When to Transition from a Lace-Up to a Hinged Ankle Brace

Ankle injuries are one of the most common issues faced by athletes, and the right ankle brace can make all the difference in ankle injury prevention, performance, and when needed, recovery. Many athletes opt for lace-up ankle braces because they’ve been around forever, they’re affordable, easy to find, and fit well in most sports shoes. However, while lace-up braces offer some level of support, they also come with limitations that can negatively impact both your performance and long-term ankle health.

At Ultra Ankle, we aim to help athletes make informed decisions about their ankle support. In this blog, we’ll explore when it’s time to move on from a lace-up brace to a more supportive hinged ankle brace, especially if you have a history of multiple ankle injuries.

The Disadvantages of Lace-Up Ankle Braces

Lace-up ankle braces are commonly used by athletes, but they come with significant limitations. These braces work much like a reusable tape job: they offer short-term support by wrapping the ankle in the neutral position. They often include figure-8 straps to help restrict excessive ankle rolling. However, because they are made from fabric, once you start moving, the brace’s ability to provide stability decreases rapidly—often within the first 15 minutes of activity. This leaves your ankle vulnerable to injury or re-injury, especially if you’ve already suffered from multiple sprains.

For athletes who have experienced more than three ankle injuries within two years, a lace-up brace is simply not enough support. Repeated injuries can loosen the ligaments in your ankle, making them more susceptible to further damage. This creates what trainers call a “cycle of injury.” Breaking this cycle requires a brace that provides long-term support and stability—something that lace-up braces cannot offer.

The Impact of Lace-Up Braces on Performance

Several studies have demonstrated that lace-up ankle braces can hinder athletic performance. Below are key findings from scientific research that highlight how lace-up braces negatively affect various aspects of athleticism:

• Kovaleski JE, University of South Alabama (2016): In a study of 12 collegiate male athletes, wearing a lace-up brace significantly reduced range of motion (ROM) in the ankle and decreased muscle torque, work, and power. In layman’s terms, lace-up braces restrict ankle movement and weaken muscle function, making it harder to perform at your peak.
• Burks RT, American Journal of Sports Medicine (1991): This study found that lace-up braces reduced performance metrics, including a 4.6% decrease in vertical jump, a 3.6% decrease in shuttle run times, and a 3.2% reduction in sprint speed. Wearing no brace at all was better for performance than using a lace-up brace.
• MacKean LC, Journal of Orthopedic and Sports Physical Therapy (1995): In a group of female basketball players, lace-up braces showed the greatest negative impact on performance compared to other types of braces. These braces restrict plantar flexion—the movement necessary for pushing off when jumping or running.
• Cordova ML, Medicine and Science in Sports and Exercise (2005): A meta-analysis confirmed that lace-up braces reduce sprint speed by about 1%, which may seem small but can make a big difference in competitive sports.

The evidence is clear: lace-up braces negatively affect agility, speed, and jumping ability because they bind the ankle in a fixed position. For athletes who need to perform at their highest level, why would you wear an ankle brace that negatively affects your performance?

When to Transition to a Hinged Ankle Brace

If you’ve had repeated ankle injuries or notice that your lace-up brace is hindering your performance, it’s time to transition to a hinged ankle brace. Hinged ankle braces, like the Ultra Zoom, offer a higher level of support without compromising mobility. The hinged design allows the brace to move with your ankle’s natural range of motion while providing superior protection and comfort throughout an entire game or practice.

Modern hinged braces are designed to prevent excessive side-to-side movement while allowing full up-and-down motion. This means they won’t limit your vertical jump or sprinting ability, unlike lace-up braces. They also provide long lasting ankle support, unlike lace-up braces which start losing their effectiveness the moment you step on the court, field, or pitch.

The Bottom Line

Lace-up ankle braces may be a popular choice due to their low cost and convenience, but they come with serious drawbacks, especially for athletes with a history of ankle injuries. They restrict ankle movement, weaken muscle function, and hinder performance in critical areas like speed and vertical jump.

If you’ve experienced multiple ankle injuries or feel that your current brace is impacting your performance, consider upgrading to a hinged ankle brace. With superior support, better mobility, and long-term injury prevention, a hinged brace like the Ultra Zoom is a smarter investment in your athletic career and ankle health.

By choosing the right ankle brace for your injury history, you can improve your performance and protect your ankles from future injuries—keeping you off the sideline and in the game for years to come.

Ankle Injury? Recover Faster – Get Back in the Game Sooner

If you’ve just suffered a second-degree (grade 2) ankle sprain, you’re likely dealing with swelling, bruising, and significant pain with every step. A sprain of this severity involves a partial tear in at least one of the ligaments that stabilize your ankle, making it difficult to walk or bear weight (MGB). Your medical team may have recommended a walking boot to immobilize your ankle, providing some relief from weight bearing pain. However, recent research suggests that even severe ankle sprains recover better and faster when exposed to protected movement. Regardless of your treatment plan, your main question remains: When can I start practicing and playing again?

The Road to Recovery

After a week of therapy, your swelling and pain may have decreased enough to transition out of the boot. At this stage, introducing protected movement is key to optimizing your recovery. Movement improves circulation, delivering essential oxygen and nutrients to the injured joint, while also strengthening the muscles and tendons. This, in turn, helps you regain lost agility and gets you back to your sport faster (SIP).

Protected movement is made possible by wearing an ankle brace that allows your ankle and foot to move freely in all the natural ways-but restricts excessive movement to the already injured ligaments, muscles, and joint surfaces (SIP). Because your ankle is now unstable, you’ll need to stabilize it with a brace when you return to practice, allowing your ligaments to fully heal and protect against reinjury.

There are two types of ankle braces that can provide this stabilization: lace-up ankle braces and hinged (or semi-rigid) ankle braces. Lace-up braces, such as Ultra Ankle’s Ultra 360, offer support through a combination of laces and figure-8 straps, providing some flexibility while bracing the ankle. However, lace-up braces can lose their effectiveness as the fabric stretches and loosens over time, putting you at risk of re-injuring your ankle.

On the other hand, hinged ankle braces like the Ultra Zoom® help prevent your ankle from rolling side to side while still allowing the up-and-down movement needed to promote healing. This not only keeps you protected but also facilitates a quicker recovery (MVH). The Ultra Zoom’s patented hinge-cuff design offers an additional benefit: it helps prevent high ankle sprains, which are typically more painful and have a longer recovery period.

Recover Faster with the Ultra Zoom® Ankle Brace

The key to a quick and effective recovery is restoring your ankle’s range of motion and strength. The Ultra Zoom’s hinged-cuff design allows your ankle to move naturally, aiding rehabilitation while your ligaments heal. By maintaining normal ankle movement, the Ultra Zoom accelerates healing and rebuilds muscle strength, putting you on the fastest path to recovery. For more information you can watch our Ultra Zoom Product Features video.

Play Sooner – With Confidence

When you’re ready to return to practice or games, protecting your ankle from reinjury is critical. Your ankle is now more susceptible to twists and turns, increasing the risk of another sprain. The Ultra Zoom’s hinged-cuff design limits excessive inversion and rotation—movements that lead to ankle injuries. Its Performathane® soft, flexible shell forms a custom fit to your ankle using body heat, providing a secure, comfortable fit for all-day protection during every practice and game.

Ankle injuries are common in sports, but recurring injuries don’t have to be. By taking the right precautions with the Ultra Zoom Ankle Brace, you can stop the cycle of ankle injuries, and protect your pre-existing injury and play with confidence all season long.

Why Ankle Braces Do Not Weaken the Ankle Joint: Debunking the Myth with Ultra Ankle

Introduction – In the early 1990s, ankle braces began appearing more often in sports due to their improved designs and cost efficiency. As time has gone on, ankle braces have been a topic of debate among athletes, coaches, and medical professionals. In this debate, one common myth persists and that myth is wearing ankle braces can weaken the ankle joint, leading to dependency and muscle atrophy. This blog post aims to debunk this myth and highlight the benefits of using ankle braces, specifically those from Ultra Ankle®.

Common Belief About Ankle Braces Weakening the Ankle Joint – Many people believe that using ankle braces can lead to weakened muscles and dependency on the product. The concern is that ankle braces restrict movement, causing the muscles to become less active and eventually atrophy. However, this belief is not supported by scientific evidence. Jan Golden, DPM, wrote in a PPMA blog post “I tell parents that research has shown that there is no evidence that taping or bracing the previously injured ankle joint will make it wear or cause any other injuries above the ankle joint.” Additionally, Dr. Phil Page, Ph.D, PT, ATC, CSCS, FACSM wrote in Training & Conditioning “There is a misconception that if you wear a brace you don’t need to use the ankle as much, so people come to the conclusion without evidence that they will lose the strength; however, no studies have proven this.”

How Traditional Ankle Braces Function – Bones, muscles and a network of ligaments and tendons form internal supports that keep your ankle stable, flexible and strong. These internal supports maintain your ankle’s stability. However, once you’ve incurred an ankle injury the ligaments and tendons are stretched and loosened. Once stretched your ligaments and tendons do not return to their natural state. Traditional or “lace-up” ankle braces, like our Ultra 360®, are designed to do two things. The first is to provide external support and limit certain motions, such as plantar flexion/inversion, which is the movement at the ankle joint that points the foot downward away from the leg and turns the foot inward (MCHS). This helps to provide additional support to your ankle and to aid in preventing ankle injuries. The second is to provide external support after an ankle injury to aid in quicker recovery and to help prevent further ankle injuries. The only problem with traditional lace-up ankle braces is that because they restrict some movements of the ankle joint they can lead to diminished performance with regard to agility and vertical (HKJ). Lastly, once you’ve had an ankle injury lace-up ankle braces do not significantly protect against additional injury. In a study obtained from PubMed, if a (volleyball) player had a history of a previous ankle sprain, the brace did not protect the ankle from another injury. Hinged ankle braces, like our Ultra Zoom®, have the same primary functions as the lace-up ankle brace, to help prevent ankle injuries and to help in recovery from ankle injuries. However, hinged ankle braces allow your ankle to maintain it’s natural plantar flexion and dorsiflexion while restricting the excessive inversion/eversion or “rolling” of the ankle. Additionally, the Ultra Zoom has a hinged-cuff design which also helps to prevent high ankle sprains. Hinged or “semi-rigid” ankle braces have proven to restrict excessive ankle inversion and reduced injury incidences in those with previous ankle injuries (NIH). 

Benefits of Ultra Ankle Braces – Ultra Ankle offers a range of high-quality ankle braces that provide excellent support and protection without weakening the ankle joint. Which ankle brace is best for you depends on a few different factors. What is your ankle injury history? Are you looking for a brace to help prevent that initial ankle injury? Or, are you looking for a brace to help recover from recurrent ankle injuries during sports or activities? Ultra Ankle offers 4 advanced ankle braces designed to help prevent, treat, and recover from ankle injuries:

• Ultra 360®: 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. Click HERE to learn more about the Ultra 360 product features.

• 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, allowing your ankle to move in all the natural ways while helping to prevent any excessive movement that may cause an injury. The Ultra Zoom is on your ankle in seconds, protects continuously for hours and lasts for multiple seasons. Click HERE to learn more about the Ultra Zoom product features.

• Ultra High-5®: The Ultra High-5 is a high-support brace designed for chronic ankle instability. Reinforce unstable ankles with the Ultra High-5. Feather-light but super-strong this ankle brace handles the twists and turns even the toughest terrain throws at you. Click HERE to learn more about the Ultra High-5 product features.

• Ultra CTS®: The Ultra CTS is a FDA registered product designed to treat high ankle injuries, acute ankle injuries, and ankle osteoarthritis. The Ultra CTS is total ankle injury management. It not only helps to relieve weight-bearing pain but also provides maximum lower leg and ankle stability with its patented Performathane upright. Click HERE to learn more about the Ultra CTS product features.

Safe Usage of Ankle Braces – To maximize the benefits of ankle braces, it’s crucial to use them correctly:

• Proper Fit: Ensure the brace fits well to avoid pressure points and restricted blood flow. The Ultra Zoom, Ultra High-5, and Ultra CTS ankle braces can be easily tailored to fit your feet and ankles by using a home hair dryer. Watch our Ultra Ankle Custom Heating Video to learn how this process works. Keep in mind, like a new pair of shoes, all ankle braces require a break-in period.
• Proper Shoes: Not all shoes are compatible with every ankle brace. To see which types of shoes to wear with Ultra Ankle braces, watch our Ultra Ankle Recommended Shoe Video.
• Strengthening Exercises: Combine ankle strengthening exercises with the use of an ankle brace to maintain overall joint health.

Conclusion – The myth that ankle braces weaken the ankle joint is not supported by scientific evidence. Ankle braces, such as the Ultra 360, Ultra Zoom, Ultra High-5, and Ultra CTS from Ultra Ankle, provide essential support and injury prevention without compromising muscle strength. The Ultra Zoom, Ultra High-5 and Ultra CTS have also proven to help athletes and individuals recover from ankle injuries faster, allowing them to get back to their sport and/or daily lives more rapidly. By using these braces correctly, athletes and individuals can enjoy enhanced stability and protection, leading to safer participation in sports and daily activities.

Ankle injuries can be debilitating, impacting your ability to walk, run, and perform daily activities. Whether it’s a sudden acute injury, a chronic condition like osteoarthritis, or the often challenging high (syndesmotic) ankle injury, finding effective treatment and support is crucial for a swift recovery. This is where Ultra AnkleⓇ steps in with the Ultra CTSⓇ Ankle Brace, a groundbreaking solution designed to provide comprehensive ankle injury management.

Ultra Ankle, a leader in innovative bracing technology, has engineered the Ultra CTS (Custom Treatment System) to address the specific needs of individuals suffering from various ankle conditions. Unlike traditional ankle braces, the Ultra CTS offers customizable support and stabilization, helping users reduce weight-bearing pain and regain their mobility quickly and safely. Moreover, the Ultra CTS is FDA registered as a Class 1 medical device, ensuring it meets stringent safety and efficacy standards. In this blog post, we’ll delve into the unique features and benefits of the Ultra CTS Ankle Brace, explaining why it’s an essential tool for anyone dealing with ankle injuries.

Understanding the Ultra CTS Ankle Brace

The Ultra CTS Ankle Brace is a one-of-a-kind medical device designed specifically to treat a variety of ankle conditions. Its innovative design and functionality make it an ideal choice for those suffering from:

1. Acute Ankle Injuries
2. High (Syndesmotic) Ankle Injuries
3. Osteoarthritis

What sets the Ultra CTS apart is its ability to adjust the level of ankle support and unloading, which helps reduce weight-bearing pain and enables a faster return to activity. This flexibility makes it a versatile tool for managing traumatic ankle conditions in one comprehensive brace.

The Ultra CTS offers two key features crucial for treating acute ankle injuries, high ankle injuries, and ankle osteoarthritis:

1. Reducing Weight-Bearing Pain
2. Maximum Lower Leg and Ankle Stabilization and Support

In the following sections, we will explore how the Ultra CTS achieves these benefits, thanks to its advanced design elements and materials.

Key Features of the Ultra CTS Ankle Brace

Reducing Weight-Bearing Pain

One of the standout features of the Ultra CTS Ankle Brace is its ability to unload the ankle, reducing weight-bearing pain. Unlike most other ankle braces, which are not designed to structurally unload the ankle, the Ultra CTS incorporates a unique semi-rigid foot section and an upper cuff section which forms a custom fit to the lower leg. This structurally sound design absorbs impact and energy from activities like standing, walking, or running, which would normally be transferred to the ankle, causing joint irritation and pain. This process minimizes trauma and pain in the ankle, leading to a quicker return to activity or competition. By reducing the impact on the ankle, the Ultra CTS not only alleviates pain but also promotes faster and more efficient recovery.

Stabilizing the Ankle and Lower Leg

The Ultra CTS Ankle Brace also excels in providing maximum stabilization for the ankle and lower leg. It features a dual hinged-cuff design that is taller than most other braces, effectively compressing and stabilizing the tibia and fibula. This design is particularly beneficial for managing high ankle injuries.

The upper cuff section of the brace is made from Performathane®, a flexible soft-shell material that securely encircles the lower leg and ankle. Performathane® uses body heat to form a custom fit to the wearer’s anatomy, resulting in enhanced comfort and support. This material’s adaptability ensures that the brace conforms perfectly to each individual’s lower leg and ankle, providing tailored stabilization.

While most ankle braces primarily restrict ankle turning or inversion (which causes low ankle injuries), the Ultra CTS goes a step further by also limiting excessive ankle turning (inversion) and twisting (rotation). Ankle rotation causes high ankle injuries, which are more severe than low ankle injuries and take longer to heal. This comprehensive restriction helps prevent both low and high ankle injuries, offering superior protection and support.

Performathane® Material for a Custom Fit

The Ultra CTS utilizes Performathane®, a proprietary flexible soft-shell material that uses body heat to mold to the wearer’s foot and ankle. This ensures a custom fit, enhancing both comfort and support. Performathane® forms a secure, personalized fit around the lower leg and ankle, offering tailored stabilization that adapts to the unique shape of each user’s anatomy.

Adaptability and Transition

One of the most impressive aspects of the Ultra CTS Ankle Brace is its adaptability, which allows users to transition from maximum support to enhanced mobility as their condition improves. This feature ensures that the Ultra CTS can be used throughout different stages of recovery, offering both robust support and mobility when needed.

Detachable PerformaFit® Upper Cuff Section

The detachable PerformaFit® upper cuff section is a standout feature of the Ultra CTS, enhancing its versatility. This cuff, made from the proprietary Performathane® material, provides maximum stabilization and a custom fit during the early stages of recovery. Once the wearer no longer requires such extensive support, the upper cuff can be easily removed, transforming the brace to allow greater ankle movement while still offering necessary support.

This adaptability is particularly beneficial for athletes and active individuals who need to maintain a balance between support and mobility. By providing the option to adjust the level of support, the Ultra CTS ensures that users can continue their recovery without the need to switch to a different brace.

Effectiveness and Expert Support

The Ultra CTS Ankle Brace stands out not only for its innovative design but also for its proven effectiveness in treating ankle trauma and facilitating a swift return to an active lifestyle. Its comprehensive features make it an invaluable tool for managing various ankle conditions, from acute injuries to chronic issues like osteoarthritis.

Why the Ultra CTS is Unique and Effective

The Ultra CTS Ankle Brace is uniquely effective due to its combination of customizable support, advanced materials, and thoughtful design elements.

Additionally, the Ultra CTS is FDA registered as a Class 1 medical device, providing users with confidence in its safety and efficacy. This registration underscores Ultra Ankle’s commitment to delivering high-quality, reliable medical devices that meet rigorous standards.

Contact Information for Expert Support

At Ultra Ankle, we understand that every ankle injury is unique, and having access to expert advice can significantly enhance the recovery process. Our team of Certified Athletic Trainers is available to answer any questions you may have about the Ultra CTS Ankle Brace. These professionals are experts in ankle injuries and bracing, and they are dedicated to helping you find the best solutions for your specific needs.

If you have any questions or need personalized guidance, please do not hesitate to reach out to our Certified Athletic Trainers. They can provide detailed information on how to use the Ultra CTS, advice on transitioning between support levels, and tips for maximizing your recovery.

Ankle osteoarthritis (OA) is a debilitating condition that can significantly impact one’s quality of life by limiting mobility and causing chronic pain. This blog post aims to educate you about ankle OA, its causes, symptoms, and available treatment options, with a focus on how the Ultra Ankle® Ultra CTS® ankle brace can provide relief.

What is Ankle Osteoarthritis and What Causes It?

Ankle osteoarthritis is a form of degenerative joint disease where the articular cartilage in the ankle wears away, leading to bone-on-bone irritation. This condition can arise from various causes (Arthritis Foundation):

• Previous Injuries: Trauma such as ankle sprains or fractures often leads to OA as the joint deteriorates over time.
• Wear and Tear: Natural aging and repetitive use can erode the cartilage, making the condition more prevalent in older adults.
• Excess Weight: There is an additional four pounds of pressure on the ankle joint for each extra pound of body weight.
• Underlying Conditions: Diseases like rheumatoid arthritis can also contribute to the development of OA.

Symptoms of Ankle Osteoarthritis

Individuals with ankle OA may experience variations of the condition. (Penn Medicine).

• Inflammation and swelling around the ankle joint.
• Pain and stiffness in the ankle during activity or motion.
• Swelling in the joint accompanied by warmth and redness.
• Discomfort when standing, walking, or bearing weight.

Non-Surgical Treatment Options for Ankle Osteoarthritis

Effective management of ankle OA involves several treatment modalities:

• Activity Modification: Altering daily activities to lessen ankle joint pain and swelling.
• Medications: Anti-inflammatory drugs can help reduce joint swelling and alleviate pain (NYU Langone Health).
• Physical Therapy: Engaging in physical therapy can assist in reducing inflammation and restoring range of motion (Total Performance Physical Therapy).
• Ankle Braces: Specialized ankle braces are recommended to reduce weight-bearing pain and prevent excessive movement that can exacerbate joint deterioration (National Library of Medicine).

The Ultra CTS® Ankle Brace: A Solution for OA Pain

The Ultra Ankle Ultra CTS ankle brace is uniquely designed to aid individuals suffering from ankle osteoarthritis. It offers a multi-faceted approach to managing OA pain:

• Impact Absorption: The Ultra CTS ankle brace reduces bone-on-bone irritation by absorbing a portion of the impact generated from standing or walking. This absorbed impact is then redirected to the lower leg, effectively unloading the ankle joint and minimizing joint irritation and pain.
• Ankle Stabilization: By providing firm support to the lower leg and ankle, the Ultra CTS helps prevent excessive movement that can lead to further joint damage. This stability is crucial in managing OA pain and preventing additional injuries.

Encouraging Mobility: Unlike rigid braces, the Ultra CTS features a hinge that allows for full up-and-down ankle motion, promoting muscle strength and joint flexibility. Maintaining mobility is essential in preventing the ankle from becoming stiff and weak (Athlete Restoration Co.).

The Ultra CTS as an Effective Alternative to Ankle Fusion

Ankle fusion is a surgical procedure often recommended for severe cases of ankle osteoarthritis. While it can provide significant pain relief, it permanently reduces ankle movement, which can lead to a loss of mobility and affect the patient’s overall quality of life. The Ultra CTS ankle brace offers a non-surgical alternative with several advantages:

• Preserves Mobility: Unlike ankle fusion, the Ultra CTS maintains full ankle range of motion, allowing for natural movement and reducing the risk of muscle atrophy and joint stiffness (Symmetry Physical Therapy).
• Reduces Pain and Irritation: By unloading the ankle joint, the brace decreases bone-on-bone pain and minimizes joint irritation, offering significant pain relief without the need for invasive surgery.
• Non-Invasive Solution: The Ultra CTS provides a non-surgical option that avoids the risks and recovery time associated with ankle fusion surgery. This makes it a suitable choice for those seeking to manage their OA symptoms conservatively.

Conclusion

Ankle osteoarthritis can be a challenging condition to manage, but with the right treatment approach, including the use of the Ultra Ankle® Ultra CTS ankle brace, individuals can may find relief from pain and improve their quality of life. The Ultra CTS brace not only reduces bone-on-bone irritation but also stabilizes the ankle and maintains natural movement, making it a comprehensive solution for those suffering from ankle OA. Additionally, it may serves as an effective alternative to ankle fusion, preserving mobility and providing pain relief without invasive surgery.

If you have any questions about ankle braces for your ankle osteoarthritis, please send a message to one of our certified athletic trainers.