Thomas San Giovanni, Orthopedic Surgeon, at Miami Orthopedics and Sports Medicine Institute, says an ankle sprain is one of the most common injuries they see in orthopedics and it is probably the most frequent thing doctors see in the ER, so there are about 25,000 ankle sprains every day. According to him, there are certain people that may have a predisposition for ankle sprains based on some of their alignment and also some of the desired activities that they have, such as sports.
Thomas San Giovanni, Orthopedic Surgeon, at Miami Orthopedics and Sports Medicine Institute, explains there is a difference between a tendon and a ligament: "Tendons and ligaments are different structures. Ligament connects bone to bone and these are what give the joint typically stability. And a tendon is muscle to bone and that typically will move our joints". He says feeling a pop can be either a ligament rupture or even a tendon rupture, it will depend upon how you rolled your ankle, and the doctor will see which structures anatomically are injured.
Thomas San Giovanni, Orthopedic Surgeon, at Miami Orthopedics and Sports Medicine Institute, highlights the mechanism of injury is very important in the diagnostic process. "I'd want to know how you landed, the surface was even or uneven, how long it took before you felt you were able to start putting weight on it. I would focus on the examination, would get X-rays and then if there's certain signs than I would typically see, we may get a ultrasound or an MRI scan," he explains.
Some of the rehabilitation exercises after an ankle injury are early motion to prevent stiffness, strengthening exercises, balance training and endurance and agility exercises. Thomas San Giovanni, Orthopedic Surgeon, at Miami Orthopedics and Sports Medicine Institute, says a physical therapist should work on reducing a lot of the inflammation, using ice or other methods, and then start doing strengthening exercises and balance exercises.
There are different types of sprains. Grade 1 is mild (slight stretching of ligament), grade 2 is moderate (partial tearing of ligament) and grade 3 is severe (complete tear of ligament). Thomas San Giovanni, Orthopedic Surgeon, at Miami Orthopedics and Sports Medicine Institute, explains the grade or the level of your injury is going to determine how quickly you can get back to your activities. "The grade of the tear of the injury will usually dictate the recovery time," he says.