Eversion Ankle Sprain

Eversion Ankle Sprain

When you are walking on uneven surfaces, it is possible to twist your leg and get an ankle sprain. It can also happen while stepping off a curb or by making a misstep during an athletic event. Even activities that leave your foot firmly planted on the floor with your body getting twisted may put serious pressure on the ankle and cause an ankle sprain. That inward roll is the most common cause of sprained ankles, but an outward roll (eversion) may also happen. Soare there ways to make an eversion ankle sprain more manageable? Keep reading to learn about it.

How Does an Eversion Ankle Sprain Happen?

An eversion sprain occurs on the inside of your ankle. There are deltoid ligamentsin this area with a role to prevent inward twisting of your ankle. Eversion sprainscause a tear of your deltoid ligaments. This kind of sprain is also referred to as a deltoid ligament sprain or a medial ankle sprain.

Eversion sprains are quite rare for two main reasons. First, the fibula bone usually keeps the ankle from moving to the extent to cause a sprain. It means the bone keeps your food from moving in a direction that over stretches your ligaments. Second, the medial ligaments are relatively stronger on the inside of your ankle, which is the reason why you are less likely to deal with an eversion sprain.

Thus, an eversion sprain is often accompanied by a fracture of the lateral malleolus, which is located at the end of the fibula. You can feel it as the bony outside of your ankle. When an eversion sprain happens, other ankle bones such as the talus could also be broken.

How to Tell If You Have an Eversion Ankle Sprain
Symptoms
When you have an eversion sprain,you will notice certain symptomsdepending on the severity of the sprain:

• First degree sprains: you only damage a few ligament fibers with these sprains. The most common symptom is pain that hits you when trying to turn your foot in or out. You may also experience pain upon touching the affected area.


• Second degree sprains: you may have a more extensive damage to the ligaments in this type of sprains. You will experience serious pain with severe swelling around the affected area, which aggravates with walking.


• Third degree sprains: you will have a complete rupture of the ligaments in these sprains. Sometimes, you may also have a joint dislocation which makes waking impossible after this type of sprains. You will also notice deformity as well as severe swelling.

Tests
While you can consider symptoms to tell if you have an eversion ankle sprain, your doctor may perform a few tests to be sure of the type of injury you have sustained. Your doctor will first examine your ankle to confirm if there is a fractured bone or not. They may perform the following tests for a more accurate diagnosis:

The anterior drawer test: The doctor will hold the heel of your affected leg and pull it forward while holding your lower shin with the other hand.

The taler tilt test: they will rotate your ankle outward while making you put some weight on the injured ankle. You may have a fracture if you experience pain the moment your doctor touches a bony area.

If your doctor thinks that you may have a fracture, he/she may also order an x-ray of your ankle to find out.

What Can I Do About an Eversion Ankle Sprain?
Immediate Management
If you indeed have an eversion sprain, you will need medical attention. However, there are certain steps you can take immediately after sustaining the injury. Stick to the PRICE protocol – that is, protection, rest, ice, compression, and elevation – at least for the first 48-72 hours. It means you have to avoid activities that would cause further damage to your ankle and use crutches to give your ankle enough rest. Apply ice for about 20 minutes once per hour and wear compression wraps to decrease swelling. And of course, keep your foot elevated above the heart level to reduce swelling.

Medical Treatment
Your doctor may prescribe you with anti-inflammatory medication to reduce pain and swelling. Meanwhile, consult a physical therapist for important advice on your posture, footwear, bracing options, orthotics, and return-to-play protocol. He/she may also make use of laser and ultrasound treatment to alleviate swelling and pain.Friction massage is another popular choice used to reduce scar tissue development and promote healing. Working with a physical therapist will prove beneficial and help you understand how to improve muscle strength and flexibility after your injury.

Rehabilitation
You will require rehab to strengthen your joint after an eversion ankle sprain. This helps prevent any future damage to your ankle. Your rehabilitation program may start 2 weeks after your initial treatment for the swelling to subside.

• Your therapist will explain how to perform different exercises. It usually starts with towel exercises, which involve placing a towel around your foot and pushing through your toes while grabbing the towel from both ends.If you feel any pain, stop the exercise and try flexing your foot instead.


• A resistance band is another nice option to use in this case. You can rotate your foot from side to side with the resistance band. Be sure to move your foot up and down as well.

Keep in mind that it may take up to 6 weeks to heal completely– it may take longer depending on severity of the eversion ankle sprain.So, be sure to work with your therapist to accelerate healing and return to your normal activity as soon as possible.

For a demonstration of how to do ankle rehab exercises, please watch:

Ankle Sprain

Ankle Sprain






A sprain in the ankle can occur to anyone but more specifically it occurs to sports persons. Even an extended twisting motion of the ankle can damage the muscles of the ankle causing sprain. Each day thousands of people develop ankle sprain for different reasons. It happens when you walk on uneven surfaces, place your foot in awkward position or withstand enormous force or weight on your foot for long time.

Structure :

Ankle is made of three bones called tibia, fibula and talus. Tibia is the primary bone found on the lower leg which helps in absorbing body weight. Fibula is one of the small bones and talus is the other top bone found on the foot. Several muscles are found on the foot which controls the movement of ankle. These muscles are connected to tendon and hence any injury or trauma to the underlying muscles or tendons cause ankle sprain. Tendinitis is the condition of chronic inflammation of the tendons.

Sprains are not only caused by muscle injury or damaged tendons but from torn ligaments as well. When the ligaments are dislocated or overly stressed it will tear or stretch in excess causing sprain.

Causes :

Walking on uneven surface, placing the foot in awkward position while running or stepping down in wrong position can cause ankle sprain. Even placing your foot on holes or irregular surface can cause ligament tear.

When one player steps up on another player accidentally it can affect and damage the muscles or ligaments inside your foot.

High ankle sprain is caused due to inversion injury rather than eversion injury.

Symptoms :

The signs of ankle sprain vary widely from mild pain to chronic inflammation. There may be redness or warmth over the ankle and difficulty in walking. When the tissues or ligaments get torn it causes inflammation. Sometimes the small blood vessels rupture insides to leak out blood into the soft tissue on the joints causing swelling.

Diagnoses :

You can identify the sprain by symptoms of swelling, warmth and discomfort while walking. Your doctor will do an X-ray of the affected feet for diagnosing the extent of damage. In case of rupture on the tendons X-ray will give correct picture. In case of severe damage, CT scan is done.

Treatment :

You can manage mild form of ankle sprain by simple home remedies. Resting your feet completely, applying ice or cold-packs on the area, applying compression like braces of splint and keeping your foot elevated are some of the best forms of home treatment. Any type of muscle injury can be managed at home by following RICE therapy.

You can use over the counter medications to reduce swelling or apply ointments for decreasing inflammation. For mild to moderate pain you can take pain killers like Ibuprofen or paracetomol.

When applying ice on the area, do not apply it directly, since it may worsen the problem. You can always wrap ice cubes in a soft cloth and gently place it on the swelling to get relief from pain. You can keep the ice-pack for 15-20 minutes and you can repeat this process many times a day.

Wearing an elastic wrap or braces will help you in overcoming pain and discomfort. It is better not to walk or use your legs when you are wearing Ace bandages.

In case of severe damage, your doctor will apply braces or casting on the ankle to immobilize it. Crutches are yet another alternative to shift the body weight from ankle which facilitates better healing. For managing severe pain, your doctor may give Tylenol or other forms of acetaminophen drugs.

Pictures of Ankle Sprain :

Images, Pics, Pictures and Photos of Ankle Sprain

Prevention :

You need to wear right fitting shoes. Avoid wearing high-heeled shoes which may bring more damage to the muscles and ligaments. Make sure that your ankle gets enough support and protection while selecting new shoes.

Daily do some aerobic exercises like walking or jogging. Practice stretching and strengthening exercises that give support to your foot. Take care when you are walking in rugged platforms.

If you are a regular player, you can always wear ankle tapes for protecting injury during events. For mild to moderate forms of injury and ankle sprain, you can consult physiotherapist to learn easy stretching exercises.

Consult your physician in case you have Bunions on your foot which is likely to cause ankle sprains. Most of the ankle sprains can be completely cured but you should not get repeated sprain which may damage the ligaments well within the ankle.

Ankle Sprain – Treatment, Recovery Time, Exercises, Symptoms, Causes

Ankle Sprain – Treatment, Recovery Time, Exercises, Symptoms, Causes

Ankle Sprain Symptoms

When an ankle sprains, the tissue becomes injured and inflamed. The blood vessels in this area become what is known as “leaky” which allows fluid to ooze into the tissues that are soft and surround the joint. White cells in the blood are the reason for the inflammation as they migrate to that area as well as the flow of blood increases. The following are symptoms or signs of inflammation:

• Swelling – caused by the increase of fluid in tissue – this is often severe


• Pain – nerves are very sensitive. The joint not only hurts but can cause a throbbing pain. This pain will worsen when the area that is sore is pressed on or the foot is moved in certain directions (depending on which ligament is injured) as well as standing or walking.


• Hot and red – caused by blood flow increased to the injured area

Ankle Sprain Causes

Exactly what is a sprained ankle? A sprain is when the ligaments in the ankle area are injured when stretched by forces that are beyond normal. This occurs normally when the foot is inverted or turned inward. This type of injury may happen in some of the following ways:

• Planting the foot awkwardly when stepping up or down, running, or doing rather simple tasks such as getting out of bed.


• Stepping on an irregular surface, for instance stepping in a hole


• Athletic events when 1 player steps on another player (more common than you would think – especially in a basketball game)


• Injuries known as inversion where the foot rolls inward. This is more common than eversion injuries where the foot twists outward

Normally a sprain ankle does not need a visit to your doctor. But the difficulty is when to know just a sprain from a serious injury. If some of the following happens, the doctor should be contacted:

• Uncontrolled pain – even when using over the counter drugs, ice and elevation


• Incapable of walking or unable to walk further than a couple of steps without pain that is severe


• Ankle does not improve within 5 to 7 days. Pain does not have to be totally gone, but it should be improving.

The warnings to get to an emergency room are about the same. The following situations advocate an even more serious damage like a fracture or perhaps a splint is needed in order to control pain:

• Uncontrolled or severe pain


• Not able to move injured ankle


• Ankle or foot is misshapen further than swelling that is normal


• Cannot walk 4 steps, even by limping


• Serious pain upon pressing on the lateral malleolus or medial malleolus that are the bumps on each side of the ankle that are bony


• No feeling in toes or foot


• Swelling and pain in the rear of ankle – heel pain, over the Achilles tendon or not able to push toes down forward


• Swelling or pain in higher part of the lower leg right beneath the knee or swelling of the muscle in the calf


• Redness or streaks of red migrating out from the injury are seen

Ankle Sprain Treatment

• The physician will do a physical exam to feel for a fracture or other injury that is more serious and needs immediate care. This exam will check that arteries or nerves to the foot have not become damaged and that the knee and rest of the leg is ok.


• The physician will move and handle the ankle and foot to see what bony regions are involved.


• The Achilles tendon will also be checked for any signs or symptoms of rupture.


• X-rays will normally be taken in order to confirm if a fracture is involved. In some cases of fracture, a CT scan can also be needed.

Treatment advised by the physician will be comparable to home care, particularly using the RICE method for any inflammation.

RICE – rest, ice, compression and elevation

Rest
This averts any further injury as well as avoids any stress on tissue that is already inflamed.

• The ankle joint should be put at rest by wearing splint or a brace


• Severe sprains can be treated with crutches

Ice
This is the best treatment

• Using ice on the injury will do much more than medication


• Ice stops the increased blood flow to the area that is injured


• Ice reduces redness, warmth as well as swelling


• Apply the ice as quickly after the injury as possible as ice can stop most of the inflammation from even beginning


• Do not apply the ice directly on the skin. Use a towel between the injury and the ice or use an ice bag. Apply ice for twenty minutes each time, with thirty minutes in between. This will prevent frostbite from occurring.

Compression
Compression provides support as well as helps to prevent inflammation

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• Elastic wraps such as Ace bandages to immobilize the ankle


• Don’t apply these wraps too tightly

Elevation
Keep the injured area up as high as possible as this will help the body absorb the fluid that has leaked into the tissue

• Prop the ankle up above the heart level


• Sit in a chair that reclines or prop the legs up with pillows

Pain drugs
Anti-inflammatory medications like ibuprofen and naproxen can combat the swelling and reduce the pain

The physician might apply a cast or brace in order to reduce motion of the ankle. Crutches are normally provided so that the individual doesn’t have to bear any weight on the ankle

The most used medications for ankle sprains are anti-inflammatory drugs as mentioned above. If the individual cannot endure these type drugs, then Tylenol or narcotics are options.

Ankle Sprain Recovery Time

There are 2 easy tests to use in determining when a sprained ankle is well enough to get back to normal activities. Stand on the ankle for 1 minute with the eyes closed or jump up and down 10 times in a row. If these 2 tests can be done without any pain then the ankle is ready for normal activities.

Minor sprain should be healed in approximately 2 week, while more serious injuries involving tears of the ligaments could take as long as 2 months in order to heal completely.

Ankle Sprain Exercises

After the swelling and pain has removed, the next step to take is to begin some rehab exercises and work to prevent any future sprains.

Use the below exercises to raise ankle motion range after injury.

Each of these exercises – except for the Alphabet – are executed while on the floor or other surface that is flat with the legs completely stretched, knees out in front. Each exercise needs to be performed ten times.

Dorsiflexion

• Using only the ankle, point the foot back to the nose (maintain straight knees). Remain until it begins to be uncomfortable or can’t tilt it back any more.


• Hold position for 15 seconds.


• Return to beginning position.

Plantar flexion

• Using only the ankle, point the foot forward (maintain straight knees). Remain until it begins to be uncomfortable or can’t move it any more.


• Hold position for 15 seconds.


• Return to beginning position.

Inversion

• Using only the ankle, keep the toes pointed up, turn the foot in, so the sole is facing the other leg. Remain until it begins to be uncomfortable or can’t turn the foot inward any longer.


• Hold position for 15 seconds.


• Return to beginning position.

Eversion

• Using only the ankle, keeping the toes pointed up, turn the foot out, away from the other leg. Remain until it begins to be uncomfortable or can’t turn the foot outward any longer.


• Hold position for 15 seconds.


• Return to beginning position.

The Alphabet

• Sit on a chair with foot hanging in the air or on a bed with the foot dangling off the edge.


• Draw each letter of the Alphabet by moving the ankle with the big toe being used as the “pencil.”

Ankle Sprain Pictures