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 Work?

It’s an age-old question and there are a myriad of opinions out there. What we do know is our ankles bear a lot of weight and are often subject to sharp and awkward movements. It is no surprise that injuries are common, so, when it comes to ankle injury prevention, support, pain management, and healing, do ankle braces actually help?

In short, yes. The long answer, however, is a little more complicated.

The Functionality of Ankle Braces:

Ankle braces have gained popularity as an aid in injury management and prevention. They are designed to provide stability, limit excessive movement, and offer support to the ankle joint. By minimizing the risk of unnatural twists and turns, ankle braces can significantly reduce the likelihood of sprains and strains during physical activities. However, not all ankle braces are alike. When considering buying an ankle brace, take the following into consideration:

1. The brace must be made of quality materials and meet medical standards.
2. Your ankle brace needs to fit you perfectly. That means any fabric should not be loose or too tight. Any splints should be anatomically contoured and all padding needs to be well placed.
3. The brace must suit your specific condition. Are you wearing it for ankle injury prevention or recovery? Do you already have unstable ankles? Have you incurred a high ankle sprain or an acute ankle sprain?

For example, a neoprene “brace” won’t be the best choice for helping prevent an ankle injury and a neoprene “brace” certainly won’t help you recover from an ankle injury. That’s because there are no medical compression standards for neoprene. Additionally, cheap cost means mass production, which makes it very difficult to find a perfectly sized brace for your ankle. Remember, your brace must properly support and compress your ankle in key areas, because if it doesn’t, you risk ineffective injury prevention. If recovering from an injury you’ll likely have little to no relief from pain and swelling, at best, and re-injury at worst.

Also not recommended for ankle injury prevention or recovery are compression sleeves. The primary function of compression sleeves is to support your muscles by providing slight pressure and compression to promote optimal blood flow to the area the sleeve surrounds. Studies have shown that wearing compression sleeves dilates your arteries, resulting in increased blood flow, or vasodilation. Vasodilation is the widening of the blood vessels as a response to low oxygen in the blood, which happens during exercise and triggers an increased blood flow. Increasing blood flow improves the levels of oxygen and nutrients delivered to the body, which enables you to power through your workouts. What this means is compression ankle sleeves do nothing to actually support your ankle joint.

Lastly, in a study done by the International Journal of Sports Physical Therapy, it was determined that with the right ankle brace or stabilizer, athletes wearing ankle braces had a 64% reduced risk of ankle sprains compared to those with no ankle brace.

So, what braces do you want to buy that will provide you with the support, comfort and recovery benefits you may need?

Introducing Ultra Ankle® Products:

Among the leading brands in the ankle support industry, Ultra Ankle stands out for its advanced and scientifically engineered solutions. Ultra Ankle products combine cutting-edge technology with ergonomic design to offer unparalleled protection and comfort.

1. Ultra 360® Lace-Up Ankle Brace:

The Ultra 360 Lace-Up is a game-changer in the world of ankle support. Its innovative design incorporates adjustable figure-8 straps provide 360º of ankle support to help prevent excessive ankle rolling. The multi-adjustable design allows you to customize your level of support. The Ultra 360 is recommended for individuals who require mild ankle support and have a minimal history of ankle injuries.

2. Ultra Zoom® Ankle Brace:

Specifically tailored for athletes, the Ultra Zoom Ankle Brace offers a perfect blend of flexibility and support. Its sleek, low-profile design fits comfortably in sports shoes (traditional tongue and laces), making it an ideal choice for basketball, volleyball, football, soccer, and other high-impact sports. The Ultra Zoom’s Performathane® soft shell conforms to the ankle’s natural shape, through body heat, ensuring maximum comfort while providing maximum support. The patented Hinged-Cuff design allows the ankle to move in all its natural motions, and none of the bad ones, while still keeping all the tendons and muscles fully engaged as the brace does not bind the ankle and foot in the Neutral Position. The hinged-cuff design also helps to prevent high ankle sprains, which are much more painful and take much longer to recover from.

3. Ultra High-5® Ankle Brace:

Have a history of ankle injuries? Are your ankles chronically unstable? Then the Ultra High-5 may be the ankle brace for you. With its feather-light but incredibly strong materials, the Ultra High-5 reinforces unstable ankles and can handle even the toughest twists and turns. The Ultra High-5 is also a great ankle brace for athletes and individuals who have recurring joint pain due to excessive pounding unforgiving surfaces.

4. Ultra CTS® Ankle Brace:

When it comes to high ankle sprains, acute ankle injuries, or even Ankle Osteoarthritis, the Ultra CTS Ankle Brace shines. Engineered with the patented PerformaFit® upright technology, this brace mimics the anatomical contours of the ankle, delivering personalized support and stabilization.

• High-Ankle Injuries: A high ankle injury occurs when the ankle is excessively externally rotated. The Ultra CTS has a hinged-cuff design which restricts excessive ankle inversion and ROTATION to treat both LOW and HIGH ankle injuries allowing the injured soft tissue to quickly heal.
• Acute Ankle Injury: With an acute ankle injury you will most likely have weight bearing pain. The Ultra CTS will “unload” the ankle. Ankle unloading means the brace will absorb some of the impact from standing or walking that would normally be transferred into the ankle causing pain. Maximum lower leg and ankle support and stabilization will take stress off the injured ligaments allowing them to heal much quicker.
• Osteoarthritis: With bone-on-bone joint irritation, or osteoarthritis (OA) you will need an ankle brace that will “unload” the ankle. Ankle unloading means the brace will absorb some of the impact from standing or walking that would normally be transferred into the ankle causing joint irritation and pain. For more details on how the Ultra CTS works for Osteoarthritis please visit our Osteoarthritis Page

The Verdict:

Do ankle braces actually help? The answer is a resounding yes, especially when armed with the right information and equipped with superior products like those offered by Ultra Ankle. Ankle braces serve as vital tools in both preventing and managing ankle injuries. With Ultra Ankle’s range of advanced solutions, individuals can confidently pursue their active lifestyles with reduced worry about potential ankle-related setbacks.

Conclusion:

In the realm of ankle support, Ultra Ankle products have truly elevated the game. Their commitment to blending science, comfort, and innovation has resulted in a lineup of braces that not only provide exceptional support but also contribute to the overall well-being of athletes and individuals. So, if you’re considering investing in ankle braces to safeguard your ankles, don’t overlook the transformative offerings brought forth by Ultra Ankle. Your ankles will thank you for the reliable protection and support these products provide.

Syndesmotic ankle injuries (high ankle sprains) continue to be a challenge for athletes and athletic trainers alike, given their lengthy healing time and the associated discomfort for athletes. Here are some key updates and developments you need to consider when treating a high ankle injury:

Maintaining the Integrity of the Tibia and Fibula

Athletic trainers understand high ankle injuries are often more severe than their lower counterparts and require a longer healing period. The injury occurs when the ankle externally rotates, separating the tibial and fibular malleoli, and potentially stretching or tearing the syndesmosis – the ligaments and membrane that keep the tibia and fibula together. To aid the healing process, the focus should be on stabilizing the tibia and fibula, which in turn reduces the stress on the damaged ligaments and helps manage the pain.

Some modern ankle braces have been designed to provide consistent compression not only around the circumference of the lower leg and ankle but also along the length of the shin. Compression ideally should extend from the ankle joint to at least 10 inches above the malleoli for more effective support of the lower leg and ankle, and better soft tissue stress reduction.

Managing Weight-Bearing Pain

Alongside stabilizing the tibia and fibula, you also need to address the weight-bearing pain that accompanies the injury. When the calcaneus impacts the ground, the force drives the talus into the tibia, causing a separation between the tibia and fibula. This movement results in further stretching of the damaged ligaments and subsequent pain.

Thanks to technological advances, some ankle braces, like the Ultra Ankle® Ultra CTS®, now have enhanced shock-absorbing features to minimize painful impact. They employ advanced materials that effectively absorb and distribute the force exerted on the ankle to the lower leg, thereby reducing the stress on the injured area. This is known as “unloading” or “offloading” the ankle.

The Ultra CTS® (Custom Treatment System) ankle brace has seen continuous improvements over the years and remains one of the trusted choices for acute ankle injuries, particularly syndesmotic ankle injuries. With enhanced compression, improved support, and more efficient impact absorption, this brace can help athletes return to activity more rapidly and with less pain. If you have any queries about how the updated Ultra CTS® can facilitate your athlete’s recovery, feel free to reach out, and we’ll be glad to assist.

Maximizing Pickleball Performance: Why Ankle Braces are Crucial.

The fusion of tennis, badminton, and table tennis has birthed an electrifying sport – pickleball. It’s fun, versatile, and straightforward nature is quickly making it a favorite among individuals of all skill levels, ages, and physical conditions. However, despite the fun, pickleball can adversely impact our bodies, especially the joints, if not played with necessary precautions. Here, we delve into the crucial role ankle braces play in pickleball, their functionality, and how they can enhance your safety during play.

Protecting Your Ankles in Pickleball: The Role of Ankle Braces

Your ankle is a sophisticated structure encompassing bones, ligaments, tendons, and muscles. It offers stability and mobility, enabling activities such as walking, running, jumping, and pivoting. Given that pickleball involves rapid direction changes, sudden stops and starts, jumping, and pivoting, the risk of ankle injuries is high. Additionally, once an ankle injury has occurred, it is 70% more likely to be reinjured in the future.

Ankle braces have two main purposes: providing stability to reduce injury risk and supporting an injured ankle for quicker recovery. Some braces, like the Ultra 360® Lace-Up brace, do limit ankle movement with the thought that less movement means less chance of injury. They also absorb some of the forces that would typically impact the ankle joint. Hinged Cuff braces like the Ultra Zoom®, on the other hand, provide maximum support without limiting ankle mobility. The Ultra Zoom not only helps prevent the typical ankle sprains/injuries, such as rolled ankles, but it also helps prevent high ankle injuries, which typically take much longer to recover from.

Advantages of Ankle Braces for Pickleball Players

Injury Prevention: Pickleball’s swift movements and directional shifts strain the ankle, increasing sprain and fracture risks. Ultra Ankle® braces help prevent the ankle from rolling or twisting beyond its usual range of motion, minimizing injury chances.

Support and Stability: Lace-Up braces, like the Ultra 360, compress the joint, helping to improve stability and enhance proprioception – the perception of body and limb positioning. The Ultra Zoom brace custom-form fits to the ankle and foot increasing stability while still providing comfort. The hinged-cuff design allows for the ankle to maintain its full range of motion without compromising mobility.

Confidence Enhancement: Ankle braces increase players’ confidence by offering an additional protective layer. This assurance allows players to concentrate on winning rather than worrying about potential ankle injuries. Why just accept ankle injuries are a part of the game?

Post-Injury Rehabilitation: Ankle braces, specifically the Ultra Zoom, can assist recovery in players who have experienced previous ankle injuries, offering support and reducing re-injury risk. Additionally, the Ultra Zoom limits the amount of micro-tears in the ankle’s tendons and muscles while moving around the pickleball court, thereby reducing the post-match soreness in the joint.

Selecting the Ideal Ankle Brace for Pickleball

When it comes to choosing the right ankle brace for pickleball, there are a few factors to consider. First, what will be the purpose(s) of your ankle brace? Will you be using it for injury prevention, or, will you be using it to recover from an ankle injury you’ve already sustained? It could also be a combination of both. You may want to recover from an ankle injury and prevent further injuries down the road. Our Ultra 360® ankle brace is good for injury prevention. It utilizes figure-8 straps to provide 360 degrees of support. It compresses the joint to help protect it from excessive movement and provides moderate support while still maintaining good mobility. If you are looking for maximum support with maximum mobility, our Ultra Zoom® “fits” the bill. The Ultra Zoom is a custom form-fit soft-shell brace. It molds to the ankle and foot by utilizing an athlete’s body heat. It has a Hinged-Cuff design that allows for the ankle to move in all its natural ways while preventing both high and low ankle injuries. Additionally, the Ultra Zoom is a great brace to treat and recover from ankle injuries faster as it helps to absorb impact on the joint from moving around on the pickleball court. Once recovered from an ankle injury it will also help prevent further injury to the same ankle, allowing you to get back on the court and stay on the court while losing less time to ankle injuries.

Final Thoughts on Ankle Braces and Pickleball Safety

While Ultra Ankle® braces offer critical support and protection, they’re part of a broader pickleball safety approach. Incorporate strength and flexibility training focusing on lower body and core muscles, wear proper footwear, and establish suitable warm-up and cool-down routines.

Recognizing the physical demands pickleball exerts helps us make informed decisions to maintain our game enjoyment. An ankle brace is a minor yet significant step towards improved pickleball performance and durability. So remember: play smart, play hard, and brace-up to stay in the game!

Ankle Taping vs Ankle Braces: What’s Best for Your Ankle Support?

Introduction

When it comes to preventing ankle injuries or providing support after an injury has occurred, two methods often come to mind – ankle taping and wearing ankle braces. They are common choices among athletes, athletic trainers, and physiotherapists for mitigating the risk of ankle sprains. In this blog post, we will delve into the advantages, disadvantages, and comparative effectiveness of both strategies, thereby assisting you in making an informed decision.

Ankle Taping: The Traditional Approach

Ankle taping has been used traditionally in sports and athletic activities for decades. It involves wrapping athletic tape around the ankle in a specific pattern to provide support and restrict certain movements that could lead to injury. Here are the pros and cons of this method:

Pros:

1. Customizability: Taping allows for customization based on the individual’s unique anatomy and the specific nature of their injury or risk. It can be tailored to provide targeted support.
2. Versatility: Taping can adapt to various sports and activities, allowing for a degree of movement while offering the right amount of restriction to prevent further injury.

Cons:

1. Time-consuming: Proper taping is a skill that requires practice and can be time-consuming, especially for beginners.
2. Consistent Reapplication: Tape loses its effectiveness over time, often requiring reapplication several times during an extended activity.
3. Potential Skin Irritation: Extended use of tape can cause skin irritation or allergic reactions in some individuals.
4. Locking the Ankle in Neutral Position: One significant limitation of ankle taping is that it often locks the ankle joint in a neutral position. This restriction can limit the natural range of motion and flexibility, which might not be suitable for all sports or activities.

Ankle Braces: The “Modern” Tool

Ankle braces, on the other hand, are devices made from various materials like neoprene, plastic, or fabric, designed to provide support to the ankle joint. They come in various sizes and designs, with some allowing for adjustable levels of compression and restriction.

Pros:

1. Ease of Use: Ankle braces are generally easier and quicker to put on compared to tape.
2. Durability and Reusability: Unlike tape, braces can be used repeatedly over an extended period, making them a cost-effective solution for long-term use.
3. Adjustability: Some braces offer adjustable levels of support and compression, allowing the user to adapt the brace to their comfort and needs.

Cons:

1. Less Customizable: Unlike taping, braces come in fixed designs and may not offer the same level of personalization to the individual’s anatomy or the nature of the injury.
2. Potential Discomfort: Some users may find braces bulky or uncomfortable, especially during extended periods of wear.

Ultra Ankle Braces: The True Modern Tool

Ankle braces are devices designed to provide support to the ankle joint. They are available in various sizes and designs, with some offering adjustable levels of compression and restriction. A notable example of high-quality ankle braces is the Ultra Ankle line of braces. Here, let’s delve into the advantages of using these braces, in particular:

1. Ease of Use: Like most ankle braces, Ultra Ankle braces are generally easier and quicker to put on compared to taping, reducing preparation time before activities.
2. Durability and Reusability: Ultra Ankle braces are known for their durability. They are designed for repeated use over an extended period, making them a cost-effective solution for long-term use.
3. Innovative Design: The Ultra Ankle braces are recognized for their innovative designs which take into consideration different ankle injuries and the varying degrees of support needed. This ranges from their Ultra Zoom Ankle Brace, which is aimed at preventing or recovering from ankle sprains, to the Ultra High-5 Ankle Brace, designed for chronic ankle instability and high-impact activities.
4. Comfort and Fit: Unlike some other brands, Ultra Ankle braces are often praised for their comfort and the ability to fit snugly without being excessively bulky. This is because Ultra Ankle braces, like the Ultra Zoom and Ultra CTS, custom form-fit to the foot and ankle using body heat. This feature makes them suitable for use in various types of athletic footwear, although a traditional tongue and laces shoe is recommended for best fit.
5. Maintaining Ankle Strength: The Ultra Zoom, Ultra CTS and Ultra High-5 offer a different approach than almost any other ankle brace on the market. Instead of imposing a universal restriction on the ankle’s movement, these braces feature a hinged design that allows for a more natural range of motion. This ensures that while the ankle is still supported and safeguarded from dangerous movements that can lead to injuries, it can move freely within the safe zone.

As a result, the muscles and tendons in the ankle continue to be actively engaged during movement, promoting their strength and function. This approach makes the Ultra Zoom, Ultra CTS and Ultra High-5 braces not just protective devices, but tools for maintaining, and even improving, the overall health and strength of the ankle.

Ankle Taping vs Ankle Braces: The Verdict

When choosing between ankle taping and braces, it ultimately depends on your individual needs, comfort, and the nature of your activities. For short-term use or during a sporting event, taping can provide the right amount of support and flexibility. However, for ongoing competition or everyday use, an Ultra Ankle brace is a more practical and cost-effective solution.

In the end, the primary goal is to prevent ankle injuries or to aid recovery from an injury. Therefore, consulting with a healthcare provider o understand your specific requirements would be highly beneficial. It’s also crucial to remember that while ankle taping and braces can provide valuable support, they should be complemented by strength and balance training exercises to help build robust and resilient ankles.

Conclusion

The debate between ankle taping and ankle braces is not about finding a clear winner, but about understanding their benefits and limitations. In doing so, you can make an informed decision that best suits your lifestyle, activity level, and personal comfort. Remember, preventing injuries is always better than treating them, so take care of your ankles – you literally stand on the foundation they provide. Optimum ankle health not only boosts your physical performance but also enhances your overall quality of life. Stay strong, stay active, and stride forward with confidence!