Ankle sprain
Hello Doctor, I have been dealing with an ankle sprain for over two months.
I have seen an orthopedic specialist and had X-rays and an ultrasound done, which showed no issues with the bones, but there is a ligament tear.
Recently, aside from occasionally walking at school, I have mostly kept my foot elevated and rested, with minimal activity.
Now, aside from slight swelling and occasional mild pain in the ligament, I have made significant progress.
However, I have noticed that the range of motion in the joint has decreased significantly.
I have been trying to increase my activity level and applying pressure, but there has been no improvement.
What can I do to enhance my joint mobility, and are there any recommended methods for improvement? Thank you.
yy, 10~19 year old female. Ask Date: 2023/07/19
Dr. Li Weiqiang reply Rehabilitation
Hello Ms.
YY: You can try soaking in warm water (40 degrees Celsius) for 20 minutes before going to bed, and then perform joint stretching exercises.
Thank you.
Reply Date: 2023/07/19
More Info
Improving ankle mobility after a sprain is crucial for restoring function and preventing future injuries. When dealing with a sprained ankle, especially one that involves ligament tears, rehabilitation plays a vital role in recovery. Here are some effective tips and strategies to enhance your ankle mobility:
1. Start with Gentle Range of Motion Exercises
After a sprain, it’s essential to begin with gentle range of motion (ROM) exercises. These exercises help maintain flexibility and prevent stiffness. You can perform the following:
- Ankle Circles: Sit or lie down with your leg extended. Slowly rotate your ankle in circles, first clockwise and then counterclockwise. Aim for 10-15 repetitions in each direction.
- Alphabet Exercise: While seated, lift your foot off the ground and trace the letters of the alphabet in the air with your toes. This helps improve mobility in various directions.
2. Strengthening Exercises
Once you have regained some mobility, it’s important to strengthen the muscles around the ankle. Stronger muscles provide better support to the joint. Consider:
- Resistance Band Exercises: Use a resistance band to perform ankle dorsiflexion, plantarflexion, inversion, and eversion. This can help strengthen the muscles that stabilize the ankle.
- Heel Raises: Stand on the edge of a step with your heels hanging off. Slowly raise your heels and then lower them below the step level. This exercise strengthens the calf muscles and improves ankle stability.
3. Balance and Proprioception Training
Improving balance and proprioception is crucial for ankle recovery. You can try:
- Single-Leg Stands: Stand on one leg for 30 seconds to a minute. To increase difficulty, try closing your eyes or standing on an unstable surface like a balance pad.
- Balance Board Exercises: If available, use a balance board to challenge your stability and improve proprioception.
4. Gradual Increase in Activity
As you feel more comfortable, gradually increase your activity level. Start with low-impact activities such as swimming or cycling, which can help maintain fitness without putting too much stress on the ankle.
5. Use of Ice and Compression
If you experience swelling after exercises, apply ice to the affected area for 15-20 minutes. Compression wraps can also help manage swelling and provide support during activities.
6. Consult a Physical Therapist
If you find that your mobility is not improving despite your efforts, it may be beneficial to consult a physical therapist. They can provide a tailored rehabilitation program, manual therapy, and modalities such as ultrasound or electrical stimulation to aid recovery.
7. Be Patient and Consistent
Recovery from a sprained ankle can take time, and it’s important to be patient with the process. Consistency in performing your rehabilitation exercises is key to regaining full mobility.
8. Avoid Overexertion
While it’s important to challenge your ankle, be cautious not to overdo it. If you experience significant pain or swelling after an activity, it may be a sign to scale back and allow for more rest.
Conclusion
Improving ankle mobility after a sprain involves a combination of gentle exercises, strengthening, balance training, and gradual increases in activity. Listening to your body and seeking professional guidance when needed will help ensure a safe and effective recovery. Remember, the goal is not just to regain mobility but also to strengthen the ankle to prevent future injuries.
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