Ankle Sprains
Ankle Sprain Treatment in Hawaii
An ankle sprain is one of the most common lower extremity injuries and occurs when the ligaments that stabilize the ankle joint are stretched or torn. Ankle sprains most often happen when the foot twists or rolls unexpectedly, such as during sports, walking on uneven ground, or following a fall. Symptoms typically include pain, swelling, bruising, and difficulty walking or bearing weight.
At our foot and ankle orthopedic practice in Kailua, Hawaii, we specialize in the diagnosis and treatment of ankle sprains and ankle ligament injuries, providing both non-surgical and surgical care for patients throughout Kailua, Honolulu, and across Oʻahu.
What Is an Ankle Sprain?
An ankle sprain occurs when one or more ligaments supporting the ankle joint are injured. The most commonly affected ligaments are located on the outside (lateral side) of the ankle, although high ankle sprains and medial ligament injuries can also occur.
Ankle sprains range in severity from mild ligament stretching to complete ligament tears and joint instability.
Types and Severity of Ankle Sprains
Ankle sprains are typically classified by severity:
Grade I (Mild): Ligament stretching with minimal swelling and no instability
Grade II (Moderate): Partial ligament tearing with swelling, bruising, and some instability
Grade III (Severe): Complete ligament rupture with significant instability and difficulty bearing weight
More severe sprains may be associated with cartilage injuries, tendon damage, or occult fractures, which can prolong recovery if not properly addressed.
Diagnosis of Ankle Sprains
Diagnosis begins with a detailed history and physical examination to assess ligament integrity and joint stability. X-rays may be obtained to rule out associated fractures, while MRI may be recommended for patients with persistent pain, recurrent sprains, or suspected cartilage or tendon injuries.
Symptoms of an Ankle Sprain
Common symptoms of an ankle sprain include:
Pain along the inside or outside of the ankle
Swelling and bruising
Tenderness to touch
Difficulty walking or bearing weight
A feeling of ankle instability or “giving way”
Persistent pain or instability after an ankle sprain should be evaluated by a foot and ankle orthopedic surgeon, as untreated ligament injuries can lead to chronic ankle problems.
Non-Surgical Treatment of Ankle Sprains
Most ankle sprains can be treated non-operatively, especially when addressed early. Treatment may include:
Activity modification and rest
Ice, compression, and elevation
Bracing or immobilization
Anti-inflammatory medications
Physical therapy to restore strength, balance, and proprioception
Early rehabilitation is critical to prevent stiffness, weakness, and recurrent ankle sprains.
Chronic Ankle Instability and Surgical Treatment
In some patients, ankle sprains can result in chronic ankle instability, characterized by repeated sprains, persistent pain, or a sense of the ankle giving way. When non-surgical treatment fails, surgical ankle ligament repair or reconstruction may be recommended to restore stability and function.
Surgical goals include:
Restoring ankle stability
Preventing recurrent sprains
Improving confidence with walking and sports
Reducing the risk of long-term joint damage
Recovery and Rehabilitation
Recovery from an ankle sprain depends on the severity of the injury. Mild sprains may improve within a few weeks, while more severe injuries can require several months of rehabilitation. Structured physical therapy plays a key role in:
Regaining range of motion
Strengthening supporting muscles
Improving balance and coordination
Proper treatment and rehabilitation significantly reduce the risk of future ankle injuries.
Office Location
30 Aulike St. Suite 201
Kailua, HI 96734
Contact Information
scheduling@windortho.net
(808) 261-4658
Surgical Facilities
Castle Medical Center
Windward Surgery Center
