Foot & Ankle

That Ankle Sprain May Not Be Just a Sprain

Persistent swelling, repeated twisting and pain on the outer ankle after six weeks warrant proper assessment.

30 March 2026 4 min read
That Ankle Sprain May Not Be Just a Sprain

Ankle sprains are dismissed too easily. Around one in five leaves behind ligament laxity, cartilage damage or a missed small fracture that keeps causing trouble months later.

Warning signs: swelling that does not settle in six weeks, a feeling of the ankle giving way on uneven ground, and tenderness over bone rather than soft tissue.

Assessment includes stress testing of the lateral ligaments, weight-bearing X-rays and, when needed, MRI to look for osteochondral lesions of the talus.

Most cases respond to a proprioception-led rehabilitation programme with bracing. Arthroscopic or ligament reconstruction surgery is reserved for genuine chronic instability.

About the author

Dr. Shreyas M.J

Consultant Orthopaedic Surgeon in Mysuru specialising in arthroscopy of the knee and shoulder, joint replacement, foot & ankle surgery and trauma care. Fellowship-trained in arthroscopy and sports medicine (India, Australia and Thailand) and Assistant Professor at JSS Hospital.

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This article is general information and not a substitute for a clinical examination. For advice on your specific problem, book a consultation at the clinic.

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