Ruth Ann Cooper, D.P.M

With warm weather in full swing, most of us have been enjoying the outdoors, whether that means tending to our yards and gardens, playing recreational sports or spending time at the beach. However, it takes just one wrong step for summer fun to turn into a painful ankle sprain or fracture. Walking, running and playing on uneven surfaces, such as grassy lawns, beaches and hiking trails, leave us susceptible to ankle trauma. Lightweight, unsupportive summer footwear, such as sandals or flip-flops, make it even more difficult for us to regain balance on uneven surfaces.

Sprains are one of the most common ankle injuries, but how can we tell if ankle pain is a sprain or a fracture? An ankle sprain is an injury to one or more of the ligaments in the ankle. These ligaments are like rubber bands that stabilize the ankle and limit the side-to-side motion. When these ligaments are stretched or torn, which can happen, for example, when the ankle is suddenly twisted, a sprain results. A fracture can also occur when the ankle is rolled under and the ankle is twisted. In this case, one or more bones may break or the ligament may pull a piece of bone off when it tears.

When you have an ankle sprain, rehabilitation is crucial and it starts the moment your treatment begins. Treatment of ankle fractures depends on the type and severity of the injury. If you suffer from an ankle injury, follow the R.I.C.E (Rest, Ice, Compression, Elevation) protocol and contact my office for a proper evaluation or seek care at your local Emergency Department after hours. In some case, surgery may be necessary to repair the fracture and other soft-tissue related injuries, if present.

If you or a family member suffer a sprained or fractured ankle this summer, follow these steps:

1. Stay off it. Walking with a sprain or fracture can cause further damage.

2. Ice It. Make an ice pack by wrapping a bag of frozen vegetables in a lightweight towel. Do not apply the ice pack for more than 20 minutes each hour.

3. Wrap It. A loosely applied elastic bandage can help stabilize the ankle and can reduce swelling.

4. Elevate it. Lie with the leg on a pillow so that the ankle is above the level of your heart. This will help with pain and swelling.

5. Call my office. Prompt diagnosis and treatment are important in a successful recovery.