Ankle ligament injury, also known as ankle sprain, can be caused by a sudden twisting movement of the foot during any athletic event or during daily activities. It is one of the most common orthopedic injuries and can also be caused by walking down a slope or over any uneven surface. The injury can range from mild to severe, depending on the condition of the injured ligament and the number of ligaments involved.
Ligaments are made up of elastic tissues that interconnect bones to one another. They bind the joint together providing stability and support to the joint. The ligaments protect the ankle joint from abnormal movement and stabilize the joint during movement. When stretched beyond its limit, the ligament may partially or completely tear.
Ankle ligament injury may be caused by a sudden twist, fall, and blow to the joint or any abnormal movement. Use of inappropriate shoes during physical activity, or any forceful movement over an uneven surface may also cause a ligament injury. Previous ankle or foot injury and congenitally weak ankle increase the propensity for ankle sprain.
Pain is the most common symptom of ankle ligament injury and can be associated with swelling and bruising. Sometimes the joint may develop stiffness and the patent may have difficulty walking. The symptoms of ankle ligament injury depend on the severity of the injury which correlates with the extent of damage to the ligaments.
A complete physical examination by the physician will determine the degree and nature of the injury. The doctor may move the ankle in different directions to evaluate the extent of the injury. The examination may be painful. X-rays may be needed to confirm the severity of the injury and rule out the possibility of a fracture. In severe cases, a MRI scan may also be ordered.
Ankle ligament injuries need immediate medical attention as if left untreated they may cause chronic ankle instability. Conservative as well as surgical treatment may be used for the management of ankle ligament injuries.
Conservative treatment may be used for immediate relief and the treatment includes RICE therapy (rest, ice, compression and elevation) and medications. The RICE therapy reduces the pain and swelling and provides rest to the injured ligament. Non-steroidal anti-inflammatory (NASAIDs) medications may be recommended for management of pain and inflammation.
Surgery is not commonly recommended for the management of ankle sprain. However, if the conservative treatment fails to provide any benefit, surgery may be required. Surgery is recommended for ankle joint instability persisting even after months of rehabilitation. Common surgical procedures performed for the management of ankle sprain include ankle reconstruction surgery and ankle arthroscopy.
After the non-surgical or surgical treatment, rehabilitation of the injured ankle is important. Physical therapy is effective for complete rehabilitation. It includes strengthening exercises, mobilization exercises and gait training. PT provides long term benefits to the patient and can help prevent a recurrence of the injury.
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Houston Foot and Ankle Specialists
Physicians at Advanced Orthopedics and Sports medicine are trained in the treatment of most foot and ankle problems. They are trained in the treatment of complex foot problems, forefoot deformities (bunions, hammer toes, etc.), ankle injuries, fractures/dislocations, major and minor foot/ankle reconstructions, ankle replacements, minimally invasive surgery, arthroscopy, and non-operative management of foot and ankle problems, including treating the special populations, including diabetics and rheumatoid arthritis. In addition to common surgical options, advanced techniques include ankle arthroscopy, subtalar arthroscopy, deformity correction with internal or external fixation (Ilizarov/ring fixation) and ankle replacement.
Drs Elbaz and Brooks now perform Platelet-Rich Plasma (PRP) injections for the treatment of plantar fasciitis, shin splints, peroneal tendonitis, Achilles tendonitis or partial tears. PRP stimulates a more rapid healing of tendon, ligament, muscle and bone.
Contact us today to Schedule an Appointment or call us at 281-955-2650 to learn more about our Foot and Ankle Treatment options.
1Professional Building II At North Cypress Medical Center
2North Cypress Professional Building At Lakewood Crossing
3North Cypress Professional Building At Towne Lake
4Advanced Orthopaedics Memorial
What Our Patients Are Saying
I was in pain for a couple of months and went to see Dr. Cubbage. He knew right away by the way my posture what the issue was. He had me scheduled in and he along with his staff were awesome. After my surgery, I felt 100 % better. I had a few follow up visits and he along with his staff were genuinely attentive to my concerns and needs. I was also not in his network and his staff helped me out with that as well. I highly recommend him for people that have back or neck issues.
Dr. Cubbage & Staff replaced a disc that had been destroyed between my 4th and 5th vertebra. This is my 4th month since the surgery in January of 2018. I was very impressed with their dedication and professional approach to helping me live a more productive life. I am a 70 year old wife, mother and grandmother. Feel very blessed. Sincerely!
Excellent experience. The doctor, staff, office services and hospital care were outstanding before, during and after the procedure. Thank you – Heathgrades, Dr. Cubbage review
Each procedure done by Dr. Patel has been an improvement. Very pleased.
Dr. Patel has been a great Doctor for me. When I was referred to after discussion we decided to do injections in my back. The first two did not work so did two more in a different section of my back. These injections worked great. I’m now able to sleep at night and the numbness in my foot is almost gone. The tingling in my foot & leg is gone and I am very happy about that. I am extremely happy that Dr. Patel is my Doctor. She has been a good listener when I tell her where I hurt and talks to me about what she feels should be done. The final decision is always mine.
On Nov. 22, 2017, I had a spinal injection in my lower back and it was an instant miracle in my life! For the first time in 4 intolerable months of pain, I was finally pain free, and I am now getting a second chance to live again! I am so grateful to Dr. Patel for my new life, and to God for guiding me to her! Thank you so very much Dr. Patel – you are God’s gift to me, thank you for being so awesome at what you do.
Dr. Patel is one of the best Doctors I have ever had. She is pretty good at her job. She makes it plain and simple. She is also very thoughtful. I was very glad to have met her. In other words she is pretty good.
The surgery done by Dr. S. Patel (Actually injections) & the mild medications she has prescribed has surely made my lower back -hip-leg less painful. I have complete confidence in her medical judgement & advice. She will administer second injection in June.
Dr. Patel is a very good Pain Management Doctor. She is one of my favorite doctors.
Dr. Patel has been great at my pain relief. She doesn’t force me to take any meds I don’t want, or injections. She will give me the injection I want when I need it. Great friendly Doctor.