:: foot & ankle associates ::

Grade I ankle sprains need to be protected without any restriction in activity for prolonged periods. Often, we will place the ankle in a clamshell brace and allow normal walking. Sports activity is protected for two to three weeks with any side to side motion and physical therapy is done if pain is not much better two weeks after injury.

Grade II ankle sprains need added protection. Often we will place the foot in a protective boot with a soft wrapping to allow the ligaments to heal. Range of motion is started at one week after injury with physical therapy exercises. No side to side motion is done for two weeks. A clamshell brace is used at two weeks and increase in therapy is allowed. Full return to activity is at 4 to 6 weeks depending on the level of injury and time for recovery.Grade III ankle sprains require extensive therapy and protection. The ankle is wrapped in a soft cast and a protective boot for 2 weeks.

Weightbearing is begun when the patient is comfortable. Full weight can be placed on the ankle with comfort. At two weeks, physical therapy exercises are done to increase range of motion, decrease pain and inflammation and increase stability. No side to side motion is permitted for one month and average return to activity is at 6 to 8 weeks. An ankle brace is worn for 3 months following injury during sports.