Understanding High Ankle Sprains and Their Unique Treatment Needs

Understanding High Ankle Sprains and Their Unique Treatment Needs

High Ankle Sprains: What Sets Them Apart?

As a blogger, I've researched and written about many types of injuries, but high ankle sprains are unique in their complexity and treatment requirements. Unlike common ankle sprains, high ankle sprains involve a different set of ligaments and can take longer to heal. In this section, we'll explore what sets high ankle sprains apart from their more common counterparts, and why it's important to understand the differences.


High ankle sprains, also known as syndesmotic sprains, occur when the ligaments that connect the two bones of the lower leg (the tibia and fibula) are injured. This is in contrast to a regular ankle sprain, which affects the ligaments around the ankle joint itself. Because these ligaments help to stabilize the ankle and lower leg, an injury to this area can have a significant impact on a person's ability to walk and bear weight on the affected leg.


One of the major differences between a high ankle sprain and a common ankle sprain is the mechanism of injury. High ankle sprains typically occur during activities that involve sudden twisting or pivoting of the foot, such as during sports like football, soccer, or skiing. Common ankle sprains, on the other hand, usually result from a simple rolling of the ankle.

Diagnosing High Ankle Sprains: What to Look For

Because high ankle sprains can be more severe and require different treatment than common ankle sprains, it's crucial to accurately diagnose the injury. In this section, we'll discuss the symptoms and diagnostic tools used to identify high ankle sprains, and how they differ from the symptoms of a regular ankle sprain.


High ankle sprains often present with pain and swelling in the area above the ankle joint, rather than the typical pain and swelling around the joint seen in common ankle sprains. Additionally, high ankle sprains may cause bruising that extends up the leg, as well as pain when the foot is forced upward or when the lower leg is squeezed.


To diagnose a high ankle sprain, a medical professional will perform a thorough physical examination and take a detailed history of the injury. They may also use imaging tests, such as X-rays, CT scans, or MRIs, to confirm the diagnosis and assess the severity of the injury. These imaging tests can help identify any fractures or other damage to the bones and ligaments that may be present.

Why High Ankle Sprains Require Unique Treatment

Now that we understand what sets high ankle sprains apart from common ankle sprains, let's discuss why these injuries require a unique approach to treatment. In this section, we'll explore the factors that make high ankle sprains more challenging to treat and the importance of seeking appropriate care for a full recovery.


One of the main reasons high ankle sprains require unique treatment is due to the increased instability they cause in the ankle and lower leg. This instability can make it difficult for the affected person to bear weight or walk without pain. As a result, the treatment for high ankle sprains often involves a longer period of immobilization and a slower return to weight-bearing activities than the treatment for common ankle sprains.


Additionally, high ankle sprains may be more likely to require surgical intervention to repair damaged ligaments and restore stability to the ankle joint. This can add to the complexity of treatment and increase the overall recovery time for the injury.

Non-Surgical Treatment Options for High Ankle Sprains

While some high ankle sprains may require surgery, many can be treated effectively with non-surgical methods. In this section, we'll discuss the various non-surgical treatment options available for high ankle sprains, and how they can help promote healing and restore function to the affected leg.


Initial treatment for high ankle sprains typically involves the RICE protocol – rest, ice, compression, and elevation. This can help to reduce pain and swelling and protect the injured ligaments from further damage. A medical professional may also recommend using crutches or a walking boot to help keep weight off the affected leg and allow the ligaments to heal.


Once the initial pain and swelling have subsided, physical therapy may be recommended to help improve range of motion, strength, and stability in the ankle joint. This can involve a combination of stretches, strengthening exercises, and balance activities designed to address the specific needs of the individual and promote a full recovery.

When Surgery Is Necessary for High Ankle Sprains

As mentioned earlier, some high ankle sprains may require surgical intervention to repair damaged ligaments and restore stability to the ankle joint. In this section, we'll discuss the factors that can contribute to the need for surgery and what to expect from the surgical process if it becomes necessary.


Surgery may be recommended for high ankle sprains in cases where the injury is severe, such as when there is significant tearing of the ligaments or damage to the bones. Additionally, surgery may be necessary if the ankle joint remains unstable after a period of non-surgical treatment or if the individual experiences ongoing pain and instability.


During surgery for a high ankle sprain, a surgeon will repair the damaged ligaments and may use screws or other hardware to stabilize the joint. Following surgery, the individual will likely need to wear a cast or walking boot for several weeks to allow the ligaments to heal and protect the repair. Physical therapy will then be an essential component of the recovery process to help regain strength, flexibility, and balance in the ankle.