We don't treat sprain, we treat "WHY It Sprain"

We don't treat sprain, we treat "WHY It Sprain"
Ankle sprain is the most common injuries among athletes,
especially sports that involved “running”,
like football, basketball, badminton, trail runner, etc.

Before treatment, let’s understand what is “ankle sprain”.

Ankle Sprain” is defined as
over-stretching and tearing
of ankle ligament(s),
which connects bone to bone.

Most ankle sprain involved anterior tibiofibular ligament (ATFL),
in layman term,
when your feet / ankle is turning inward excessively.

Risk of ankle sprain are highly associated with foot arch.
When you have high arches, one or both heels are usually tilted inward.

Continuous ligament injury / wear & tear will result in instability,
which explains why recurrence of ankle sprain is VERY high.

Signs and symptoms of ankle sprain is depends of the severity of the injury.

They are swollen ankle, reduce in ankle range and pain.
Sometimes you might hear of popping sound
when you sprain your ankle.

Recurrent of ankle sprain is very common in athletes.
Some of you might wonder, why my ankle sprain won’t ”cure” after treatment.
If you treat only ankle, your treatment will never complete.

The biggest reasons behind is due to
inadequate healing or
poor rehabilitation in balance
ankle postural control

Good balance and ankle postural control
can prevent further stretching and
straining the injured ligaments which
might leads to chronic ankle instability and recurrent strains.

we always believe there is a reason behind ankle sprain.
Besides ligament, we will also look into muscles around the ankle.
If the muscle is tight, the joint space between will be closer,
which put ankle at higher risk to sprain.

Peroneus muscle is located at the side of shin bone, connect shin bone to ankle.
When ankle sprain happen,
peroneus muscles is being over-stretched and leads to wear & tear.

Based on our clinical experience,
patient with ankle sprain commonly have
swelling at the tendon of peroneus muscle.

Ps: an experienced physiotherapist or clinician should be able to tell you,
whether you have Ankle sprain / ankle strain during your 1st consultation!!
Both has different outcome of recovery pathway.

Besides that, tibialis anterior and posterior muscles
are acting as a coupling force to stabilize the ankle joint.

If both tibialis anterior and posterior are tight,
the joint space between shin bone and talus bone (mortise)
will be narrowing.

Both of these muscles act
as invertor which allows ankle moves inward.
Tight tibialis anterior and posterior will result in
excessive ankle invertion and leads to ankle sprain.
Tibialis posterior also an key muscle to hold the foot arch higher
which increased the risk of ankle sprain.

Credit to Senior Physiotherapist, Chai Pei San

17 Sep 2021