Ankle Sprain: Symptoms, Causes, Treatment and Recovery Guide: Dr. Balaraju Naidu, Robotic Orthopedic Surgeon – ONUS Robotic Hospitals
An ankle sprain is a very common injury, especially among people who play sports, run, or walk on uneven surfaces. But even a simple misstep while walking can twist the ankle and stretch the ligaments beyond their normal range. These ligaments are the strong tissues that hold your ankle bones together — when they get overstretched or torn, it results in pain, swelling, and difficulty in movement.
If not treated properly, a sprained ankle can lead to repeated injuries and long-term ankle instability. That’s why correct care from day one is essential.
What Causes an Ankle Sprain?
You may sprain your ankle when:
- Your foot turns inward suddenly
- You step on an uneven surface
- You land awkwardly during running or jumping
- Wearing heels or loose-fitting footwear
- Sudden direction change during sports
Sports like basketball, football, badminton, and trekking have a higher risk of ankle sprains.
Common Symptoms
You may notice:
- Sharp pain in the ankle immediately after injury
- Swelling and tenderness
- Bruising or discoloration
- Difficulty putting weight on the foot
- Feeling like the ankle is “weak” or may give way
If you hear a pop at the moment of injury, it indicates a more severe sprain.
Immediate First Aid – R.I.C.E Method
For the first 48 hours, follow:
| Step | What It Means | What To Do |
| R – Rest | Avoid walking on the injured ankle | Use crutches if needed |
| I – Ice | Reduces pain and swelling | Apply ice pack 15–20 minutes, 3–4 times/day |
| C – Compression | Controls swelling and supports ligaments | Wrap with an elastic bandage (not too tight) |
| E – Elevation | Helps drain excess fluid | Keep your foot raised on pillows |
❗ Avoid heat, massage, or stepping on the ankle in the first 48 hours.
When Should You See a Doctor?
Visit an orthopedic specialist if:
- Pain is severe and persistent
- You cannot stand or walk properly
- Swelling continues beyond 3–5 days
- You suspect a fracture
- You keep getting repeated ankle sprains
Your doctor may recommend:
- X-ray to rule out fracture
- MRI if ligament tear is suspected
- Physiotherapy to regain strength and balance
Treatment Options
Depending on the severity:
- Mild sprain: Rest, ice, compression, elevation, and pain relief medicines
- Moderate sprain: Ankle brace + physiotherapy
- Severe sprain (ligament tear): Advanced physiotherapy or minimally invasive ligament repair surgery if instability persists
Rehabilitation Exercises (After Initial Pain Reduces)
Doing rehab helps prevent future sprains.
Exercises:
- Ankle circles
- Towel stretch
- Toe and heel raises
- Single-leg balance practice
- Resistance band ankle strengthening
A physiotherapist will guide the duration and intensity of these exercises.
How to Prevent Ankle Sprains
- Warm up before sports or workouts
- Wear supportive and well-fitted footwear
- Strengthen ankle and calf muscles
- Use ankle guards/braces if you have weak ankles
- Maintain a healthy weight to reduce strain
Key Takeaway
An ankle sprain may seem like a mild injury, but ignoring it can lead to long-term pain and instability. Early care, correct first aid, and guided physiotherapy help ensure complete recovery.
If ankle pain or swelling is not improving in a few days, consult an orthopedic specialist for proper evaluation and treatment.
Dr. M. Balaraju Naidu – MS Ortho, DNB, FIJR (UK), FNR (Germany), FKS (Italy), FIPS (France)
Chief & Founder, ONUS Robotic Hospitals
Expert in Joint Replacements, Sports Medicine, Shoulder & Knee Arthroscopy.
📍 Locations
Chamapet | Uppal | Tukkuguda
📞 For Appointments
🌐 www.onusrobotichospitals.com
