Football is a high-impact sport that places intense demands on the body, particularly the ankles. Ankle sprains are the most common sports injury for football players due to the frequent physical contact and dynamic movements of the sport. Ankle sprains can occur from cutting, stepping on another player’s foot or landing from a jump. They also can occur when your ankle gets stepped on or fallen on. This can damage the anterior talofibular ligament (ATFL) and is the most commonly injured ligament in the ankle, usually due to inversion injuries (MDPI).

Ankle injuries can cause pain, loss of playing time, loss of fitness, and potential medical expenses for athletes and/or their parents. Injury prevention programs that include multiple components, such as strengthening and agility/balance exercises, can help reduce the incidence of ankle injuries (Sage Journals). The addition of ankle braces can further reduce the risks of ankle sprains and acute ankle injuries. Lace-Up ankle braces alone have shown to reduce the risk of ankle injuries in football players (NIH).

This blog post will explore the following topics:

  1. The two primary types of ankle injuries affecting football players.
  2. The football positions that suffer the most ankle injuries.
  3. The different types of ankle braces available.
  4. Ankle brace recommendations based on ankle injury history.
  5. Recommendations for Ultra Ankle braces.
  6. How to choose the best football cleats to wear with ankle braces.

 

Primary ankle injuries affecting football players

There are two main types of ankle injuries football players suffer from the most. Inversion or “Low” ankle sprains and syndesmotic or “High Ankle” sprains. Here is the difference between the two.

  • Inversion ankle sprains can stretch and sometimes tear the ligaments holding the ankle joint together, leading to extended bench time that could range from a few days to weeks, depending on the injury’s severity. Even after resting to allow the ankle to heal, the ligaments remain somewhat stretched, making the ankle loose and unstable and prone to future ankle injuries. This cycle of recurring ankle injuries can be interrupted or slowed down by wearing a preventive ankle brace (3CBPerformance).
  • High ankle sprains, also known as syndesmotic ankle sprains, are distinct from the more common low ankle sprains. They involve injury to the ligaments that connect the tibia and fibula together. These injuries are often caused by ankle external rotation and/or dorsiflexion trauma, common in high-impact sports like football, rugby, lacrosse and soccer. High ankle injuries are more severe than low ankle injuries and take longer to heal.

football ankle sprain, inversion ankle sprain, high ankle sprain

Common Ankle Injuries by Football Position

Ankle injuries can vary significantly depending on the position played. 2,285 football players were recently part of a study (NIH) during an NFL Combine. Of these players, 53.2% had an ankle injury of some form or another. These were the positions who incurred the most ankle injuries.

Running Backs: These players are at high risk for ankle sprains due to the sudden stops and turns they make during practice and games. This study showed that running backs have the highest incidence of ankle injuries at 61.9%. Wide receivers and defensive backs can fall under this same category due to similar movements on the field.

Linemen: Offensive linemen are second in risk percentage of players who suffer ankle injuries at 60.3%. Linemen often suffer from high ankle sprains caused by the heavy physical contact and twisting motions required in their positions.​

Quarterbacks: While less frequent, quarterbacks can experience ankle injuries from being tackled or during rapid changes in direction​.

Injured football player on sidlines of game with crutches by team

Types of Ankle Braces Available for Football Players

There are several types of ankle braces, each offering different levels of support and flexibility.

  • Lace-Up Ankle Braces: These braces are made from fabric and lace-up tightly to provide support. While they offer a snug fit and can be tightened as needed, they tend to restrict the ankle’s natural range of motion, which can be detrimental in high-intensity sports like football​ (NIH)​.
    • Pros: Inexpensive and readily available on-line and/or at most sporting goods stores. They are low profile and fit into almost any football cleat.
    • Cons: Restrict natural up-and-down ankle movement, which for any athlete is crucial for running and jumping. The fabric stretches out, migrates, and loses support rapidly during athletic activity. Lace-up ankle braces are also difficult and time consuming to apply.
  • Rigid Ankle Braces: Made from hard plastic with hinges, these braces allow for natural up and down ankle movement while preventing excessive side-to-side motion. They provide robust support but can be bulky and uncomfortable to wear for long periods of time.
    • Pros: Move with the natural up-and-down movement of the ankle, not restricting performance, speed, agility, or vertical jump. With most rigid ankle braces the straps stay securely in place, maintaining long-lasting support for the duration of practices and games. Rigid ankle braces are typically put on and and removed much more quickly than lace-up braces.
    • Cons: Larger or “bulkier” than lace-up braces, requiring more room in the shoe. Because the braces are rigid they do not form-fit to the foot and ankle and can become uncomfortable after long periods of wearing.
  • Soft-Shell Ankle Braces: The flexible plastic shell is designed to form a comfortable custom fit to the ankle using body heat. They offer excellent protection while allowing natural movement, making them ideal for prolonged use during practices and games​.
    • Pros: Move with the natural up-and-down movement of the ankle, not restricting performance, speed, agility, or vertical jump. Through body heat the soft-shell ankle braces form fit to the ankle making them very comfortable and supportive over long periods of time. Soft-shell braces are quick to put on and remove with very little effort.
    • Cons: Like the rigid ankle braces, soft-shell braces can be bulkier than lace-up braces, requiring more room in shoes. The soft-shell braces may take a few practices or games to break-in (like a new pair of shoes) before they are comfortable.

When choosing which style of ankle brace you want, or need, be sure to read the next section on our ankle brace recommendations based on ankle injury history.

Ankle Brace Recommendations based on Ankle Injury History

Once you’ve had an ankle injury you are 70% more likely to reinjure it. Of all ankle sprains 40% of them develop chronic symptoms. Chronic ankle instability (CAI) can occur in up to 70% of patients who have recurrent ankle sprains. CAI can have negative health effects, such as reduced quality of life and early-onset osteoarthritis (NIH).

 

“Many people think, ‘It’s just an ankle sprain.’ But sprains aren’t a ‘nothing’ injury. Many sprains can lead to chronic instability and problems down the road.”

Gergory Waryasz, MD, CSCS

Sports Medicine Specialist at Mass General Brigham

 

Depending on how many ankle injuries, and types of ankle injuries, you have incurred, we recommend the following ankle braces:

 

1-3 Previous Ankle Injuries: For athletes with 1-3 previous ankle injuries, an entry-level ankle brace made with fabric that laces up, called Lace-Ups, might suffice. Lace-Ups with figure-8 straps are preferred as they wrap around the ankle similarly to a tape job performed by an athletic trainer. Think of Lace-Up braces as a reusable tape job that can be applied before every practice and game, eliminating the need for an athletic trainer.

 

4-5+ Previous Ankle Injuries: For athletes with 4-5 previous ankle injuries, including one or more grade 2-3 injuries, more support is required along with possible medical consultation. For athlete’s with numerous ankle injuries, plastic hinged ankle braces and soft-shell ankle braces offer a structurally sound design that provides additional ankle support needed for unstable ankles (Harvard Medical School).

 

Best Ultra Ankle® Braces for Different Scenarios

Ultra Ankle® offers a range of braces suitable for various needs. Depending on the type of ankle injuries you’ve had and the number of ankle injuries you’ve sustained, Ultra Ankle has four advanced ankle braces designed to help prevent, treat, and recover from ankle injuries.

  • Ultra 360® Lace-Up: The Ultra 360 locks your ankle in place while the 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 for athletes who require mild ankle support and have a minimal history of ankle injuries.

ultra-360-white-ankle-brace-for-ankle-injury-prevention

  • Ultra Zoom®: The only ankle brace built for performance— you’ll play better and play more, losing less time to injuries with the Ultra Zoom. The Performathane® soft shell forms to you, and has a hinged-cuff design, allowing your ankle to move in all the natural ways while helping to prevent both LOW and HIGH ankle injuries. The Ultra Zoom is on your ankle in seconds, protects continuously for hours and lasts for multiple seasons. The Ultra Zoom is for athletes who play sports with high incidence of ankle injuries and who want increased ankle support while not sacrificing mobility or agility.

ultra-zoom-ankle-brace-for-ankle-injury-prevention-and-recovery

  • Ultra High-5®: Designed for athletes who need maximum support, particularly after an injury, and/or multiple injuries. This brace provides robust stability for high-risk movements and is feather-light, and super strong. The Ultra High-5 is for athletes with chronic ankle instability due to a history of multiple ankle injuries and who have recurring joint pain due to excessive pounding on unforgiving surfaces.

 

  • Ultra CTS®: The Ultra CTS or Custom Treatment System, is designed specifically for athletes who have had a high ankle injury or an acute ankle injury. 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. 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.

Ankle Braces and Football Cleats

For any type of football shoe/cleat, it is recommended the shoe have “traditional tongue and laces.” These shoes allow the laces to spread out enough to fit the ankle brace inside the shoe. They offer the best fit for any type of ankle brace. What is not recommended is a shoe with a “sleeve or collar design.” These shoes lack a traditional tongue, making the opening much smaller and very difficult to fit the ankle brace inside. Depending on your ankle injury history, you must first determine the type of ankle brace you need and then select the style of football cleat that fits best with that ankle brace.

Conclusion

Ankle braces are a vital component of a football player’s gear, providing essential support and reducing the risk of injury. By understanding the types of braces available, the common injuries per position, and how to pair braces with the right cleats, players can enhance their performance and safety on the field. For the best results, consider using Ultra Ankle braces tailored to your specific ankle condition and injury history.

Volleyball players are known for their dynamic jumps, quick pivots, and intense gameplay, making them particularly susceptible to ankle injuries. Ankle braces have emerged as essential gear for athletes aiming to mitigate this risk. Here’s why ankle braces are crucial for volleyball players.

Why Are Ankle Injuries Common in Volleyball?

Ankle injuries are the most common injury in volleyball, accounting for a significant portion of the sport’s injuries. These typically occur during jumps, especially at the net, when a player lands on another player’s foot, causing the ankle to twist unnaturally. The repetitive nature of the sport, involving constant jumping and quick directional changes, puts additional strain on the ankles, increasing the likelihood of injuries like sprains and strains​ (Performance Health)​​ (Children’s Hospital Colorado)​.

volleyball-ankle-braces

How Do Ankle Braces Help Prevent These Injuries?

Ankle braces are designed to provide stability and support, reducing the risk of injuries by limiting excessive movement that could lead to ankle sprains. Studies have shown that using ankle braces can significantly decrease both first-time and recurrent ankle injuries. They help maintain proper alignment and absorb the impact of jumps and rapid movements, which are common in volleyball​ (UPMC | Life Changing Medicine)​. One ankle brace, the Ultra Zoom® by Ultra Ankle®, stands out as an industry leader in not only helping to prevent ankle injuries, but also allowing the athlete to maintain their ankle’s natural range of motion and not limiting performance.

ultra-zoom-white-volleyball-ankle-brace-for-performance

Benefits of Using the Ultra Zoom® Ankle Brace

  1. Injury Prevention: The Ultra Zoom® ankle brace offers a hinged-cuff design that provides superior support without restricting the natural range of motion. This design helps prevent both low and high ankle injuries by stabilizing the ankle during dynamic movements​ (Ivy Rehab)​.
  2. Enhanced Performance: By providing confidence and stability, the Ultra Zoom® brace allows players to perform at their best. Athletes can push their limits on the court without the constant fear of ankle injuries, thus enhancing overall performance. The Ultra Zoom® allows athletes to play better and play more, losing less time to ankle injuries.
  3. Cost-Effectiveness: Investing in a high-quality ankle brace like the Ultra Zoom® is cost-effective compared to the potential medical expenses and lost playtime associated with ankle injuries. This preventive measure is a wise investment for long-term health and performance​ (Volleyball Gear Guide)​.

Do Ankle Braces Affect Knee Health?

Some athletes worry that restricting ankle movement might increase the risk of knee injuries. However, evidence suggests that while ankle braces limit movements that could lead to ankle injuries, they do not increase the risk of knee injuries. Properly designed braces like the Ultra Zoom® provide a balance between support and mobility, ensuring overall lower limb safety​ (Ivy Rehab)​​ (UPMC | Life Changing Medicine)​.

How Does Investing in an Ankle Brace Compare to Potential Medical Costs?

The cost of an ankle brace is minor compared to the potential medical costs incurred from an ankle injury. Ankle injuries can lead to expensive treatments, including physical therapy and surgery, not to mention the lost time from sports and other activities. Using a preventive measure like the Ultra Zoom® ankle brace can save significant costs and ensure that players remain active and healthy​ (Children’s Hospital Colorado)​.

Icing Broken, Fractured or Sprained Foot or Ankle in Cast or Compression Wrap

Conclusion

Ankle braces, particularly the Ultra Zoom®, are essential for volleyball players. They offer injury prevention, enhance performance, and are cost-effective. By incorporating ankle braces into their gear, players can safeguard their health while elevating their game. Embrace the power of prevention and play confidently with the Ultra Zoom® ankle brace.

The ankle remains the primary site of injury in high school, collegiate and professional basketball for both genders. Regardless of an athlete’s physical conditioning, preventing ankle injuries remains challenging. Such injuries often happen in scenarios where players go up for a rebound and land on another player’s foot, or they are cutting to the basket and mistakenly step off another player’s shoe. These contacts can lead to the common inversion ankle sprain, which occurs when the ankle is forced to rotate excessively inward.

types-of-ankle-sprains

Understanding Inversion Ankle Sprains

Inversion ankle sprains can stretch and sometimes tear the ligaments holding the ankle joint together, leading to extended bench time that could range from a few days to weeks, depending on the injury’s severity. Even after resting to allow the ankle to heal, the ligaments remain somewhat stretched, making the ankle loose and unstable and prone to future ankle injuries. This cycle of recurring ankle injuries can be interrupted or slowed down by wearing a preventive ankle brace.

The Role of Preventive Ankle Braces

The term “Preventive Ankle Brace” means wearing an ankle brace during every practice and game to help prevent ankle injuries or lessen the severity should an injury occur. The right ankle brace should be determined by evaluating the athlete’s injury history and the type of basketball shoe worn.

The Importance of Basketball Shoes

Basketball shoes play a vital role in how an ankle brace fits and feels. Some basketball shoe designs will dictate the type of ankle brace needed as not all ankle braces will fit in every basketball shoe.

There are basically two types of basketball shoe designs:

     1. Traditional Tongue and Laces: These shoes allow the laces to spread out enough to fit the ankle brace inside the shoe. They offer the best fit for any type of brace.

dropset-2.0-earth-training-shoes

     2. Sleeve or Collar Design: These shoes lack a traditional tongue, making the opening much smaller and very difficult to fit the ankle brace inside. Depending on your ankle injury history, you must first determine the type of ankle brace you need and then select the style of basketball shoe that fits best with that ankle brace.

crazyflight-mid-shoes-white-no-tongue

Evaluating Injury History and Ankle Brace Type

1-3 Previous Ankle Injuries: For athletes with 1-3 previous minor ankle injuries, an entry-level ankle brace made with fabric that laces up, called Lace-Ups, might suffice. Lace-Ups with figure-8 straps are preferred as they wrap around the ankle similarly to a tape job performed by an athletic trainer. Think of Lace-Up braces as a reusable tape job that can be applied before every practice and game, eliminating the need for an athletic trainer.

Pros of Lace-Up Ankle Braces:

  • Inexpensive and readily available online or at sporting goods stores.
  • Low profile, fitting in any style of basketball shoe.

Cons of Lace-Up Ankle Braces:

  • Restrict natural up-and-down ankle movement, which is crucial for running and jumping.
  • Fabric stretches out, migrates, and loses support rapidly during athletic activity.

Ultra Ankle® offers a Lace-Up ankle brace called the Ultra 360®. The Ultra 360® locks your ankle in place while the figure-8 straps provide 360º of support to help prevent excessive ankle rolling. Its multi-adjustable design allows you to customize your level of support.

ultra-360-white-ankle-brace-for-ankle-injury-prevention

4-5 Previous Ankle Injuries: For athletes with 4-5 previous ankle injuries, including one or more grade 2-3 injuries, more support is required. Plastic hinged ankle braces offer a structurally sound design and additional support needed for unstable ankles.

Pros of Plastic Hinged Ankle Braces:

  • Move with the natural up-and-down movement of the ankle, not restricting performance, speed, agility, or vertical jump.
  • Straps stay securely in place, maintaining long-lasting support throughout a practice or game.

Cons of Plastic Hinged Ankle Braces:

  • Larger than fabric ankle braces, requiring more room in the shoe.
  • May take a few practices to break in and become comfortable.

Ultra Ankle® offers a plastic hinged-cuff ankle brace called the Ultra Zoom®. The Ultra Zoom® has a soft, flexible Performathane® shell that uses body heat to form a custom fit to the ankle for comfortable, long-lasting support. Its hinge design allows for natural ankle range of motion to enhance performance and keep muscles strong. The Ultra Zoom® is our preferred basketball ankle brace with exceptional durability to last multiple seasons. A full ONE YEAR warranty on every component.

Ultra Zoom black ankle brace for ankle injury prevention and recovery

Conclusion

Selecting the right ankle brace involves considering both the injury history and the type of basketball shoe. By understanding the benefits and limitations of each type of brace, athletes can make informed decisions to protect their ankles and enhance their performance on the court. At Ultra Ankle®, we are committed to providing high-quality performance ankle braces designed to meet the needs of basketball players at all levels. You’ll play better and play more, losing less time to ankle injuries.

 

References

ankle taping vs ankle bracing which is better

When it comes to preventing ankle injuries or providing support after an injury has occurred, two methods often come to mind – taping the ankle or wearing an ankle brace. These methods are common choices among athletes, athletic trainers, and physiotherapists for providing stability to an injured or unstable ankle. In this blog post, we will discuss 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 a staple 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.

Advantages of Ankle Taping:

  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.(1).
  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.(1).

Disadvantages of Ankle Taping:

  1. Time-consuming: Proper taping is a skill that requires practice and can be time-consuming, especially for beginners.
  2. Expensive: Rolls of athletic tape can be costly, and every tape job will be discarded after use(1).
  3. Loses Support Quickly: Taping restricts all ankle range of motion, including the natural up and down movement necessary for running and jumping. The moment an athlete steps onto the field or court, their ankle is working against the fabric tape, stretching it out and losing the support that initially felt secure. Sweat also contributes to the tape losing support.
  4. Consistent Reapplication: Tape loses its effectiveness over time, often requiring reapplication several times during an extended activity.
  5. Potential Skin Irritation: Extended use of tape can cause skin irritation or allergic reactions in some individuals(1).

Ankle Bracing: The Modern Tool

Ankle braces, on the other hand, represent a more contemporary approach to ankle support. These braces, typically made from plastic or fabric, are designed to be easily applied by the athlete and reused for multiple practices and games. They offer varying levels of support depending on the specific needs of the ankle.

Advantages of Ankle Bracing:

  1. Ease of Use: Ankle braces are generally easier and quicker to put on compared to taping. This convenience can be particularly beneficial for athletes who need to prepare quickly before practices or games(2).
  2. Durability and Reusability: Unlike tape, ankle braces can be used repeatedly over an extended period, making them a cost-effective solution for long-term use(2).
  3. Support: Typically, an ankle brace provides more consistent support than tape. Hinged ankle braces, in particular, maintain ankle support for longer periods of time, even during intense activities.

Disadvantages of Ankle Bracing:

  1. Less Customizable: Unlike taping, braces come in fixed designs and may not offer the same level of personalization to the individual’s anatomy(2).
  2. Potential Discomfort: Some users may find ankle braces bulky or uncomfortable, especially those made with rigid plastic. Finding the right fit and design can mitigate some of these issues but may require trial and error(2).

Ultra Ankle® Braces: The True Modern Tool

A notable example of high-quality ankle braces is the Ultra Ankle® line of braces. These braces are designed to provide exceptional support and comfort, making them a preferred choice for many athletes and individuals with ankle injuries. Let’s delve into the advantages of using Ultra Ankle braces:

Advantages of Ultra Ankle Braces:

  1. Ease of Use: Ultra Ankle® braces are generally easier and quicker to put on compared to taping, reducing preparation time before activities. This ease of use ensures that athletes can spend more time focusing on their performance rather than on injury prevention preparations(3).
  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. This durability ensures consistent support and protection across numerous practices and games(3).
  3. Innovative Design: The Ultra Ankle® braces are recognized for their innovative designs, which consider different ankle injuries and the varying degrees of support needed. For example:
    • Ultra Zoom® Ankle Brace: Aimed at preventing or recovering from ankle sprains, it offers flexibility while maintaining robust support.
    • Ultra High-5® Ankle Brace: Designed for individuals with chronic ankle instability, it provides enhanced stability to prevent recurring injuries.
  4. Comfort and Fit: Unlike some other brands, Ultra Ankle® braces are often praised for their comfort and ability to fit snugly without being excessively bulky. This comfort is achieved through designs like the Ultra Zoom® and Ultra CTS®, which form a custom fit to the foot and ankle using body heat.
  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 supported and safeguarded from dangerous movements, it can still 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(3).

Ankle Taping vs Ankle Braces: The Verdict

When choosing between ankle taping and bracing, it ultimately depends on your individual needs, comfort, and the nature of your activities. Here’s a comparative look to help you make an informed decision:

  • Short-term Use or Specific Sporting Events: For short-term use or during a specific sporting event, taping can provide the right amount of support and flexibility. It allows for a high degree of customization tailored to the athlete’s specific requirements and the nature of the sport source.
  • Ongoing Competition or Everyday Use: For ongoing competition or daily use, an Ultra Ankle brace is a more practical and cost-effective solution. The durability, ease of use, and consistent support provided by these braces make them ideal for long-term ankle health management(3).

Consulting a Healthcare Provider: It’s crucial to consult with a healthcare provider regarding your specific requirements. They can offer personalized advice based on your injury history, level of activity, and overall health(1).

Complementary Strength and Balance Training: While ankle taping and braces can provide valuable support, they should be complemented by strength and balance training exercises. These exercises help build robust and resilient ankles, further preventing injuries(2).

Conclusion

The debate between ankle taping and ankle braces is not about finding a clear winner, but about understanding their benefits and limitations. By 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. 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!

High ankle sprains, also known as syndesmotic ankle sprains, are distinct from the more common low ankle sprains. They involve injury to the ligaments that connect the tibia and fibula, particularly the anterior inferior tibiofibular ligament, posterior inferior tibiofibular ligament, and the interosseous membrane. These injuries are often caused by an external rotation and/or dorsiflexion trauma, common in high-impact sports like football, soccer, and basketball. (1) (2)

how a high ankle sprain works

 

Symptoms and Diagnosis

The symptoms of a high ankle sprain can be subtle compared to a regular ankle sprain. They typically include pain radiating up the leg, especially when bearing weight or pivoting on the foot, and some swelling. However, high ankle sprains do not usually cause significant bruising or swelling, which can make them difficult to diagnose without proper medical assessment. (1) (2)

To diagnose a high ankle sprain, a physician will perform a physical exam that may include the syndesmosis squeeze test, where the tibia and fibula are compressed together to elicit pain. Imaging tests like X-rays, MRI, or CT scans may also be necessary to rule out fractures or other injuries. (3)

Treatment Options

The treatment of high ankle sprains generally follows the RICE protocol: Rest, Ice, Compression, and Elevation. Rest involves avoiding weight-bearing activities to allow the ligaments to heal. Ice should be applied for 15-20 minutes several times a day to reduce swelling. Compression with an elastic bandage helps control swelling, and elevating the leg above the heart reduces pain and inflammation. (1) (3)

In addition to these initial treatments, physical therapy plays a crucial role in recovery, focusing on regaining strength, range of motion, and proprioceptive training. In severe cases, surgery may be necessary to repair torn ligaments and restore stability to the ankle. (2)

 

The Role of Ultra Ankle® Braces

Ultra CTS® and Ultra Zoom® ankle braces can significantly aid in the treatment, recovery, and further prevention of high ankle sprains. These braces provide the necessary support and stabilization to the ankle and lower leg, reducing the risk of further injury and allowing for pain free weight-bearing activities as the healing progresses. Here are the specific features of each brace:

 

Ultra CTS® Ankle Brace:

Dynamic Hinged-Cuff Technology: Specifically designed to help prevent external ankle rotation which causes syndesmotic (High) ankle sprains. The Ultra CTS aids in healing by supporting soft tissue recovery. Will help to alleviate weight-bearing pain, encouraging early activity and aiding in quicker rehabilitation post-injury.

Flexible Soft Shell: Made from Performathane®, the Ultra CTS forms a custom-fit to your ankle, providing a comfortable, snug, and secure fit.

PerformaFit® Technology: Transition from the Ultra CTS acute injury ankle brace to a low-profile Ultra CTS activity ankle brace by detaching the PerformaFit upper cuff section. Reattach the PerformaFit cuff section anytime additional ankle support is needed.

The Ultra CTS® is best when used after a walking boot or immediately after injury to help reduce weight bearing pain and provide maximum ankle support and stabilization to aid the healing process and prevent further ankle injury.

Ultra CTS Ankle Brace for rotational stability

Ultra Zoom® Ankle Brace:

Hinged-Cuff Design: Allows for natural up and down ankle movement (dorsiflexion & plantarflexion) while offering excellent support to not only help prevent low “turning” ankle injuries, but also to help prevent rotation “twisting” of the lower leg which can lead to high ankle injuries.

Flexible Soft Shell: Made from Performathane®, the Ultra Zoom forms a custom-fit to your ankle, providing a comfortable, snug, and secure fit.

Durability: Exceptional durability to last multiple seasons. A full ONE YEAR warranty on every component.

The Ultra Zoom® is best when used after the high ankle injury is mostly healed and the athlete is released to return to partial or full activity.

Ultra Zoom ankle brace product features

These features make the Ultra Zoom and Ultra CTS ankle braces highly effective in aiding recovery from high ankle sprains, ensuring that patients can return to their daily activities or sports with confidence. (1) (2)

Conclusion

High ankle sprains are complex injuries that require careful diagnosis and treatment. By following proper medical guidance and utilizing supportive devices like the Ultra Zoom and Ultra CTS ankle braces, individuals can effectively manage their recovery and reduce the risk of future injuries. If you have further questions about either the Ultra CTS or Ultra Zoom ankle braces, or, would like to communicate with one of our Certified Athletic Trainers, please reach out to us here.

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.

  1. 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.

  1. 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.

  1. 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.

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!

Pickleball ankle braces

What causes Pickleball ankle injuries?

With explosive movements forward, backward, and side-to-side Pickleball can place incredible stress on the ligaments that hold your ankle joint together. Moving laterally or accidently stepping on your double’s partners foot can cause the most common ankle injury in Pickleball – the inversion ankle injury. An inversion ankle injury involves the ankle excessively rolling inward either stretching or tearing the ligaments on the outside of the ankle. Once the ligament is stretched from excessive ankle turning, it remains  stretched causing the ankle to become loose and often unstable, making you more susceptible to suffering from another ankle injury. The only way to stop this cycle of ankle sprains is with a proper rehabilitation program and a functional ankle brace that allows full natural ankle range of motion while providing support and stability to the ankle joint. 

Which ankle brace is the best for Pickleball?

Some pickleball players wear the lace-up style ankle supports primarily because they are inexpensive and work like a reusable ankle tape job. A lace-up is basically a corset that restricts all ankle range of motion which is not ideal when you are trying to keep the ankle strong and maximize performance. When you’re restricting normal up and down motion the ankle joint is working against the lace-up brace causing it to lose 70% of its effectiveness during the first 20 minutes of activity. Additionally, most lace-ups take too long to put on and take off and are now being replaced by more advanced technologies.

Rigid plastic ankle braces are another style of ankle supports that you may see when researching ankle braces for Pickleball. These types of ankle braces have a hinge and allow free up and down ankle motion to maximize performance and keep the muscles strong. They will provide much more ankle stability than the lace-up support because the brace moves with the ankle, not against it, so the straps stay securely in place. The downside to these braces is that the rigidity can be uncomfortable and bulky in the shoe which Pickleball players typically do not like.

A third style of ankle brace that offers the performance aspect of the hinged brace with the softness and low profile of the lace-up is the Ultra Zoom. The brace shell is made of an advanced flexible material called Performathane that uses body heat to custom-fit to the ankle. The hinged-cuff design allows your ankle to move in all the natural ways while helping to prevent any excessive movement that may cause an injury. 

For those athletes who prefer a hinged ankle brace with easy application I’d recommend the Ultra High-5 as it requires only one strap to secure. With the Ultra High-5 the bottom of the brace goes under the insole of the shoe, making the ankle brace and shoe work together to help protect you from ankle injuries. 

To sum things up, the best ankle braces for Pickleball players are the ones that are designed to move with the ankle joint and not restrict natural ankle motion. These types of ankle braces will have a molded plastic shell with a hinge that will enhance performance and provide long-lasting ankle support.

If you’re a Pickleball player with a history of ankle injuries and want to speak with one of our certified athletic trainers about your specific situation, give us a call or send us an email and we’d be happy 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

Introduction:

When it comes to ankle injuries, two common treatment options have historically been ankle fusion and ankle braces. However, medical advancements and evolving practices have brought about new insights and options for ankle injury management. In this article, we will explore the updated information regarding ankle fusion, ankle braces, and the innovative Ultra Ankle Ultra CTS to help you make an informed decision about the best course of action for your ankle injury.

Ankle Fusion: A Brief Overview

Ankle fusion, also known as arthrodesis, is a surgical procedure that aims to eliminate motion in the ankle joint. Traditionally, it has been recommended for patients with severe arthritis or those who have not responded to conservative treatments. The procedure involves fusing the bones in the ankle joint together using screws, plates, or rods, thereby reducing pain but also sacrificing ankle mobility.

The Evolution of Ankle Braces

Ankle braces have long been used as a non-surgical alternative for ankle injuries. They provide external support to the ankle joint, aiding in stabilization and preventing excessive movement that can lead to further damage. Over time, advancements in design and materials have significantly improved the effectiveness of ankle braces.

Updated Insights on Ankle Fusion

While ankle fusion remains a viable option for certain cases, advancements in ankle brace technology have reshaped the landscape of ankle injury management. Ankle fusion is a permanent solution that eliminates joint motion and can be effective in relieving pain. However, it also restricts ankle mobility, making activities such as running, jumping, and pivoting more challenging. Additionally, ankle fusion requires a lengthy recovery period and carries the inherent risks associated with surgery.

The Advantages of Ankle Braces

Modern ankle braces offer several advantages over ankle fusion in the management of ankle injuries. They provide external support to the ankle joint while allowing controlled range of motion, thus preserving mobility. Ankle braces are non-invasive, meaning they do not require surgery and carry fewer risks. They can be easily adjusted, customized, and removed as needed, allowing for greater flexibility during rehabilitation. Furthermore, ankle braces can provide ongoing protection, reducing the risk of re-injury and facilitating a quicker return to daily activities and sports.

Introducing the Ultra Ankle Ultra CTS

One notable innovation in the field of ankle braces is the Ultra Ankle Ultra CTS (Custom Treatment System). The Ultra CTS combines the benefits of external ankle support with customizable features that cater to individual needs. This advanced ankle brace is designed to provide superior stability, comfort, and performance. Its adjustable multi-point strapping system was designed to reduce weight-bearing pain and “unload or offload” the ankle. This means the ankle brace will absorb some of the impact from standing or walking that would normally cause joint irritation. The brace distributes this “energy” to the lower leg, bypassing the ankle joint.

Less impact means less pain and ankle joint irritation.

Since ankle arthritis is mainly caused by a history of ankle trauma, which could include multiple ankle sprains or fractures, it stands to reason the ankle may be unstable which is contributing to the joint wear and tear. The Ultra CTS will stabilize and firm up the lower leg and ankle – helping control unwanted joint movement that results in excessive irritation and pain. Since the Ultra CTS has a hinge, full up and down ankle range of motion is encouraged to help keep the muscles strong and the joint flexible.

Choosing the Right Option for You

When it comes to ankle injuries, it is crucial to consult with a qualified medical professional to determine the best treatment approach for your specific condition. While ankle fusion may still be appropriate for severe arthritis or specific cases, ankle braces, such as the Ultra Ankle Ultra CTS, have become a popular and effective choice for many patients due to their versatility, non-invasive nature, and advanced features. They offer improved mobility, reduced risks, and ongoing protection.

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

Seeing as an estimated 25,000 ankle sprains occur per day in the United States, it’s no surprise that thousands of people each day are looking for ways to remedy their newly injured ankle. As an athletic trainer who has diagnosed and treated thousands of ankle injuries over the past thirty years, here is my step-by-step guide for what you should do when you sprain your ankle.

Diagnosing an Ankle Injury

It’s important to take a close look at your ankle immediately after the injury occurs since swelling and pain can make injury evaluation difficult several hours later when the joint is starting to get stiff and sore. Generally speaking, there are two types of ankle sprains that are diagnosed depending on where the injury is located on the ankle – the low ankle sprain and the high ankle sprain. In this post we are going to mainly discuss the low ankle sprain, but you can read more info on high ankle sprains here.

For the classic inversion ankle sprain the main site of pain and usually swelling is localized on the lateral/outside of the ankle. Alternatively, if you have suffered an eversion ankle sprain, the pain and swelling with occur mainly on the inside of the ankle.

Discomfort and pain is usually evident when the injured person tries to walk. Discoloration of the skin can occur from 24 to 48 hours after the injury, starting on the lateral side of the ankle then spreading with gravity.

If after 24 hours your pain is mild, you have little swelling and can walk on your ankle with little or no pain, it’s probably just a mild Grade 1 ankle sprain. If you have any severe pain or swelling you should consult with a medical professional as it’s possible you may have a Grade 2 or Grade 3 ankle sprain.

When to Seek Medical Attention

If you experience any of the items below it’s best to consult a medical professional:

  • If anything looks abnormal when compared to the opposite leg and ankle.
  • If you heard a popping sound when the injury occurred which may indicate a torn ligament or fracture.
  • If you can’t walk due to pain, or your ankle feels unstable when you stand.
  • If your injury shows no improvement after 3-4 days

Do you Have Access to a Certified Athletic Trainer?

If you are playing on a high school or collegiate team your school probably employs an athletic trainer. Even if you are playing on a club team you still probably know an athletic trainer that works at your school that could help you out. Athletic trainers have extensive knowledge in evaluating ankle injuries and can provide both treatment and rehabilitation protocols to get you back on your feet and return to activity.

Recovering from an Ankle Sprain

After one ankle injury, you are 70% more likely to sustain another ankle injury. The ankle joint is supported by ligaments and once these ligaments are stretched/torn due to an ankle sprain, they remain stretched. This causes the joint to become loose and unstable making yet another ankle injury much easier to obtain. In order to stop this mechanism of injury and help to prevent future ankle injuries, the proper steps must be taken to recover from an ankle sprain.

  • Seek Medical Attention if Needed – Failure to properly identify all possible damage to your ankle may lengthen healing time and cause more damage.
  • Move Early – Perform some gentle range of motion exercises right after injury help to improve functional outcomes and may decrease your return-to-play time.
  • Protect and Support ­– Wear the appropriate ankle brace support system until your injury has healed and you can evaluate your next steps.
  • Control Pain – Use the RICE (rest, ice, compression, elevation) method to help control pain in addition to anything recommended by your medical professional.
  • Strengthen – Perform any physical therapy exercises specifically prescribed to you as you recover from your injury.
  • Help Prevent Future Ankle Injuries – Even with strong muscles, perfect biomechanics, and great conditioning, ankle sprains are still possible and in some situations highly likely to occur. After spraining your ankle, the best way to prevent reoccurring ankle injuries and further damage to your ligaments is to wear a preventative ankle brace that is comfortable to wear and provides full range of motion. Lace-up ankle braces are not recommended due to their negative impact on strength and performance/range of motion.

When it comes to ankle sprains and injuries, every situation is different. The notes above should serve as a guide to helping you after you sprain your ankle but do not take the place of medical advice. Should you have any questions about specific ankle injuries or ankle braces please reach out to our certified athletic trainers or leave us a message in the comments below.

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