Ankle Sprain (cont.)
IN THIS ARTICLE
Exams and Tests
Your doctor will ask you when and how the ankle sprain occurred and ask about any prior injuries.
Next, your doctor will examine your foot, ankle, and lower leg and even your knee to see if any other injury occurred. He or she may ask you to move your foot up and down and to take a few steps if possible. Your doctor will then carefully try moving your foot and ankle to see if the ligaments are intact and what movements cause pain.
If your sprain is mild, an X-ray may not be taken. If your sprain is more severe, you will need X-rays to evaluate the ankle. X-rays can help your doctor find out whether you have any ligament tears, broken bones, or bones that have moved out of their normal positions.
X-rays are usually taken for children because of potential injury to the bone's growth plate and possible disruption of normal growth. Doctors may take X-rays of both ankles so they can compare the injured ankle with the one that is healthy.
Initial treatment for an ankle sprain is summarized as the PRINCE approach:
Also, it can help to wear hiking boots or other high-top, lace-up shoes for support.1 But use caution. Don't force your foot into a boot if you feel a lot of pain or discomfort.
Your doctor may suggest that you keep some or all of your weight off your ankle as it heals. If this happens, learn to use your crutches or walker properly and safely.
Almost all ankle sprains heal on their own with proper treatment and rehabilitation (rehab) exercises. For more information, see the Home Treatment section of this topic.
Surgery to repair torn ligaments is usually only considered when there is a severe ligament tear (or tears) or if the ankle remains unstable after rehab. Surgery is also a consideration if you have broken a bone.
For more information on the correct way to wrap a sprained ankle, see:
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