What is a high ankle sprain?

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A high ankle sprain involves damage to the anterior tibiofibular ligament that links the tibia and fibula together right above the ankle.

What are the signs?

The indications of a high ankle sprain generally include:

  • Ankle pain if the tibiofibular ligament that links the tibia and fibula at the base of the leg or upper part of the ankle is pressed
  • Puffiness and bruising on anterior and external part of the ankle
  • Difficulty walking
  • Pain is triggered if the ankle is turned and dorsiflexed with the toes and foot driven upwards

The commonly damaged ligament during this type of sprain is the anterior tibiofibular ligament.

high ankle sprain
Ankle pain if the tibiofibular ligament that links the tibia and fibula at the base of the leg or upper part of the ankle is pressed.

Management of a high ankle sprain

Home care

The immediate action is to utilize the PRICE method to lessen the pain and swelling.

  • An ice pack must be wrapped with a towel or cloth before it is applied on the site of injury. It must be applied for 10 minutes every hour initially.
  • Raise or elevate the affected foot to lessen the swelling and allow drainage of fluids from the site of injury.

Medical care

  • The doctor might prescribe anti-inflammatory medications to alleviate the pain and swelling.
  • Sports massage can also be used after 72 hours to lessen the swelling, loosen any tight muscles and prevent the formation of scar tissue.
  • Electrotherapy such as ultrasound can ease the swelling and promote healing of the high ankle sprain.
  • Strengthening and mobility exercises can be started once free from pain to restore the full function of the ankle.

More Information / Disclaimer

The information posted on this page on a high ankle sprain is for learning purposes only. Learn to recognize the indications and how it is managed by taking a standard first aid course with Toronto First Aid.

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