Symptoms
Symptoms of a sprain include: a sensation of the ankle "giving way" at the time
of injury, pain at or near the injury site, swelling, bruising, stiffness.
Sprains are classified into three grades, based on how severe the injury is:
Grade 1 - the ligaments have been stretched but are still intact. There will be pain and a small degree of swelling but no difficulty
moving the ankle.
Grade 2 - a more severe injury, involving a partial tear of a ligament. Pain will be moderate to severe, the ankle will be swollen
and difficult to move and there will be some bruising. Weight bearing will be painful.
Grade 3 - a complete tear through a ligament. There will be severe pain, swelling, loss of joint motion and inability to walk.
The ankle is often unstable and bruising is more extensive.
Even a grade 3 injury can be treated effectively if addressed properly.
Consequences of
ankle sprain
The consequences of an ankle sprain can be serious, both in the short and longer term. Pain due to bone,
cartilage and soft tissue injury, and recurrent sprains due to muscle weakness and tissue damage can all occur. This is why
early attention to the injury is important.
Initial management
Do you need an xray? Often not, but if
you truly cannot weight bear, or have bony tenderness, an x-ray to look for a fracture is indicated.
After a sprain, your ankle may be swollen and painful for
some time.
Here are some simple suggestions that may help you to recover.
Rest:
In
the first 24 -48 hours after an ankle sprain, you may wish to rest the ankle. If you do so, try to elevate it (for example
place your leg on a stool or chair) to try to keep the swelling down. After 24 - 48 hours
it is important to try to start to try to walk on the ankle, progressively building up the time that you are on your feet.
This will prevent wasting of the muscles and other important tissue.
Ice:
Ice,
or a bag of frozen peas, placed in a moist tea towel applied to the ankle for 10-15 minutes every 2 hours, may help to reduce
the pain and swelling. Gently rubbing the ice pack over the painful area may also help. Don’t use ice of you have a
circulatory problem. Heat is not useful in the initial injury; nor is massage.
Painkillers such as ibuprofen
may also reduce the pain and swelling.
Stretching and Exercises
Begin some simple exercises as early as possible, as these
are very important to prevent stiffness and weakness. Do not stretch too far in the first 48 hours, but gentle motion is generally
good.
