Typical Recovery for a High Ankle Sprain

What is a High Ankle Sprain?

A high ankle sprain occurs when the ligaments connecting the tibia and fibula are damaged, often due to forceful twisting or rotation of the ankle. This injury differs from the more common low ankle sprain, which affects the ligaments on the outside of the ankle. 

Unlike a low ankle sprain, which usually heals in a few weeks, a high ankle sprain can take longer due to the involvement of the syndesmotic ligaments. These ligaments are crucial for ankle stability, and their injury requires a more intensive rehabilitation process to ensure proper healing and prevent re-injury.

Symptoms of a High Ankle Sprain

• Pain Above the Ankle: Unlike a typical sprain, pain from a high ankle sprain is located above the ankle, between the tibia and fibula.
• Swelling and Bruising: Swelling around the ankle and lower leg, along with bruising, is common.
• Difficulty Walking: Bearing weight on the affected foot can be painful and difficult, often causing a limp.
• Tenderness: The area above the ankle is usually tender to the touch, especially when pressing between the tibia and fibula.

Diagnosis and Initial Treatment

Proper diagnosis of a high ankle sprain is essential to determine the extent of the injury and develop an effective treatment plan. At Motion Orthopaedics, we use a combination of physical examination and imaging tests, such as X-rays or MRI, to confirm the diagnosis.

Rest and Immobilization

The first step in treating a high ankle sprain is to rest and immobilize the injured ankle. This may involve using a brace or cast to keep the ankle stable and prevent further injury.

Ice and Elevation

Applying ice to the affected area and elevating the foot can help reduce swelling and pain. Ice should be applied for 15-20 minutes every few hours during the first 48 hours post-injury.

Anti-inflammatory Medications

Over-the-counter anti-inflammatory medications, such as ibuprofen, can help manage pain and reduce inflammation.

The Recovery Process

Recovery from a high ankle sprain can be a lengthy process, often taking longer than recovery from a typical ankle sprain. Here’s what you can expect:

Phase 1: Acute Phase (0-2 Weeks)

During the acute phase, the primary goal is to reduce pain and swelling. This involves:

• Rest and Immobilization: Continued use of a brace or cast to keep the ankle stable.
• Ice and Elevation: Regular application of ice and keeping the foot elevated.
• Limited Weight-bearing: Using crutches to avoid putting weight on the affected foot.

Phase 2: Subacute Phase (2-6 Weeks)

As the pain and swelling decrease, the focus shifts to restoring range of motion and beginning gentle exercises:

• Physical Therapy: A physical therapist will guide you through exercises to improve flexibility and strength without putting too much stress on the ankle.
• Gradual Weight-bearing: Slowly reintroducing weight-bearing activities as tolerated.

Phase 3: Rehabilitation Phase (6-12 Weeks)

During the rehabilitation phase, the emphasis is on regaining full function and returning to normal activities:

• Strengthening Exercises: Increasing the intensity and variety of exercises to strengthen the muscles around the ankle.
• Balance Training: Exercises to improve balance and prevent future injuries.
• Functional Activities: Gradually resuming sports and other activities, with guidance from your healthcare provider.

Prevention and Long-term Care

Preventing future high ankle sprains involves maintaining strength and flexibility in the lower legs and practicing good technique in sports and activities:

Regular Exercise

Incorporate exercises that strengthen the muscles around the ankle and improve overall stability. This can include calf raises, resistance band exercises, and balance drills.

Proper Footwear

Wearing appropriate footwear that provides good support can help reduce the risk of ankle injuries. Ensure your shoes fit well and are suitable for the activities you engage in.

Warm-up and Stretching

Always warm up before physical activity and incorporate stretching exercises that target the lower legs to keep the muscles and tendons flexible.

Recover From a High Ankle Sprain With Motion Orthopaedics

Recovering from a high ankle sprain requires patience, proper treatment, and a structured rehabilitation program. If you are dealing with an ankle sprain, Motion Orthopaedics is here to help. Our specialists will create a personalized treatment plan to ensure a full and efficient recovery. Book an appointment today and start your journey to recovery.

For expert care, contact Dr. Mitchell Tarka, our ankle specialist, at (314) 900-0558. Dr. Tarka is well-versed in treating complex ankle injuries and will guide you through every step of your recovery process.