Ankle Sprain: How to Treat, Recover & Prevent Recurrence

By Dashvanth Healthcare Medical Team · Reviewed by Dr. Shahrukh Khan, MS Ortho, DNB Ortho (MAMC/NBE) · East Delhi

Understanding Ankle Sprains

Ankle sprains occur when the ankle rolls or twists, overstretching or tearing the ligaments. They are the most common musculoskeletal injury — accounting for 25% of all sports injuries. The lateral ligaments (ATFL, CFL) are most commonly affected.

Grades of Ankle Sprain

• Grade 1 (mild): Microscopic ligament tears; mild swelling and tenderness; full weight-bearing possible
• Grade 2 (moderate): Partial ligament tear; moderate swelling and bruising; painful weight-bearing
• Grade 3 (severe): Complete ligament rupture; significant swelling, bruising, instability; unable to bear weight

Immediate Treatment (RICE)

• Rest — avoid weight-bearing for 24–48 hours
• Ice — 20 minutes every 2–3 hours
• Compression — elastic bandage
• Elevation — ankle above heart level

Rehabilitation (Critical to Prevent Re-injury)

• Phase 1 (0–7 days): Pain and swelling control
• Phase 2 (1–3 weeks): Range of motion and strengthening
• Phase 3 (3–6 weeks): Balance and proprioception training (wobble board)
• Phase 4: Sport-specific training before return to play

⚠️ Skipping rehabilitation causes chronic ankle instability (CAI) — a major risk factor for re-injury.