A High Ankle Sprain Guide to Recovery

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

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

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

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

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

 

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

Do ankle braces weaken ankles

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

Understanding The Ways to Weaken A Joint

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

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

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

 

Do Any Ankle Braces Restrict Joint Range of Motion?

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

 

Are There Ankle Braces That Do Not Weaken The Ankle?

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

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

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

 

Conclusion

While some ankle braces, like the lace-up style, can restrict joint range of motion and subsequently weaken the ankle, hinged and hinged-cuff ankle braces do not have this negative impact. However, if you want to prevent ankle injuries, I do suggest wearing and ankle brace of some kind. Please note, neoprene sleeves are not ankle braces and provide zero support.

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

Ultra Zoom

Help prevent ankle injuries all season long.

Ultra High-5

Reinforce the ankle after a history of multiple ankle injuries

Ultra CTS

Maximize stabilization to treat acute ankle injuries

Why Football Players Need Ultra Ankle® Braces: A Game Changer in Injury Prevention & RECOVERY

Football is an intense sport requiring players to exhibit agility, speed, and raw power. With its explosive movements, sharp turns, and abrupt stops, football puts significant strain on a player’s body, particularly their ankles. Hence, safeguarding against injuries, specifically ankle injuries, is of paramount importance. That’s where Ultra Ankle braces come into play.

Ankle braces, like the Ultra Ankle® Ultra Zoom®, are critical for football players for several reasons:

  1. Injury Prevention

One of the main reasons football players should wear Ultra Ankle braces is to prevent injuries. Ankle sprains are common in football due to the sport’s demanding nature. The lateral support provided by Ultra 360 Lace-Up braces or Ultra Zoom braces minimizes the risk of sprains, preventing the ankle from rolling inward or outward excessively. Additionally, the hinged-cuff design of the Ultra Zoom works to prevent excessive twisting or turning of the lower leg, thereby limiting high ankle injuries, which are common among football players.

  1. Enhancing Performance

Ultra Zoom braces not only prevent injuries but also enhance performance. With the confidence that their ankles are well protected, football players can focus more on their game. They are free to make quick moves and sudden changes in direction without the fear of injuring their ankles. The Ultra Zoom brace allows football players to stay on the field and off the sidelines, playing more, playing better, and losing less time to ankle injuries.

  1. Speedy Recovery

For players recovering from previous ankle injuries and absolutely needing to play, Ultra Ankle braces, specifically the Ultra CTS, provide much-needed support and stability to accelerate recovery while minimizing the risk of reinjury. The Ultra CTS provides superior unloading of the ankle joint and reduction in weight bearing pain. This gives the relief that players need so they can get back on the gridiron. There is no other brace on the market that can make this claim.

  1. Advanced Design

Ultra Ankle braces like the Ultra Zoom and Ultra CTS have been engineered with advanced biomechanical design, tailored to meet the specific needs of athletes, and in this case, football players. They feature a multi-directional hinged-cuff design, allowing for free, natural movement. Unlike taping, this design helps maintain stability and support while still allowing for full athletic functionality. Additionally, the Ultra Zoom and Ultra CTS braces custom form-fit to the athlete’s ankles and feet. This not only provides comfort for the athlete, but also allows the brace to act and react with that specific athlete’s ankle joint(s).

  1. Durability and Comfort

In the physical world of football, equipment durability and comfort is a crucial factor. Ultra Ankle braces are known for their robust construction that stands up to the rigors of the sport. Despite this durability, these braces don’t sacrifice comfort – with the custom form-fit, the Ultra Zoom and Ultra CTS are designed to be worn for extended periods and fit comfortably inside most football cleats.

In conclusion, Ultra Ankle braces are a necessity for football players. They provide injury prevention, enhance performance, assist in speedy recovery, offer advanced support and comfort, and bring the robustness necessary for the sport, making them an integral part of every football player’s gear. Investing in Ultra Ankle braces is investing in the longevity of a player’s career. Stay in the game with Ultra Ankle.

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.

Why Parents Trust Ultra Ankle Ultra® Zoom Braces for Their Kids: Ensuring Safety with Advanced Ankle Support

As parents, we prioritize our children’s safety and well-being, especially when they are involved in sports and physical activities that may put them at risk for injuries. In these situations, protective gear is a must, and among the many options available, ankle braces are essential. One standout brand parents trust is Ultra Ankle, specifically the Ultra Zoom®, and for good reasons.

  1. Superior Support and Protection:

Ultra Zoom® braces offer robust and high-quality design that provides exceptional ankle support while still allowing for maximum mobility. Designed to stabilize and help prevent the ankle from injuries such as sprains, twists, and rolls, they are a top choice for parents whose kids play high-intensity sports like football, volleyball, or soccer.

  1. Innovative Design:

Ultra Zoom® braces feature advanced technology and an innovative design. The hinged-cuff design limits excessive movement that could lead to high ankle injuries while maintaining enough flexibility for peak performance. This means your young athlete will stay in the game and not on the sideline with an ankle injury. This balance between safety and performance is why many parents opt for Ultra Ankle.

  1. Comfort and Fit:

Ultra Ankle braces are celebrated for their snug fit and comfort, ensuring that kids can wear them for extended periods without feeling restricted or uncomfortable. Ultra Ankle braces, specifically the Ultra Zoom, custom form-fit to the athlete’s foot and ankle through body heat. This is perfect for growing children who need consistent and reliable support over several seasons of play.

  1. Durability:

Durability is a major selling point for Ultra Ankle braces. Made from high-quality materials, these braces can withstand rigorous physical activity, giving parents value for their money and the assurance that their child’s safety gear is up to the task. The Ultra Zoom brace can last up to 3 full seasons depending on use and demands put on the brace.

  1. Ease of Use:

Designed with usability in mind, Ultra Ankle Ultra Zoom braces are easy to put on, adjust, and take off, which is an essential feature for kids who might need to use them independently. This ease of use enhances their appeal among both kids and their parents. This differs from taping or lace-up braces which are both time consuming to put on and take off.

  1. Positive Reviews and Experiences:

Ultra Ankle braces have been positively received by professionals in the sports and health industries and parents alike. A user review from a parent named Sarah states, “My daughter has been using Ultra Ankle braces for her volleyball games, and they have been a game-changer. I no longer worry about her getting injured on the court. Plus, she loves how comfortable they are.” Another parent, John, shared, “I got Ultra Ankle braces for my son who plays soccer. They’ve stood up to some tough games, and he’s been injury-free. Highly recommended for any young athlete.”

These endorsements and positive experiences have helped build trust and a strong reputation for Ultra Ankle braces, making them a preferred choice among parents.

To summarize, parents prefer Ultra Ankle braces for their children because of their advanced design, superior support, durability, and positive reviews. Not only do these braces protect young athletes’ ankles, but they also provide parents with the assurance they need when their children are out on the field or court.

While ankle braces fit comfortably in most traditional athletic shoes or sneakers with a tongue and laces, there are some shoes that don’t work well with braces.

If you purchase an ankle brace and can’t fit it inside your shoe, or its uncomfortable while you’re wearing it with your shoes, it may be due to the design or style of the shoe and not the ankle brace. For that reason, it’s a good idea to know up front which shoes you should avoid when wearing your ankle braces.

The style of sneaker that works best with ankle braces have a traditional tongue and laces design so you can spread out the opening of the shoe and easily insert the ankle brace. Low-top athletic shoes work best with ankle braces because they don’t apply undue pressure over your ankle bones like a mid- or high-top shoe will.

Athletic shoe styles are changing all the time. It’s important to know how these new styles impact the fit of an ankle brace inside the shoe. In recent years athletic shoe companies have been introducing sneakers that deviate from the traditional shoe design. Rather than having a traditional tongue and laces, this new style of shoe has a collar or sleeve design that makes it almost impossible to fit the brace in the shoe. These shoes typically are of the mid- or high-top design and are hardest to fit an ankle brace inside.

We have found that our customers with these newer types of shoes can usually wear a hinged ankle brace if their foot size is above a women’s size 9 or a men’s size 7 – it all depends on how large the opening to the sleeve of the shoe is.

For those without a traditional tongue and laces design, a smaller shoe size, or a high-top shoe a lace-up ankle brace will most likely be the best option for you. 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.

Athletes

If you’re an athlete who is planning to wear an ankle brace and you want it to fit in the shoe properly and be comfortable to wear for long periods of time stick with a traditional, low-top sneaker designed for the sport you play.

No high-top shoe is going to prevent an injury in sports that have a higher risk of ankle sprains (such as basketball or volleyball) where the mechanism of injury is coming down from a jump and landing on an opposing players foot at a high velocity. Therefore, we recommend wearing a low top athletic shoe with a high performance ankle brace, like the Ultra Zoom, which is designed to help prevent ankle injuries or lessen the severity should an injury occur. The Ultra Zoom will fit easily in a traditional low top sneaker and provide a comfortable fit all season long. 

Conventional wisdom is that high-top athletic shoes or tall work boots can support the ankle more effectively than low tops primarily because the high-top shoe is higher and therefore has more leverage to grab the ankle and hold it in place. However, todays high-top sneakers are not your parent’s high-tops.

These new high-top designs use flexible and stretchable materials with the goal of being comfortable to wear for long periods of time. And if the material stretches it’s probably not going to provide much in the way of ankle support. While high-top shoes are advertised to provide additional ankle support, the truth is that no shoe can support the joint and help prevent ankle injuries like an ankle brace can. 

Tall Work Boots

Let’s say you are a construction worker and you suffer from ankle osteoarthritis, so you like to wear a sturdy work boot to help stabilize your ankle. Let’s say recently your ankle started hurting on the job site and you’re thinking about getting an ankle brace for additional support.

Two things happen when you try to wear an ankle brace in a tall work boot:

  1. The ankle brace is very difficult to fit inside your tall work boot, or
  2. If you get the brace to fit in the boot it may not be very comfortable. This happens after you lace up the boot, which pushes the sides of the brace against the ankle bones, potentially causing pain and irritation.

In general, we recommend a low-top work shoe where you can spread out the laces enough to easily fit the brace in the shoe. Since the sides of the shoe are below the joint  there is no potential for irritation over your ankle bones. A low-top work shoe combined with a good professional ankle brace can provide more ankle support than a tall work boot worn by itself by far.

For those looking for an ankle brace that will fit in a high-top work boot, the Ultra 360 Lace-up will be your best option. This flexible, fabric brace fits in almost any shoe – providing extra support and compression to help protect your ankle. 

If you have questions about which ankle brace would fit best inside your athletic shoes or work boots you can send one of our athletic trainers a message. They will be able to take a look at a photo of your shoe and help you determine the right ankle brace for your situation. 

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
We are all familiar with preventative knee bracing for linemen, but what about the ankle? After all, when these big guys are battling in the trenches they tend to get their ankle stepped on, fallen on and overall abused. Many times, the mechanism of injury is external rotation which causes the dreaded syndesmotic (high) ankle injury. With the amount of exposures these linemen have to ankle injuries in practice and games would it be wise for them to use both preventative knee and ankle bracing? When consider preventative ankle bracing for football lineman, there are a few priorities to keep in mind to ensure they are getting the best brace for their specific needs.

Compliance & Comfort

As with any sports medicine product, an ankle brace is only effective if the athlete wears it in the first place – which means athlete compliance should be a top priority. One of the biggest reasons we hear as to why athletes aren’t wearing an ankle brace recommended to them by a sports medicine professional is because it’s too uncomfortable to wear during activity. Any preventative ankle brace worn by lineman through long practices and tough games must be comfortable to wear for extended periods of time so they will actually keep it on. Typically, when looking for a “comfortable” ankle brace, athletic trainers lean towards the lace-up, cloth type of braces and keep away from the harder, rigid plastic ankle braces. Lace-up style braces may be comfortable during activity, but they lose support rapidly, while rigid plastic braces that may provide good support are often uncomfortable, big and bulky. In the past decade, newer materials have been developed in ankle bracing so that athletic trainers no longer must choose between low support cloth braces or rigid plastic braces. Ultra Ankle braces, for example, are designed with this newer, flexible material that uses a player’s body head to form-fit to the ankle. This new thermoplastic material provides the strength to stabilize the ankle with the comfort factor needed for athlete compliance.

Effective Hinged-Cuff Design

When athletic trainers are considering new ankle braces for their athletes, they are not only worried about the comfort level and materials but also the reasoning behind the design of the ankle brace. When it comes to choosing an ankle brace for football lineman, you want to choose one that can help restrict excessive inversion/eversion and external rotation that causes syndesmotic ankle injuries. This priority really narrows the field down to ankle braces that have a hinged-cuff design. Where the hinge allows full plantar and dorsiflexion (which is great for getting down in your stance) the cuff encircles the posterior lower leg and provides the stability  necessary to help prevent excessive external ankle rotation.

durable enough to last an entire season

Once you’ve found a comfortable ankle brace that athletes will wear and that utilizes a design that helps prevent both low and high ankle injuries, the only thing you have left to worry about is how long that brace will last. If your ankle braces are rapidly losing support during activity and causing injuries or breaking/cracking half way through the season then they are not only terrible for your budget, but very unreliable. The best ankle braces for athletes such as lineman must be durable enough to last an entire season and still be effective at controlling excessive joint movement. When looking into preventative ankle braces for football players, make sure to check out the product’s warranty. If a product isn’t guaranteed, then how do you know it will be effective and durable enough for your high performing athletes? Our preventative ankle brace, the Ultra Zoom, will never crack, break or tear. It will maintain its structural integrity over multiple seasons, saving you money and giving your athletes the peace of mind. It’s on in seconds, protects consistently for hours and lasts for years.

Football Lineman & Ankle Braces

Collegiate football teams that have decided to implement preventative ankle bracing for their lineman have found this to be an effective strategy at reducing injuries. However, it takes both the will of the athletic trainers and coaches to implement and enforce the program and an ankle brace that can deliver the comfort, effectiveness and durability necessary to make the program successful. Our in-house athletic trainers work with top collegiate and pro football teams to implement ankle bracing protocols that benefit players by keeping them safely in the game while playing their high-impact sport. If you have any questions about preventative ankle bracing for lineman or would like more information on how to implement a new ankle bracing protocol for your football team send us a message or leave us a comment 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

Football ankle sprains are extremely common and are often a reason why players are forced to miss multiple practices and games each season. When it comes to determining the appropriate ankle brace for football players, it’s important to start by evaluating the position you play and then the injury history you have.

Common Football Ankle Injuries by Position

Lineman This position often suffers high ankle sprains due to linemen tackling and falling on each other’s ankles causing the ankle to externally rotate and injuring the ligaments above the ankle. With a high ankle injury, you will want a brace that has a hinged-cuff design that restricts excessive ankle rotation.

Defensive Backs, Receivers and Running Backs These positions often injure their ankles while cutting or landing from a jump. This is known as the classic ankle sprain where the ankle turns inward, often called an “inversion” ankle sprain. For the most part, all ankle braces are designed to restrict excessive ankle inversion.

Evaluating Injury History

After learning which types of ankle injuries you might be most susceptible to as a football player in your specific position, choosing the right ankle brace for football is all about determining how much support you need versus how much mobility you want.

If you’ve had a previous ankle injury that is now healed and want to prevent future ankle sprains, the preferred ankle brace would be a preventative one which could provide moderate stability and maximum mobility. However, if you currently have a severe ankle injury and want to return to competition as soon as possible, your ankle brace should provide maximum stability and minimal mobility. Typically, the types of ankle braces preferred in this situation are referred to as acute ankle injury braces.

Preventative Football Ankle Braces

There are three main types of preventive ankle braces available on the market today:

  1. Lace-ups – Fabric based lace-up design with wrap around straps
  2. Rigid – Semi-Rigid hinge design with attachment straps
  3. Soft Shell – Flexible hinged-cuff design with attachment straps

Another injury prevention method that can be administered by sports medicine professionals, while not a type of brace, is ankle taping. Despite studies showing that taping an ankle is 3 times more expensive than wearing a rigid brace, there is still a time factor that needs to be calculated into having your ankle taped every time you’re ready to hit the field. After the tape is applied, it quickly loses support and is less durable over time rendering it less effective than a brace. For that reason, we are only going to compare the three preventative ankle brace types below and omit the option of ankle taping.

Lace-Up Ankle Braces

Lace-up ankle braces were first introduced in 1887 as a basic corset design that restricts all ankle range of motion. Lace-up braces of today will typically have straps that wrap around the ankle in a figure-8.

Since these braces can be laced up as tight as possible, they may give the wearer a false sense of support when they are first applied, however they lose support quickly as they resist the ankle’s natural range of motion. This is especially detrimental in football where muscle power and torque may be higher than lower impact sports. While lace-up ankle guards may feel comfortable because they are made from fabric, this fabric is also less durable and will easily rip and tear over time… not to mention absorb odors and start to smell pretty bad.

Research studies have shown that lace-up ankle braces can restrict performance by resisting the natural up and down range of motion of the ankle. This is one reason why we recommend athletes wear a hinged ankle brace for prevention purposes – this way the ankle does not weaken over time due to being held tightly in place. While all hinged ankle braces are not the same, they do provide the necessary range of motion to enhance ankle strength and performance unlike the lace-up type braces.

Overall, the lace-up ankle brace is designed for individuals on a budget needing mild ankle support that are not engaging in competitive and/or high intensity activity. Some of the better brands in this category are McDavid®, ShockDoctor®, Active Ankle® and ASO®.

Rigid Ankle Braces

Rigid, or semi-rigid ankle braces are made of hard plastic and typically have a hinge that allows full up and down ankle range of motion.  The rigid hinged ankle brace was first introduced commercially in 1985. A pivoting hinge connecting the bottom foot section on both sides of the ankle to an upright section that was secured with a strap to the lower leg.  The innovative hinge design offered the athlete free up and down ankle motion to run and jump without restriction. With the brace moving with the ankle, and not against it like with lace-ups, the brace stays securely in place maintaining longer-lasting ankle support.

Typically, these types of braces are only worn for a limited period of time for a couple of reasons: 1) Since the brace is rigid or semi-rigid it can be bulky to wear, and trying to fit the brace in a tight-fitting football cleat can be difficult and/or 2) The more rigid the ankle brace is the more uncomfortable it can be to wear for extended periods of time.

Hinged ankle braces are good for individuals looking for moderate ankle support to help protect or prevent the basic “low” ankle sprain or inversion (turning) ankle injury. Brands in this category are Active Ankle® and McDavid®.

Soft Shell Ankle Braces

The newest type of ankle brace to hit the market is the “soft shell” design, trademarked Performathane®.  The shell of the brace is flexible and uses body heat to custom-fit to the ankle. This custom-fit creates a very comfortable and low-profile ankle brace that is easy to fit in a football cleat and be worn for extended periods of time. The concept behind the flexible shell is to get as close to the skin as possible and by doing so you can control excessive joint motion more effectively while still allowing for a little side to side natural range of motion.

Performathane® based ankle braces utilize the most advanced hinged-cuff designs on the market that were first introduced in 2000. Where hinged-only braces restrict excessive ankle turning, the hinged-cuff design restricts excessive ankle turning and twisting to help prevent both low and high ankle injuries. Hinged-cuff ankle braces offer a higher level of protection than either the lace-up or hinged only ankle brace designs can provide.

The soft shell ankle brace is best for football players who want to help prevent ankle injuries or players with mild/moderate ankle instability. These football ankle braces are extremely durable and will last multiple sports seasons.

Acute Ankle Injury Braces

When bracing an acute ankle injury, the brace needs to provide significant lower leg and ankle stability while unloading the ankle to reduce weight bearing pain. “Unloading” is the process of reducing the load, or impact to the sore ankle or at least reducing the load enough so the athlete can play with minimal or no pain. The Ultra CTS is the only ankle brace that is specifically designed to brace acute ankle injuries for return to competition using a hinged-cuff design that restricts excessive ankle turning (“inversion”) and twisting (“rotation”) to help prevent and protect both high ankle low ankle injuries.

If you, or your child, is a football player with a history of ankle injuries or you are learning more about how to protect yourself from football ankle sprains and you have any questions please send our certified athletic trainers a message or leave a comment 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

As a high impact sport, football players wear more protective gear than many other athletes. Players must protect themselves from injury by wearing the most advanced equipment from state-of-the art helmets, to breathable pads, all the way down to advanced ankle braces. Since the responsibility of each athlete varies greatly from position to position, some players are at a higher risk of ankle injuries and should be especially concerned with which ankle brace is best for football.

Football Positions that Should Wear an Ankle Brace

Unlike sports with a much higher ankle injury rate for every player, you’re not going to see the entire team wearing preventative ankle bracing in football – usually only the offensive and defensive linemen. The football players on the line are typically the most vulnerable for ankle injuries due to the fact that they quickly pivot and turn while other players are constantly falling on their legs/ankles.

Most of the ankle injuries suffered by linemen are high ankle sprains, which are more severe than a classic ankle sprain and can take twice as long to heal. Once an ankle sprain occurs, there is a 70% chance that the ankle will be re-sprained. With each ankle sprain the ankle ligaments become further and further stretched apart making the ankle joint more loose and unstable with each sprain.

Which Ankle Brace is Right for You?

For this reason, linemen have started to wear ankle braces to help prevent football ankle injuries or lessen the severity should an injury occur. For offensive/defensive linemen it’s not only crucial to keep their ankles healthy, but also to be able to get down in their stance comfortably while retaining their explosive power. To meet both of these expectations, the best ankle brace for this position would be a hinged brace with a flexible shell, such as the Ultra Zoom®, that custom fits to the ankle for maximum comfort and provides full range of motion.

Although linemen are the most susceptible to ankle injuries during play, many other players on the field may still be wearing an ankle brace – especially those with a history of ankle injuries or chronic ankle instability. In the case of chronic ankle instability, the athletes should wear an ankle brace that offers more long-lasting support than taping or a lace-up style support, such as the hinged-cuff Ultra High-5®, that can withstand the pounding of an entire football season while providing maximum protection to help prevent furthering injuring the joint.

Regardless of which position you may play, if you’re interested in learning more about if you should be wearing an ankle brace for football send us a message. Our certified athletic trainer would be happy to answer any of your questions and help you stay on the field all the way from two-a-days through the championship game.

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