Ankle Sprain.

An ankle sprain is an injury to the ligament (which connect bone to bone) of an ankle. This can be overstretched of fibers of ligament sometimes injury of the ankle also ruptures the cartilage, blood vessels, and tendon.

Grade of sprain

Grade 1: In this fibers of the ligament is only stretch not torn.

Grade 2: In this fibers of the ligament is partially torn and stretch.

Grade 3: In this fibers of the ligament are completely torn.

Cause of ankle sprain:

  1. Twist of ankle
  2. Sudden hit to the ankle
  3. Slip-on the floor
  4. During soccer/football

Mainly the reason is the unexpected movement of the foot during any activity.

Symptoms of ankle sprain:

  1. Pain
  2. Swelling
  3. Bruises
  4. Redness
  5. Stiffness
  6. Tenderness
  7. Inability to put weight on the affected ankle

Treatment 

Early treatment should be RICE protocol. This is for 1 week 

R: REST: Give rest to your ankle.

I: ICE: Apply icepack for 15-20 min 3 to 4 times a day.

C: COMRESSION: Wear ankle brace.

E: ELEVATION: Elevate your ankle with a 2-3 cushion under your ankle it helps in the reduction of swelling.

After this start physiotherapy:

In electrotherapy

TENS and Ultrasound helps in reduces the pain.

In exercise therapy

Mobilization of the ankle it’s a manual technique.

Ankle pump exercise

For strengthening exercise with Thera band (resistance band) 

Isometric exercise of ankle

When pain remain minimal start with standing exercise

Heel Raise and the variation of heel raise

Proprioceptive training because there are receptors in the ankle which are known as proprioceptive receptor they are destroyed in ankle injury if it not trained properly then a condition which is known as reoccurrence of ankle twist occur which make laxity in the ligament.

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