Seeing as an estimated 25,000 ankle sprains occur per day in the United States, it’s no surprise that thousands of people each day are looking for ways to remedy their newly injured ankle. As an athletic trainer who has diagnosed and treated thousands of ankle injuries over the past thirty years, here is my step-by-step guide for what you should do when you sprain your ankle.
As athletic trainers I feel like we’ve heard every story in the book when it comes to injuries that supposedly happened “at practice” or “during the game” but just so happened to not be reported until the following day. Coincidentally enough, these mysterious injuries usually surface on Monday mornings or after an extended break.
Typically, when the athlete describes how the injury occurs, the explanation sounds a little fishy and the more you probe for details, the more the story keeps changing. At this point in the conversation you’ve probably concluded the athlete is suffering from what we call a “non-athletic” athlete injury. Recently I was reminded of some of these stories and wanted to share three of my favorites I’ve heard over the years.
As an athletic trainer I attend numerous sporting events and the number one question I get from parents, coaches, and athletes is “Do ankle braces weaken the ankle?” In some sports with a very high incidence of ankle injuries such as volleyball, basketball, and football many players wear ankle braces every game and practice to help prevent ankle sprains or lessen the severity should an injury occur. By wearing ankle braces on both ankles throughout an entire season, it makes sense that parents, coaches, and players would wonder if there was any negative impact on ankle strength.
Ankle injuries are the second most prevalent injury in soccer, only behind head/facial injuries. With so much emphasis on the foot and ankle in soccer, it’s no wonder the ankle takes a beating.
Most ankle sprains in soccer occur during running, cutting or tackling. A high percentage of ankle injuries occur from direct side to side contact, as opposed to a front or back contact. Regardless of the mechanism of injury, the result is usually the ankle turning excessively inward, stretching the ankle ligaments. How much the ligaments stretch or tear will determine the extent of the ankle injury.
Did you get much education in college about the different ankle bracing technologies available? Many athletic trainers tell me they received little or no formal education about bracing of any sort.
As an AT I work a lot of tournaments where I hear “Why am I injuring my ankle even though I wear an ankle brace?” As all AT’s know, braces are designed to lessen the severity should an injury occur, but are you recommending the most effective ankle brace to help prevent those injuries?
Evaluating the most effective ankle brace starts with taking a look at it's design and ability to provide long-lasting joint support. Any ankle brace can feel supportive when you first apply it, but what happens to that brace in 30 minutes? An hour? Is there any support left? Here is a breakdown as to why some brace designs work well for long-lasting ankle support, while others fall short.
Unlike most other sports, where a player’s hands are important, choosing the right ankle brace for soccer is much more critical due to soccer players primarily utilizing their ankles and feet during play.
brace takes away his touch on the ball and/or restricts his natural range of motion. The same goes for soccer players who rely on their ankle and foot to control the soccer ball, which is what makes choosing a soccer ankle brace difficult and frustrating.
Have you ever thought about the fact that while knee bracing keeps advancing in terms of design and materials, ankle bracing advancement is stagnant? The only difference between the first lace-up (which was introduced over a century ago) and the lace-ups of today is a figure-8 strap has been added.
As the former president of Active Ankle® and current president of Ultra Ankle®, I’ve been designing, developing and advancing ankle bracing technology for over 35 years. In my experience of designing ankle braces, there is one thing I am sure of: there is a lot of misinformation being circulated about ankle braces and their effect on the body and athletic performance. Here is a breakdown of the most popular myths I commonly hear about ankle braces and what my answers to those questions as a certified athletic trainer are:
Every athletic trainer I know, including myself, loves what they do. The day in and day out tasks of working with athletes and teams to keep them safe, healthy, and performing at a high level is something I’ve been passionate about for years. As with any profession, however, there are some pet peeves I've developed over time that relate to my athletic training career. Here are some of them I wanted to share with you that myself and my friend/fellow athletic trainer, Gerald, put together for fun :