Physical Therapy Nest

A provider can diagnose a sprained ankle through:

• Medical history review (how the injury occurred, type of activity, prior ankle injuries).

• Physical exam to check swelling, bruising, and range of motion.

• Stability tests to assess ligament strength.

• Imaging:

  • X-rays to rule out fractures.

  • MRI for severe cases to assess ligament or tendon damage.

Physical therapy is key to ankle sprain recovery. It helps restore stability, strength, and mobility while preventing future injuries. Treatment may include:

• Early care: R.I.C.E. (rest, ice, compression, elevation) to manage swelling

• Manual therapy to improve joint mobility and reduce stiffness

• Strengthening exercises for the ankle, foot, and calf muscles

• Balance and proprioception training to restore coordination and prevent reinjury

• Stretching routines for calves and surrounding tissues

• Education on safe return to activity, footwear, and movement patterns
  Severe sprains may require bracing, immobilization, or — in rare cases — surgical repair, but physical therapy remains essential in all cases.

Symptoms of an ankle sprain vary by severity but may include:

• Pain around the ankle, especially when bearing weight

• Swelling and tenderness at the injury site

• Bruising that develops within hours or days

• Reduced range of motion

• Instability or the feeling that the ankle might “give out”

• Difficulty walking, running, or standing

To reduce the risk of future ankle sprains:

• Warm up before physical activity

• Strengthen ankle and calf muscles regularly

• Train balance and stability with targeted exercises

• Wear supportive footwear, especially during sports

• Avoid uneven surfaces when fatigued

• Use bracing or taping if you’ve had prior ankle injuries