Ankle sprains are among the most common musculoskeletal injuries seen at Burwood Physio. While often dismissed as minor, inadequately treated ankle sprains frequently lead to chronic ankle instability, recurrent sprains, and long-term pain. Evidence-based physiotherapy rehabilitation significantly reduces re-injury risk and restores full function.
Types of Ankle Sprains
Lateral Ankle Sprain (Most Common)
Inversion sprains — where the foot rolls inward — stretch or tear the lateral ligaments. The anterior talofibular ligament (ATFL) is injured in almost all lateral sprains. The calcaneofibular ligament (CFL) and posterior talofibular ligament (PTFL) are injured in more severe sprains.
Grading
- Grade 1 — Ligament stretching with microscopic tearing; mild swelling and tenderness; full weight bearing maintained
- Grade 2 — Partial ligament tear; moderate swelling and bruising; some instability; painful weight bearing
- Grade 3 — Complete ligament rupture; significant swelling and bruising; gross instability; unable to weight bear
High Ankle Sprain (Syndesmosis)
Injury to the syndesmotic ligaments connecting the tibia and fibula above the ankle joint. More serious than lateral sprains — requires longer recovery and careful management. Suspected when pain is above the ankle joint with external rotation stress.
Why Proper Rehabilitation Matters
Research shows that up to 40% of people who sprain an ankle develop chronic ankle instability — recurrent sprains, persistent pain, and feeling of giving way. This is largely preventable with structured rehabilitation that addresses proprioception, balance, strength, and progressive return to activity.
Physiotherapy Rehabilitation at Burwood Physio
Phase 1 — Acute Management (Days 1–7)
POLICE protocol: Protect, Optimal Loading, Ice, Compression, Elevation. Gentle active range of motion exercises within pain-free limits are started immediately to maintain joint mobility and reduce swelling. Weight bearing as tolerated is encouraged from day one in Grade 1–2 sprains.
Phase 2 — Strength and Mobility Restoration (Weeks 2–4)
Progressive peroneal, calf, and tibialis posterior strengthening. Full weight bearing, proprioception exercises (balance board, single leg standing), and restoration of full ankle range of motion.
Phase 3 — Neuromuscular Control and Return to Sport (Weeks 4–8)
Sport-specific drills, dynamic balance training, agility, cutting, and landing mechanics. Return to sport is criteria-based — not just time-based — ensuring the ankle can handle the demands of the activity.
Taping and Bracing
Rigid or semi-rigid ankle taping and bracing during sport significantly reduces re-sprain risk during the rehabilitation period. We teach self-taping techniques and advise on appropriate bracing.
How Long Does Recovery Take?
Grade 1: 1–2 weeks. Grade 2: 3–6 weeks. Grade 3: 6–12 weeks. High ankle sprains: 6–12+ weeks. Return to sport is guided by functional testing, not time alone.
Book an Ankle Sprain Assessment at Burwood Physio
Located at Shop 2, 36-38 Victoria St E, Burwood NSW 2134. HICAPS on-site, all health funds accepted. Serving Burwood, Strathfield, Concord, Croydon, and the inner west.
Call 02 8322 9022 or book online.