Understanding.
After a sprain, ligament laxity and poor muscle control can maintain instability. Discomfort is particularly noticeable on uneven terrain or during changes of direction.
The assessment.
The examination assesses the ligaments, weight-bearing, strength, and balance. X-rays and, depending on the findings, an ultrasound or MRI are used to look for associated injuries.
Treatments.
Rehabilitation focuses on strength, proprioception, and movement control. An ankle brace can be helpful in certain activities. Ligament repair or reconstruction is considered if instability remains debilitating despite appropriate treatment.
Follow-up.
Return to sport depends on stability, strength, and functional tests, not just on the time elapsed.
Repairing or Reconstructing Ligaments
Repair tightens ligaments when they can be preserved. Reconstruction uses a graft if their quality does not allow for proper repair. The assessment also looks for cartilage or tendon damage that could explain associated pain.
After stabilization
Immobilization and weight-bearing protection may be prescribed. Rehabilitation gradually restores mobility, strength, and balance. Persistent pain, stiffness, or a recurrence of instability remain possible.
Your questions.
Should I operate on any unstable ankle?+
No. Appropriate rehabilitation is generally the first step.
Does an ankle brace replace rehabilitation?+
It can make certain activities safer, but does not replace muscle work and movement control.
When to resume changes of direction?+
After sufficient recovery of stability and strength, according to tests and the team's assessment.