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.

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.

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​.

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 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 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.

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)

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 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.

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.