Inversion Sprain

Inversion sprain express themselves as pain and swelling beneath the extensor tendons, along with weight-bearing instability. Ecchymosis (black and blue) may occur, indicating injury to blood vessels. Hypermobile ankle-the foot is inverted to a greater degree than normal and the talus separates from the lateral malleolus. The foot can be moved into a position so that the sole is inverted at practically a right angle with the ground.

SYMPTOMS / SIGNS

Pain on palpation and/or excessive motion upon ankle orthotic testing. Abnormal gait pattern. Loss of ankle strength upon testing. Ankle mortise instability upon stress testing. Multiple lower extremity subluxations (talus, fibula, cuboid, calcaneus, etc.)

TREATMENT

“PRICE” formula is applied:
1. Protection
2. Rest
3. Ice
4. Compression
5. Elevation
Manipulation of involved subluxations.
Daily ice sessions (20 minutes) followed by pain-free, short-arc range of motion exercises.
Immobilization of severe sprain (Grade III).
Ankle strengthening as tolerance allows.
Proprioception exercise prior to return to aggressive activities.

PREVENTATIVE MEASURES

Avoid wearing worn shoes that have become non-supportive.
Regular routine of active eversion exercises.
Orthotic support at all times.
Tape the ankle prior to aggressive activities.
Ankle brace.
Achilles stretching.

It is important that the ankle get immediate attention after injury. The longer treatment is delayed, the longer the recovery.

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