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Chronic Ankle Instability After Sprains and Why It Keeps Returning

Chronic ankle instability is a condition that develops when the ankle repeatedly gives way due to weakened ligaments following an ankle sprain. It is defined as a loss of stability in the ankle joint, often caused by incomplete healing or repeated injury. When a sprain stretches or tears the supporting ligaments, the joint may not regain full strength, leaving it vulnerable to further damage. Over time, this instability can affect balance, coordination, and overall foot function.

Common symptoms of ankle instability include a feeling of the ankle giving out, especially on uneven surfaces or during physical activity. Patients may experience persistent swelling, discomfort, and tenderness around the joint. Recurrent ankle sprains are a key sign, as unstable ankle joints can easily be twisted again. Some individuals also report weakness, reduced range of motion, and difficulty maintaining balance during movement.

 

Several causes and risk factors contribute to the development of chronic ankle instability. A previous ankle sprain is the most significant factor, particularly if it was not properly treated or rehabilitated. Ligament laxity, muscle weakness, and poor proprioception can also increase the risk. Athletes and individuals who participate in high impact activities are more prone to repeated injuries. Wearing unsupportive footwear and walking on uneven surfaces may further increase the likelihood of instability.

 

Proper management is essential to restore strength and prevent future sprains. Treatment may include targeted exercises to improve balance and stability, supportive bracing, and custom orthotics to enhance alignment. Early care can reduce the risk of long term joint damage. If you have sprained your ankle, it is suggested that you consult a podiatrist who can accurately diagnose and treat this condition, which may include appropriate stretches to prevent recurring ankle sprains.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Joseph M. LaCava, DPM from Arkansas. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

  • Pain at the sight of the tear
  • Bruising/Swelling
  • Ankle area is tender to touch
  • In severe cases, may hear/feel something tear
  • Skin discoloration

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

If you have any questions, please feel free to contact our office located in Hot Springs, AR . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Three Grades of Ankle Sprains

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