Health and wellbeing for musicians

A network for Australian music students

Everyone knows that a sprained ankle is a common injury that can happen to almost anyone. As many as 25,000 people suffer an ankle sprain every day! Whether you're doing strenuous work, office work, a regular exercise routine, recreational sports, or competing as an elite athlete simple situations that we all confront put you at risk.

Ligaments provide the stability of the bones in the ankle to support the weight and movement of the lower extremity. They act like sturdy rubber bands which can be twisted or stretched too far, unable to recoil from the excessive force, tearing some of its fibers. Mild sprains do not require a trip to a physician but can be managed with simple measures of rest, elevation as high as the heart, icing, limited activity and use of an over-the-counter anti-inflammatory like ibuprofen or naproxen. To prevent frostbite do not apply ice directly to the skin. Use a towel or an appropriate ice bag applying for no more than 20 minutes at a time and at least 30-45 minutes between applications.

If the pain is severe or uncontrolled with these simple measures, you cannot tolerate weight bearing for more than 3-4 steps, experience persistent numbness in the foot or toes, see swelling over the Achilles' tendon in the back of the ankle or swelling higher up in the lower leg you should consult a medical provider for further evaluation. If there is a worsening trend further evaluation would be prudent. An x-ray and a medical exam should clarify the severity of the sprain and whether any bones are broken which is a consideration when the pain and swelling are more severe. If in doubt, share your confusion with a health care provider.

Proper footwear for an activity is paramount for preventing ankle sprains. Fashionable high heels or stylish platform shoes are not a good choice for preventing or healing an ankle sprain. Sensible shoes designed for particular activities whether it is chores of daily life or athletics are important. Simple exercises to strengthen the muscles around the ankle or focusing on balance exercises can be very helpful for better ankle stability regardless of the nature of your activities. If prone to ankle sprains an ankle brace , taping or high top footwear can go a long way in preventing an injury.

Consulting your health care provider, a physical therapist or a trainer experienced in sports medicine can provide useful information or structured plan for treatment and prevention of an ankle sprain.

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