Ankle Sprains: What You Need to Know for Proper Healing and Prevention

Ankle Sprains: Causes, Treatment, and When to See a Specialist | Advice from Foot Ankle Surgeon Ted C. Lai, DPM

Ankle sprains are one of the most common orthopedic injuries, affecting athletes and non-athletes alike. According to Ted C. Lai, understanding how these injuries heal—and when they don’t—is critical to avoiding long-term complications.

How Most Ankle Sprains Heal

Approximately 80% of ankle sprains heal successfully with conservative treatment, including:

  • Bracing
  • Rest
  • Ice
  • Compression
  • Elevation (RICE protocol)

When treated properly, the ligament can recover and restore normal ankle function without surgical intervention.

When an Ankle Sprain Becomes a Bigger Problem

In about 20% of cases, the ligament does not heal in the correct anatomical position. This typically occurs when:

  • The ligament is completely ruptured
  • The injury is not properly treated early
  • The patient returns to activity too soon

When this happens, the initial injury can progress into chronic lateral ankle instability, a condition that significantly increases the risk of additional damage.

Complications of Untreated Ankle Sprains

Chronic instability can lead to a cascade of issues, including:

  • Tendonitis
  • Cartilage damage
  • Recurrent ankle sprains

This combination—often referred to as a triad of injuries—may ultimately require surgical repair to restore stability and function.

Advances in Surgical Treatment

Modern surgical techniques and innovations have significantly improved recovery timelines. Patients undergoing ankle ligament repair today often experience:

  • Faster recovery
  • Improved stability
  • Earlier return to daily activities and sports

However, surgery is not always necessary—especially with early and appropriate care.

When to See a Doctor for an Ankle Sprain

Prompt evaluation by a specialist can help prevent long-term complications. You should seek medical attention if you experience:

  • Significant swelling
  • Bruising
  • Persistent pain
  • Difficulty walking

Early intervention can reduce the risk of chronic instability and may eliminate the need for surgery.

How to Prevent Ankle Sprains

Preventative strategies are simple but highly effective:

  • Wear supportive footwear (avoid flimsy shoes)
  • Choose rigid-soled shoes or sneakers with arch support
  • Be cautious on uneven surfaces such as beaches, curbs, and stairs

These small adjustments can significantly reduce your risk of injury.

About Ted C. Lai, DPM

Dr. Ted C. Lai is Board-Certified by the American Board of Foot and Ankle Surgery and a member of the American College of Foot and Ankle Surgeons.

He sees patients at Shore Orthopaedic University Associates offices in:

  • Somers Point
  • Galloway
  • Cape May Court House
    To schedule an appointment call (609) 927-1991
    shoreorthopaedic.com