Ankle Sprains

An ankle sprain occurs when the ligaments that support the ankle are stretched or torn, most commonly during a sudden twist or roll of the ankle. The most frequent type is a lateral ankle sprain, which involves the ligaments on the outside of the ankle.

Ankle sprains can range from mild ligament strain to complete ligament rupture. Even mild sprains can lead to lingering instability, weakness, or recurrent sprains if not properly rehabilitated.

• Pain around the ankle, often on the outside
• Swelling and stiffness
• Bruising around the ankle or foot
• Pain with walking or weight bearing
• A feeling of instability or giving way
• Reduced balance or confidence on uneven surfaces
• Pain during sport or sudden direction changes

• Sudden twisting or rolling of the ankle
• Sports involving jumping, cutting, or uneven surfaces
• Poor balance or proprioception
• Reduced ankle strength or control
• Previous ankle sprains
• Inadequate rehabilitation after a prior injury
• Early return to activity without restoring stability

Physiotherapy for ankle sprains focuses on restoring stability, strength, and confidence in the ankle rather than simply reducing swelling or pain. While symptoms may improve quickly, full recovery of balance and control often takes longer and requires structured rehabilitation.

Physiotherapy management may include:
• Reducing swelling and restoring ankle mobility
• Progressive strengthening of the ankle and lower limb
• Balance and proprioception retraining
• Improving single leg control and movement coordination
• Gradual exposure to sport or activity specific demands
• Education around bracing, taping, and load progression
• Manual therapy when indicated

Recovery timelines depend on the severity of the sprain and prior injury history. Many individuals return to daily activities within weeks, but full recovery for sport often requires continued rehabilitation to reduce the risk of reinjury. Proper physiotherapy significantly lowers the likelihood of chronic ankle instability and recurrent sprains.