling, or instability, it may take longer.

Rehabilitation Tips
- Strengthening Exercises: Focus on exercises that strengthen the muscles around the ankle, such as calf raises, toe raises, and resistance band exercises. These will help stabilize the ankle and prevent future injuries.

- Balance and Proprioception: Incorporate balance exercises, such as standing on one leg or using a balance board. This will help improve your proprioception, which is crucial for preventing re-injury.

- Gradual Return to Activity: When you feel ready to return to sports or physical activities, do so gradually. Start with low-impact activities and gradually increase intensity as tolerated.

- Monitor Symptoms: Pay attention to any pain or swelling that persists. If you experience significant discomfort or instability, it may be wise to consult a healthcare professional for further evaluation.


Duration of Swelling and Full Recovery
The duration of swelling can vary based on the severity of the injury. Mild sprains may see swelling resolve within a week, while more severe sprains can take several weeks to months. Since you mentioned that it has been six weeks since your injury and you still have some swelling and tenderness, it is not uncommon.
Complete recovery can take anywhere from a few weeks to several months, depending on the severity of the sprain and your adherence to rehabilitation protocols. If you continue to experience pain, especially with activities like moving your foot up and down, it may be beneficial to seek a follow-up with a healthcare provider. They can assess for any underlying issues, such as a possible fracture or more severe ligament damage.

In conclusion, while ankle sprains can be frustrating, a structured rehabilitation program can significantly enhance recovery and help you return to your desired activities safely. Always listen to your body and consult with a healthcare professional if you have concerns about your recovery process.

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