ankle injury women tennis

What are the most common ankle injuries?

As a major weight bearing joint, the ankle has some of the most common ankle injuries during sports such as basketball, soccer, pickleball, tennis, and other intensive activities. Ankle injuries are also common in everyday and occupational activities as trips and fall become more prevalent with age and distractions. The most common of all ankle injuries are sprains.  A sprain is one of the most common sports injuries. It occurs when the collagen fibers in the joint capsule or the surrounding ligaments and muscles are severely overstretched. It is often accompanied by bleeding, swelling and small tears.  The most common ankle sprain is an inversion sprain in which the foot turns inward, and the ankle rolls to the lateral or outside.  The less common eversion sprain is the opposite with the foot turning outward.  The high ankle sprain is common in foot ball when the foot rotates outward during a tackle to injure the syndesmotic ligaments that connect the tibia and fibula in the lower leg

The ankle anatomy

The ankle is a synovial joint that connects the foot and leg.  The joint allows for flexion and rotation of the foot for ambulation and other activities. The ankle joint is connected by the medical ligament and lateral or deltoid ligaments.  The medical ligament’s purpose is to prevent the foot from over pronating while the lateral ligaments prevent foot and ankle from “rolling”.

  • Ankle dislocation
  • Ankle fractures
  • Osteoarthritis
  • Gout

What does a sprained ankle look and feel like?

The signs of a sprain are pain, swelling of the joint, bruising and limited mobility of the joints. As a rule, the more swollen the ankle is, the worse the injury. If you can still stand and walk on the ankle after twisting it, it’s likely that nothing’s broken. Nevertheless, it is advisable to consult your doctor, or an orthopedic specialist to rule out a ruptured ligament or a broken bone.

How to treat a sprained or strained ankle?

To best treat these symptoms and the pain associated with them, it is best to follow the rule of RICE which is a common treatment plan for structural injuries:

Once the foot has been twisted, you should heed the RICE rule for first aid:

  • R = Rest
  • I = Ice (cooling)
  • C = Compression
  • E = Elevate


 As with most injuries, you should stop doing whatever you were doing straight away and limit activity until fully healed.


Start to cool the affected joint immediately. This makes blood vessels constrict, so less fluid leaks into the tissues and the swelling stays minor. Cooling also suppresses the inflammatory reaction, keeps bruising local and relieves pain.


Administering compression immediately will help prevent swelling (edema) and reduce pain.  The edema prevention and blood flow stimulus will help the injury heal faster. Compression therapy can come in the form of  elastic and inelastic bandaging as well as medical devices such as Levamed or Levamed Active.


By supporting the injured ankle in a position higher than the heart will also help reduce edema and promote circulation for greater pain relief and healing.

Ankle treatments from medi

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