Lateral Ankle Sprain Treatment: When to Seek Physiotherapy Help

By Revamp Physiotherapy, Carina Brisbane

A lateral ankle sprain is one of the most frequent injuries experienced in both sport and daily life. Whether it happens while playing netball, jogging along the local paths, or stepping off a kerb, the result can be immediate pain, swelling, and difficulty walking.

This injury occurs when the ligaments on the outer side of the ankle are overstretched or torn, most commonly due to a sudden roll or twist of the foot. While many sprains recover well with early and appropriate management, neglecting proper care can lead to ongoing problems, such as chronic ankle instability, reduced mobility, and recurrent injuries.

Knowing how to manage a sprain in the early stages and understanding when professional help is necessary can significantly improve your recovery outcomes.

What Causes Lateral Ankle Sprains?

A lateral ankle sprain typically occurs when the foot rolls inward and the ankle twists outward, placing excessive strain on the ligaments that stabilise the joint. This movement can happen suddenly and often without warning. Common causes include:

• Sudden twisting or rolling of the ankle – usually during sport, walking on uneven ground, or missing a step.

• Landing awkwardly after jumping, such as in basketball or volleyball.

• Direct contact or collision – for example, during football or rugby.

• Weak or fatigued ankle muscles reducing joint stability.

• History of previous ankle injuries, which can leave the joint more vulnerable.

  
  

Even minor incidents can result in ligament damage, and without timely care, the ankle may not regain full strength or stability.

What Are the Symptoms?

The severity of a lateral ankle sprain can range from mild stretching of the ligament fibres to complete tears. Common symptoms include:

• Pain on the outer side of the ankle, which may be immediate or develop within a few hours.

• Noticeable swelling and bruising.

• Tenderness when pressing on the injured area.

• Difficulty bearing weight or walking normally.

• Stiffness or a reduced range of motion in the ankle joint.

• A sensation of the ankle “giving way” or feeling unstable.

If you notice these symptoms, it is important to act promptly to protect the joint and encourage healing.

Early Conservative Management Tips

The first 48 hours following an ankle sprain are crucial for minimising damage and supporting recovery. Initial management should focus on reducing swelling, controlling pain, and protecting the injured ligaments.

1. Apply the RICE principle:

• Rest – Avoid activities that cause pain or place strain on the ankle.

• Ice – Apply an ice pack for 15–20 minutes every 2–3 hours to reduce swelling.

• Compression – Use a compression bandage to help control swelling and provide gentle support.

• Elevation – Keep the ankle raised above heart level whenever possible.

  
  

2. Limit weight-bearing: Use crutches if walking causes significant pain, particularly in the first couple

of days.

3. Gentle ankle movements: As pain allows, begin small, controlled movements such as ankle circles or pointing and flexing the toes to maintain mobility.

4. Supportive taping or bracing: This can help stabilise the joint and prevent further injury during the early stages.

5. Over-the-counter medication: Non-steroidal anti-inflammatory drugs (NSAIDs), when recommended by a GP or pharmacist, may help reduce pain and inflammation.

Avoid pushing through severe pain, returning to sport prematurely, or performing high-impact activities until the ankle has sufficiently healed.

When Should You See a Physiotherapist?

While some mild ankle sprains can improve with home care, it is important to seek assistance from a Physiotherapist in Carina or a Physio in Carindale if you notice any of the following:

• Pain, swelling, or stiffness that is not improving after a few days.

• Difficulty walking more than a few steps without significant discomfort.

• Ankle instability or repeated “giving way” during movement.

• Pain radiating into the foot or up the leg.

• Concern about the severity of the injury or uncertainty about safe activity levels.

• Suspected fracture, severe ligament damage, or significant bruising requiring medical imaging.

  
  

A physiotherapist can assess the injury, determine the grade of the sprain, and provide targeted treatment. This may include manual therapy, swelling reduction techniques, a progressive exercise program to restore strength and balance, and strategies to prevent re-injury.

You Don’t Need to Push Through Pain Alone

Delaying treatment for a lateral ankle sprain increases the risk of developing chronic ankle instability, which can significantly affect your ability to participate in sport or even everyday activities. Early physiotherapy intervention is the most effective way to restore full function, prevent re-injury, and ensure long-term joint health.

At Revamp Physiotherapy in Carina, we provide thorough assessment, tailored rehabilitation programs, and ongoing support to help you recover fully and confidently. Whether you are seeking a Physiotherapist in Carina or a Physio in Carindale, our experienced team is here to assist you every step of the way.

Need professional help for your ankle sprain? Contact Revamp Physiotherapy today to arrange an appointment and start your recovery with expert guidance.