Ankle sprains, as described by Dr. David Pagnanelli Jr., a board-certified podiatric surgeon at Keystone Foot and Ankle Center, occur when the ankle’s ligaments are overly stretched from rolling or twisting. Such injuries are common and can result from falls, stepping on uneven surfaces, sports injuries, or wearing unstable footwear, with previous foot or ankle injuries increasing the risk.
Dr. Pagnanelli outlines that symptoms vary but typically include pain, swelling, bruising, difficulty walking, and joint looseness. He emphasizes the importance of seeking prompt medical attention for ankle sprains to prevent serious complications like chronic instability or the need for surgical intervention.
Treatment typically begins with a physical examination and may include imaging like MRIs for severe cases. Initial treatments recommended by Dr. Pagnanelli include rest, ice, compression, elevation, and physical therapy. For more severe sprains, nonsteroidal anti-inflammatory drugs may be prescribed. If conservative treatments are insufficient, Dr. Pagnanelli might recommend surgery using the advanced Broström technique and Internal Brace system, particularly effective for young, athletic individuals.
Recovery from surgery involves several weeks of non-weightbearing activities followed by physical therapy, with most patients returning to their usual activities within four to six weeks. Dr. Pagnanelli advises against ignoring foot or ankle pain to avoid long-term issues.
