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A high ankle sprain, also known as a syndesmosis injury, is an injury that affects the ligaments above the ankle joint. It occurs when the ligaments connecting the tibia and fibula bones become stretched or torn. High ankle sprains are often caused by a twisting or rotational force applied to the ankle, such as during sports activities or accidents. Symptoms of a high ankle sprain may include pain, swelling, instability, and difficulty walking.

Managing a high ankle sprain requires a comprehensive approach to reduce pain, promote healing, restore function, and prevent further injury. By applying the 5 stages of rehabilitation, individuals with a high ankle sprain can effectively recover and regain optimal ankle function.

  1. Pain management: The first stage focuses on managing pain and reducing inflammation in the injured ankle. Physiotherapists may recommend the use of ice therapy, compression bandages, and elevation of the foot to alleviate pain and swelling. They may also suggest bracing, immobilization, crutches to off load or over-the-counter pain medications to help manage pain and promote tissue healing.
  2. Range of motion: Once pain and swelling are under control, the emphasis shifts to restoring normal range of motion in the ankle joint. Physiotherapists prescribe gentle stretching and range of motion exercises to improve flexibility and prevent stiffness. These exercises aim to gradually increase the mobility of the ankle joint and facilitate healing.
  3. Motor control and balance: This stage focuses on improving motor control, balance, and stability to reduce the risk of reinjury. Physiotherapists prescribe specific exercises that target the muscles around the ankle, including the calf muscles, foot muscles, and the muscles that support the arch of the foot. These exercises may include balance training, proprioceptive exercises, and coordination drills to enhance stability and control during movement.
  4. Strength training: Strengthening the muscles around the ankle and lower leg is crucial for providing support and stability to the joint. Range Physiotherapists will design a personalized exercise program that targets the calf muscles, ankle stabilizers, and the muscles of the lower leg and foot. These exercises may include heel raises, toe curls, resistance band exercises, and other strengthening exercises to gradually build strength and stability.
  5. Maintenance and prevention: The final stage focuses on maintaining the gains achieved through rehabilitation and implementing strategies to prevent future ankle sprains. Range Physiotherapists will provide guidance on gradually returning to activities, while monitoring for any signs of instability or discomfort. They may also assess movement patterns and provide recommendations on proper footwear, orthotics, and modifications to prevent future high ankle sprains.

Working closely with a qualified physiotherapist who specializes in ankle rehabilitation is essential. Range Physiotherapists will assess the severity of the sprain, develop a personalized treatment plan based on the 5 stages of rehabilitation, and monitor progress throughout the process. With proper treatment, exercises, and adherence to preventive strategies, individuals with a high ankle sprain can experience a successful recovery, improved ankle function, and a reduced risk of future injuries.

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