Ankle SprainLigament Injury Treatment & Recovery
Ligament injury from an ankle roll—learn symptoms, causes and how physiotherapy helps recovery.
What is an ankle sprain and how does physiotherapy help?
An ankle sprain is stretching or tearing of the ligaments, most often on the outside of the ankle after an inversion roll. Pain, swelling and bruising can follow, with reduced confidence in weight‑bearing.
Physiotherapy focuses on swelling control, early movement, balance training and progressive strengthening. Many people improve within 2–8 weeks depending on severity.
Your plan is tailored: we reduce swelling and pain early, restore range and balance, then rebuild strength and agility for a safe return to work and sport.
Typical recovery timeline
- 0–2 weeks: swelling control, gentle range
- 2–6 weeks: strength, balance and walking tolerance
- 6–8+ weeks: return to running/sport as tolerated
Understanding ankle sprains
Common drivers
- Sports landings or sudden changes of direction
- Uneven surfaces or slips
- Previous sprain reducing ligament capacity
Imaging considerations
X‑ray rules (e.g., Ottawa ankle rules) guide when to image for fracture. Ultrasound/MRI are considered if recovery does not follow the expected pattern.
Common contributing factors
Sports injuries
Cutting/landing mechanisms increase risk.
Uneven surfaces
Potholes, wet or slippery terrain.
Awkward landings
Mis‑steps on stairs/curbs.
Previous sprain
Residual instability without rehab.
What are the symptoms?
Primary symptoms
- Pain around the ankle (often lateral)
- Swelling and bruising
- Instability or giving‑way feeling
Functional limitations
- Walking, stairs and uneven ground
- Running, hopping and change of direction
- Confidence returning to sport
Related symptoms: Ankle pain, Swelling, Reduced range of motion, Balance problems
How can physiotherapy help?
Care focuses on swelling control, range, balance and strengthening to restore stability and reduce recurrence.
Core components
- Education, swelling control and flare planning
- Range of motion and gait re‑training
- Strength/balance progressions (e.g., calf, peroneals)
- Return‑to‑running and sport drills
Effective treatments
Manual therapy
Soft‑tissue and joint techniques as indicated.
Exercise therapy
Strength, balance and agility progressions.
Education
Load management, taping/bracing and pacing.
Lifestyle
Footwear, surfaces and graded activity.
What happens in a physiotherapy session?
Assessment reviews mechanism, irritability, range/strength and balance. Tests guide safe loading and progressions.
- Subjective: onset, swelling, giving‑way, footwear
- Testing: range, strength, balance, special tests
- Education: swelling control, pacing, brace/tape
- Plan: strength + balance, return‑to‑run/sport
Home work supports progress over 6–8+ weeks with objective progression.
Can you manage an ankle sprain at home?
Many can self‑manage with swelling control, pacing and simple exercises.
Ideas to try
- Relative rest, ice, compression and elevation (first 48–72h)
- Short, frequent mobility and balance practice
- Supportive footwear or brace if needed early
Weekly progression example
- Week 1–2: swelling control + gentle range, gait
- Week 3–4: strength and balance progressions
- Week 5+: graded return to run/sport drills
When should you seek help?
Urgent assessment
- Inability to bear weight after injury
- Severe deformity or concern for fracture
Consult a physiotherapist if
- Pain/swelling persist beyond 2–3 weeks
- Recurrent sprains or instability
- Difficulty returning to work/sport
Accessing care in the UK
Access physiotherapy via GP referral on the NHS, or directly through private clinics (often faster access). Insurance or employer plans may help with costs.
FAQs
Do I need a scan?
X‑ray rules guide fracture risk. Ultrasound/MRI are considered if recovery does not progress as expected.
Can I keep walking?
Usually—with brace/taping as needed. Progress distance and speed gradually without provoking swelling.
How many sessions will I need?
Often 4–8 sessions over several weeks, tailored to goals and progress.
Medical Disclaimer
This information is for educational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider for diagnosis and treatment.