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🏥 Gotokuji Orthopedic Clinic / Patient Guide

Ankle Sprain

Ankle Ligament Injury
Twisted your ankle! Proper first aid and treatment

An ankle sprain is an injury where the ligaments in the ankle are stretched or torn when the joint is twisted forcefully.
It is one of the most common injuries, happening during sports or everyday falls.
The ligaments on the outside of the ankle are most often affected. If you think "it's just a sprain" and ignore it, it can lead to repeated sprains and chronic ankle instability.

1
The ankle rolls inward

A bad landing or tripping on a step causes the ankle to turn inward sharply

2
Heavy stress is placed on the outer ligaments

The ligaments on the outside of the ankle are stretched beyond their limit

3
Ligaments are damaged, causing swelling and pain

The ligaments partially or completely tear, leading to swelling and bruising

4
Incomplete treatment leaves the ankle unstable

Without proper healing, the ligaments stay loose, raising the risk of repeated sprains

🏀 Basketball ⚽ Soccer 🏃 Running 👟 Poor footwear
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Pain around the ankle
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Swelling of the ankle
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Bruising (discoloration)
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Pain when walking or bearing weight
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Ankle feels wobbly or unstable
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RICE (First Aid)
Rest, Ice, Compression, and Elevation right after the injury. More recent approaches such as POLICE and PEACE & LOVE suggest avoiding excessive rest and starting gentle, pain-free movement early (how much you can move depends on the severity of the injury, so follow your doctor's instructions)
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Immobilization (Bandage/Splint)
Temporarily bracing the ankle to help ligaments heal
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Rehabilitation
Strength training, balance exercises, and core workouts to prevent recurrence
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Stretching
Gradual stretching to restore the ankle's range of motion
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Anti-inflammatory Medication
Oral medication or patches to reduce pain and swelling
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Surgery (Refractory Cases)
Considered when ligaments are completely torn and conservative treatment fails. We do not perform surgery here, so we refer you to a partner hospital
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Mild sprains recover fairly quickly; moderate to severe sprains take about 4-8 weeks

Mild cases often heal in a relatively short time, but for moderate to severe sprains involving a partial or complete ligament tear, return to sport generally takes around 4-8 weeks. Pain usually settles before the ligament has fully healed, so returning to activity too early on your own judgement increases the risk of re-injury, chronic instability, and cartilage damage.

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Don't ignore a sprain as "just a twist."
Without proper treatment, the ligaments may stay loose, leading to an unstable ankle that sprains repeatedly. Over time, this can cause joint deformity. It is also important to check for fractures with X-ray or ultrasound.

💡 Habits to Protect Your Ankles

  • Warm up thoroughly before exercise
  • Choose shoes that fit your sport properly
  • Build ankle stability with balance training
  • If you twist your ankle, ice it first and see an orthopedic doctor early