Can I Lift Weights with a Sprained Ankle? Expert Rehab Advice - Rehabilitation

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Hello Dr.
Zheng, I have a sprained ankle from playing basketball, and there is some bruising.
The doctor has determined that the ligaments are injured, but the bones are fine.
I have been undergoing rehabilitation treatment.
Initially, I needed crutches to walk, but now my ankle is still somewhat swollen, although I can walk slowly without crutches.
I would like to ask you, in this situation, if I can lift heavy items while using an elastic bandage for support, provided I do not twist my ankle again (as I need to cover living expenses)? Will carrying weight hinder the recovery of my ankle or cause it to swell further? Thank you for taking the time to respond, I appreciate it!

peter, 20~29 year old female. Ask Date: 2006/12/11

Dr. Zheng Shunping reply Rehabilitation


In response to your question: If the ankle sprain involves mild ligament damage, it typically takes about two weeks for gradual healing.
However, if there is a more severe ligament tear, the recovery time will be longer.
Based on your description, it seems your ankle injury is mild.
It is advisable to wait until you have fully recovered before lifting heavy objects, as doing so may hinder your healing process.
If you continue to experience no improvement, I recommend visiting a rehabilitation clinic for a joint ultrasound examination to assess the extent of your injury.
Wishing you a speedy recovery!

Reply Date: 2006/12/11

More Info


When dealing with a sprained ankle, especially one that has resulted in bruising and ligament damage, it's crucial to approach any physical activity, including weight lifting or carrying heavy loads, with caution. Here’s a comprehensive overview of what you should consider based on your current condition.


Understanding Your Injury
A sprained ankle occurs when the ligaments that support the ankle stretch or tear. The severity of the sprain can vary, and symptoms often include pain, swelling, bruising, and limited range of motion. Since you mentioned that you have some swelling and have been using crutches initially, it indicates that your injury is still in the recovery phase.

Rehabilitation and Recovery
1. Rest and Ice: Initially, the RICE method (Rest, Ice, Compression, Elevation) is essential for managing swelling and pain. Continuing to ice the ankle can help reduce inflammation.

2. Physical Therapy: Since you are already undergoing rehabilitation, it's important to follow your therapist's guidance. They can provide exercises to strengthen the ankle and improve flexibility, which are crucial for recovery.

3. Gradual Return to Activity: As you recover, gradually reintroducing activities is key. Start with low-impact exercises that do not put excessive strain on the ankle.


Lifting Weights with a Sprained Ankle
1. Consult Your Doctor or Therapist: Before attempting to lift weights or carry heavy loads, consult with your healthcare provider or physical therapist. They can assess your ankle's stability and provide personalized advice based on your recovery progress.

2. Use Supportive Gear: If you decide to lift weights, consider using an ankle brace or wrap to provide additional support. This can help stabilize the ankle and reduce the risk of re-injury.

3. Modify Your Exercises: Focus on upper body exercises or seated exercises that do not place weight on your ankle. Avoid any movements that require you to stand on the injured ankle or that could cause twisting motions.

4. Listen to Your Body: Pay attention to any pain or discomfort in your ankle while lifting weights. If you experience increased pain or swelling, stop the activity immediately.


Risks of Carrying Heavy Loads
Carrying heavy items can put significant stress on your ankle, especially if it is still swollen and healing. Here are some considerations:
- Increased Swelling: Lifting heavy loads may exacerbate swelling and delay recovery. If your ankle is already swollen, adding weight could worsen the condition.

- Risk of Re-injury: There is a high risk of re-injuring the ankle if you are not fully healed. This could lead to a longer recovery time and potential chronic issues.

- Compensation Injuries: If you alter your gait to accommodate the pain in your ankle, you may inadvertently stress other joints, such as your knees or hips, leading to additional injuries.


Conclusion
In summary, while it may be tempting to lift weights or carry loads to maintain your daily activities, it is crucial to prioritize your recovery. Consult with your healthcare provider before engaging in any weightlifting or heavy lifting activities. Focus on rehabilitation exercises that promote healing and gradually increase your activity level as your ankle improves. Remember, taking the time to heal properly will ultimately lead to better long-term outcomes and prevent further complications.

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