More Podiatry Foot Care Articles
Ankle Sprains In Children
Ankle sprains are common issues among the younger population. Teenagers and young adults have the highest rates of ankle sprains, which often occur most often for those aged 15 to 19 years of age. The ankle sprain is the most common athletic injury in the US, accounting for an estimated two million injuries per year and an estimated $4 billion in medical costs.
The injury can most commonly be seen in soccer, basketball, and running activities. There is no prediction unless a previous sprain has occurred which can result in chronic ankle instability. Most ankle sprains can resolve in two to six weeks and many patients do not seek either initial or follow up care, therefore, ankle sprains are one of the most undertreated injuries. Studies show a more aggressive follow up care will provide a better outcome.
Lack of treatment, improper initial management, and failure to rehabilitate contribute to the risk of chronic ankle problems, including instability, weakness and pain.
Treatment strategies
Initial treatment will focus on allowing tissue healing to occur with use of braces, crutches and rest, ice, elevation, and compression (RICE). Once the pain and swelling subsides, which is typically within five to seven days, functional rehabilitation include strengthening the ankle and balancing techniques. The objective is to restore ankle range of motion and then strengthen the ankle.
Studies have shown that balance training exercises, taping, and prophylactic bracing can minimize the risk of future instability in both children and adults. Preventive exercises and warm-ups before a physical activity have proven to be very effective. Lace-up ankle braces have shown very positive results in preventing acute ankle sprains in a controlled study. The use of balance training in prevention of ankle sprains has gained popularity to prevent recurring ankle instability.
Taking a conservative approach to returning a player back to activity is gaining popularity in adults, adolescents and children. In cases of conservative treatment where symptoms persist, often other radiographic evaluations are obtained including an MRI or arthrogram. Surgical intervention can also be a valid option depending on the severity of the condition.
It is important for your podiatrist to obtain a complete history and physical exam and implement a proper treatment plan that is appropriate for your individual needs and condition.
