:: foot & ankle associates ::

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Physical Therapy Protocol

Physical therapy is essential to stabilize the ankle. It also is very helpful in returning the nerve supply to the ankle so that the brain begins to control the motion of the ankle and prevents more sprains from occurring.

Our sprained ankle therapy protocol is:

Week 1	Passive range of motion in dorsiflexion and plantarflexion Ultrasound/TENS therapy Side to side stability in brace in Grade I cases only
Week 2	Passive and mild active range of motion in dorsiflexion and plantarflexion Ultrasound/TENS therapy Side to side motion in brace Grade I and some Grade II Sports specific therapy in some Grade I cases.
Weeks 3-6	Active range of motion Ultrasound/TENS therapy Side to side motion out of brace Grade I through III (Grade III at week 4) Sports specific therapy for Grade I through III (Grade III is started week 5-6)
Weeks 6-8	Sports specific rehab and strengthening protocol

It is essential to consider ankle sprains as a partial dislocation of a joint. If pain is not better at 6 weeks, an MRI is done to rule out cartilage damage, a deep bone bruise or a tendon tear.

With proper care, a sprained ankle should be forgotten in 6 months time with full return to activity. The Foot and Ankle Institute will work to set-up the idea protocol for your needs.

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