Rehabilitation and conservative treatment is recommended instead of surgical approach after ankle outward sprain (inversion injury).
• In a study conducted in patients with grade 3; full recovery rate
• 82% -100% with functional therapy
• With immobilization: 65-98%
• With the operation: 56-95%
• ***These results may be biased. Because it is not clear whether people will return to sports later, whether they need a quick recovery or not, and the patient’s request.
• Especially after ankle injury, balance training on different surfaces and irregular surfaces, manual therapy and eccentric training given to the muscles around the ankle are of vital importance.***
acute period
In order to reduce edema and pain, especially in the first week of rehabilitation;
Ice application for 15 minutes every two hours
posterior muscle stretch
TENS application to reduce pain
Gentle movement and bandaging are recommended.
In addition, graston application, fascial release, and upper joint mobilizations, which are specific to physiotherapy and manual therapy, should be added.
advanced term
In this period, the aim is to increase blood circulation especially in the ankle and to strengthen the muscles around the ankle and knee.
ankle mobilizations
balance and proprioception (sense of position) exercises
walking training
core and pilates exercises
To prevent injury and prevent its reoccurrence;
• Correct Shoe selection and taping
• Studies on this subject are quite contradictory.
• Although it is thought that the shoe type prevents ankle sprain, this issue has not been clearly proven by studies.
• However, since the new models are more comfortable and have more shock-absorbing properties, they increase the performance of the athlete.