Physical Therapy Nest

Chronic ankle laxity is typically diagnosed through:

• Medical history review (frequency of sprains, previous ankle injuries, level of activity).

• Physical exam to check ligament stability, swelling, and joint alignment.

• Special stability tests (like anterior drawer or talar tilt test).

• Imaging:

  • X-rays to rule out fractures.

  • MRI to assess ligament damage and other soft tissue injuries.

Physical therapy is the cornerstone of treating chronic ankle laxity. The goal is to strengthen the ankle, improve stability, and prevent future sprains. Treatment may include:

• Manual therapy to improve ankle mobility and alignment

• Strengthening exercises for ankle, foot, and calf muscles

• Balance and proprioception training to restore stability and coordination

• Bracing or taping during high-risk activities to prevent reinjury

• Pain management with ice, ultrasound, or electrical stimulation

• Education on footwear, activity modification, and injury prevention strategies
  In severe cases where conservative care fails, surgical reconstruction may be recommended, with physical therapy essential before and after surgery.

Signs of chronic ankle laxity may include:

• Recurrent ankle sprains, often with minimal trauma

• Persistent ankle pain or tenderness

• Swelling around the ankle joint

• Instability or a “giving way” sensation during walking or sports

• Reduced range of motion or stiffness after activity

• Difficulty performing high-impact activities without reinjury

To lower the risk of ankle instability and further sprains:

• Strengthen ankle and calf muscles consistently

• Train balance and coordination exercises (single-leg stance, wobble board)

• Wear supportive shoes during sports and daily activities

• Use ankle braces or tape if you have a history of sprains

• Warm up and stretch before activity

• Address ankle pain early instead of pushing through it