Grade 3 sprain to the lateral ligament complex

4 PHASES TO RECOVERY

Australian Bureau of Statistics. 2015, Australian Sport Statistics. Viewed 18 October 2015, <http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/1301.0~2012~Main%20Features~Sports%20and%20physical%20recreation~116>

Barbieri, M. 2011, Physical education, Minotaur Books, New York.

Bernstein, D. 2009, Sporting injuries, Houghton Mifflin, Boston.

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Gifford, C. 2007, Ankle Sprains, Franklin Watts, London.

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Causes

(Ricker, 2013)

Ankle sprains and sport

(Ricker, 2013)

SPORT INJURY STATISTICS IN AUSTRALIA

Most Common injuries 2014

(Australian Bureau of Statistics, 2015)

(Mackenzie, 2015)

(Ricker, 2013)

long term treatment

Grade 3 sprain to the lateral ligament complex

PHYSIOTHERAPIST

References

Phase 1 -Immediate treatment

est

Phase 2 -

restoring range of motion, strength and flexibility (one week to two weeks).

Phase 3 -

includes gradually returning to activities that do not require turning or twisting the ankle and doing maintenance exercises. (weeks to months)

Phase 4 -

build up to activities that require sharp, sudden turns (cutting activities) such as tennis, basketball or football (weeks to months).

ce

ompression

Inflammatory

stage

3-5

days

R

I

C

E

R

levation

(Wilmore & Costill, 2004)

eferral

ICE

• Hold Ice on area
• 20 mins on/ 2 hours off

ELEVATION

• Elevate injury above heart

(Mackenzie, 2015)

(Momarock, 2015)

WHY?

Cools the area

→ constricts blood vessels

→ reduces blood flow and fluid leakage

→ less swelling, pressure and pain

• Reduces bleeding as blood has to flow up hill
• Gravity helps swelling to move towards lymph nodes
• Minimizes swelling

Structural damage

COMPRESSION

Referral

Compress injured area

with bandage or strapping

• Doctor
• Hospital
• Physiotherapist

REST

(Momarock, 2013)

WHY?

(Gifford, 2007)

• Remove player from field
• Rest injured area
• Immobilize area

• Diagnosis
• Treatment can commence
• The sooner treatment begins, the better the outcome

WHY?

(Momarock, 2013)

• External pressure reduces fluid leakage and bleeding into tissues
• Provides support to the area
• Immobilises the area

WHY?

• Reduces further tissue damage
• Reduces blood flow
• Allows for full assessment of injury

Lateral ligament complex

(Flouch, 2015)

Signs and symptoms

5 Minutes

2 days

5 days

Possible complications

A sprained ankle left untreated, engaging in activities too soon after spraining your ankle or spraining your ankle repeatedly might lead to the following complications:

• Chronic pain

• Chronic ankle joint instability

• Further injuries

• Early-onset arthritis in that joint

Potential long term effect on the athletes performance

In most cases, an ankle sprain is not very serious and will completely heal with proper treatment.

• Ligaments are stretched

If not treated properly

Chronic stiffness occurs

Rehabilitation of the injury

Phase 3 -

includes gradually returning to activities that do not require turning or twisting the ankle and doing maintenance exercises. (weeks to months)

Phase 4-

build up to activities that require sharp, sudden turns (cutting activities) such as tennis, basketball or football (weeks to months).

• Dodging / changing direction
• sprinting intervals
• jumping to run

Phase 2 -

restoring range of motion, strength and flexibility (one week to two weeks).

(Plowman and Smith, 2011)

Future Management

• Exercises in Physio
• 12 weeks recovery
• Surgery

• Strapping
• Braces
• Ankle warm

up

(Gifford, 2007)

Preventions

You can lower your risk for future sprains by:

• wrapping the affected ankle in an elastic bandage

• wearing a brace

• strengthening exercises

• avoiding high heels

• wearing good footwear

• warming up before exercise

• paying attention to surfaces you’re on

• slowing or stopping activities when you feel fatigued

(Edwards, 2011)