Wednesday February 8, 2017

Take steps to prevent sprained ankles

With basketball season in full swing and winter weather affecting large areas of the country, it’s peak season for ankle sprains, one of the most common musculoskeletal injuries in the U.S. And yet Baraboo physical therapist Dante Leone says incidents of ankle sprains can be minimized through simple strength, stability, balance, and flexibility exercises.

Ankle sprains happen when your foot turns or twists beyond its normal range of motion due to a slip, trip or roll, injuring the ligaments in your ankle, said Leone. A sprained ankle is easily one of the most common injuries we see, so if you’ve experienced it before, you’re in good company.

According to the American College of Sports Medicine (ACSM), 25,000 people suffer ankle sprains every day in the U.S. That’s around 9 million ankle sprains each year, accounting for nearly half of all sports injuries. One study found that ankle sprains account for nearly one-third of all reported sports injuries, with 41 percent of these injuries related to basketball from awkward landings, oftentimes on a player’s foot.

About three out of four ankle sprains are the classic rolled ankles, or inward “inversion sprains. Such injuries vary in grade, based on the extent of injury to the ligament, leading to pain, swelling, weakness and instability.

Sprained ankles happen, often in sports, and can become a recurrent issue. But there are ways to minimize the odds of a sprain or a re-sprain, said Leone. Depending on your functional or performance goals, as well as the levels of strength and stability you have, individualized programs can be created based on improving three areas: strength, balance and flexibility.

Strength: Weak muscles around the ankle joint, specifically those on the outside of the ankle, can lead to instability, and make you more susceptible to an ankle sprain, Leone said. While a physical therapist can provide a customized strength program specifically for your ankle, a simple exercise you can perform at home is this: While sitting, wrap a towel around the ball of your foot for resistance as you move your foot up and down, left and right.

Balance: Proprioception is your body’s ability to sense itself relative to neighboring body parts. Low proprioception in your ankle can affect your balance and, hence, your ability to prevent ankle sprains. To get a sense of this, stand on one leg and hold. Close your eyes (within reach of a wall, chair or countertop for balance) for a greater challenge. Do this once for a sense of balance; do it daily on each leg and hold to improve your balance over time.

Flexibility: Tightness and movement limitations in your legs and into your hips and torso can affect the stability of your ankles. It’s true! So remaining flexible and mobile not just in your ankle, but throughout your body, can dramatically improve functional and athletic performance, Leone said, while decreasing the chance of ankle sprains.

If you have experienced an ankle sprain, studies show that individualized treatment by a physical therapist can get you back to your normal lifestyle and performance goals quicker than you can do on your own, Leone said. Seeing a physical therapist first can save you time and money, and put you on track toward injury prevention in the future.