A High Ankle Sprain Guide to Recovery

It seems like every week you hear some top athlete has a high ankle injury. Now your son who plays football has a high ankle sprain or your daughter that plays volleyball just got diagnosed with a high ankle sprain. You’ve heard the high ankle sprain is much worse than a common low ankle sprain. But what is a high ankle sprain and how does it happen? Why are high ankle injuries so much more difficult to treat?

Where a classic low ankle injury is caused when the ankle rolls inward, a high ankle injury typically occurs when the ankle and lower leg rotates excessively outward. Unlike a classic low ankle injury, a high ankle sprain is not necessary to the ligaments surrounding the ankle joint, although this can occur, but to the tissue and ligaments that hold the lower leg bones, the tibia and fibula, together. Hence the term “high” ankle sprain because the injury is above the ankle joint. High ankle injuries are more severe and take longer to hear than low ankle injuries.

Athletes with a high ankle injury will most likely complain of pain in their lower leg. If an athlete believes they have a high ankle injury, they should cease activity immediately and get a quick evaluation by an athletic trainer or other medical professional. Since athletes with a high ankle injury are typically out twice as long as someone who suffers a classic low ankle injury, it’s important to not make the injury worse by continuing activities.

Once evaluated, the sports medicine professional will most likely prescribe the common RICE method (Rest, Ice, Compression, and Elevation) for initial care of the injury. Physical therapy will be needed to help reduce swelling and pain initially, then to regain ankle strength and range of motion. A physical therapist or athletic trainer are the best qualified medical professionals to oversee the rehabilitation process. Then you will need an ankle brace that is designed specifically to treat a high ankle injury versus a low ankle injury, meaning the brace will help restrict excessive ankle rotation that caused the high ankle injury. Most ankle braces are designed only to help restrict ankle turning which causes low ankle injuries.

There is one company that has pioneered ankle braces for high ankle injuries and that is Ultra Ankle. Ultra Ankle’s Ultra CTS ankle brace is designed to restrict excessive ankle rotation that causes high ankle injuries as well as “unload” or “offload” the ankle to help reduce weight bearing pain. A proprietary Performathane® soft outer shell uses body heat to form a custom-fit to the ankle which enhances comfort and support.

 

At Ultra Ankle you have total access to our Certified Athletic Trainers that help you select the appropriate Ultra Ankle brace for your ankle condition and then help you fit your new Ultra Ankle brace once it arrives. Start the conversation by sending our Certified Athletic Trainer a message.

Do ankle braces weaken ankles

As a seasoned athletic trainer with over three decades of experience and 15+ patents in ankle brace design, I frequently get asked – “Do ankle braces weaken the ankle?” Especially in sports like volleyball, basketball, and football, where ankle injuries are prevalent, players wear ankle braces during games and practices to prevent sprains or reduce severity if an injury occurs. This common practice has led parents, coaches, and players to question the potential negative impact on ankle strength.

Understanding The Ways to Weaken A Joint

There are only two ways to weaken a joint and its supporting muscles:

  1. Non-usage of the joint: Typically observed post-surgery, when muscles atrophy due to non-use.
  2. Restricting joint range of motion: If a joint is restricted or bound up for an extended period of time, preventing full range of motion, muscle weakening may occur.

Since athletes frequently use and strengthen their joints through drills and conditioning exercises, the primary concern is the potential weakening of the ankle by restricting its normal range of motion.

Do Any Ankle Braces Restrict Joint Range of Motion?

Unfortunately, yes. The lace-up (or corset style) brace restricts much of the ankle joint range of motion, including the essential up and down ankle motion needed for running and jumping. This restriction is due to the binding of laces and/or tight wraparound Velcro straps. A recent university study found that lace-ups significantly decreased ankle joint range of motion and isokinetic measures of muscle torque, total work, and power. In simpler terms, the lace-up brace adversely affects ankle range of motion and strength.

Are There Ankle Braces That Do Not Weaken The Ankle?

Fortunately, yes. Hinged ankle braces, which allow full unrestricted up and down ankle range of motion, do not weaken the ankle. These braces have hinges on each side of the ankle bone, allowing the brace to move with the ankle, unlike lace-ups that move against it. This synchronized movement ensures that any straps stay securely in place, maintaining long-lasting ankle support.

There are two commonly used styles of hinged ankle braces by athletes – hinged and hinged-cuff. The ‘hinged only’ braces, introduced in 1989, primarily restrict excessive ankle turning or “inversion.” Popular brands include Active Ankle, McDavid, and Shock Doctor.

On the other hand, ‘hinged-cuff’ ankle braces, like the Ultra Zoom®, restrict not only excessive ankle turning (“inversion”) but also rotational twisting, helping prevent both high and low ankle sprains. Brands of hinged-cuff ankle braces include Ultra Ankle, Don Joy, and Ossur.

Conclusion

While some ankle braces, like the lace-up style, can restrict joint range of motion they do not necessarily weaken the ankle. A lace-up brace would have to be worn over an extended period of time to cause any major damage. Hinged and hinged-cuff ankle braces, however, do not have any negative impact on the strength and movement of the ankle joint. However, if you want to prevent ankle injuries, I do suggest wearing and ankle brace of some kind. Please note, neoprene sleeves are not ankle braces and provide zero support.

If you have more questions about ankle braces and their effects on ankle strength, feel free to leave a comment below or send us a message. We are here to help!

Ultra Zoom

Help prevent ankle injuries all season long.

Ultra High-5

Reinforce the ankle after a history of multiple ankle injuries

Ultra CTS

Maximize stabilization to treat acute ankle injuries