Symptoms
- Pain on the outer side of the ankle after twisting it
- Swelling and often bruising in the following hours
- Difficulty putting weight on the foot or walking
- A feeling of instability or the ankle “giving way”
Diagnosis and treatment
Examination determines whether an X-ray is needed to rule out a fracture. Ultrasound in the consulting room shows which ligaments are injured and how severely, and detects associated tendon injuries.
In the acute phase, pain and swelling are controlled, the ankle is protected according to the grade (functional taping or a brace) and weight-bearing is increased as tolerated. Recovery is completed with mobility, strength and balance (proprioception) exercises, the best way to prevent recurrence. A large haematoma can be drained under ultrasound guidance.
Frequently asked questions
Do I always need an X-ray?
No. Only when examination suggests a possible fracture; the doctor will decide using clinical criteria.
How long does it take to heal?
It depends on the grade: from one or two weeks for mild sprains to several weeks for severe ones. Balance rehabilitation is key to avoiding recurrence.