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.

Wearing an ankle brace can be essential for preventing injuries and providing support during recovery from an ankle injury. However, finding the right shoes to accommodate your brace can be challenging. Not all shoes are created equal when it comes to fitting ankle braces comfortably and securely. This guide will help you understand which types of shoes work best with ankle braces and why.

Understanding the Compatibility of Shoes and Ankle Braces

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 it’s 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 upfront which shoes you should avoid when wearing your ankle braces.

Best Shoe Designs for Ankle Braces

Traditional Tongue and Laces Design
The style of sneaker that works best with ankle braces has 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.

Avoid Modern Collar or Sleeve Designs
Athletic shoe styles are changing all the time. 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 an ankle brace in the shoe. These shoes typically are of the mid- or high-top design and are hardest to fit an ankle brace inside.

Finding the Right Fit for Different Shoe Types

Lace-Up Ankle Braces
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.

Hinged Ankle Braces
We have found that our customers with traditional tongue and laces shoes can wear a hinged ankle brace if their foot size is above a women’s size 9 or a men’s size 7. Shoes of these sizes or larger have enough room to comfortably fit both the foot and ankle brace inside. Customers do not need to “size up” on shoes to wear hinged ankle braces. Ultra Ankle® offers three different hinged ankle braces. The Ultra Zoom®, the Ultra High-5®, and the Ultra CTS®. Each offers different product features for different ankle conditions. To compare and contrast, visit our Compare All Braces page.

Considerations for Athletes

Selecting the Right Athletic Shoes
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.

The Myth of High-Top Shoes
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 player’s foot at a high velocity. The only things that can help prevent ankle injuries are stronger muscles, ligaments, and tendons in the ankle, and/or, and sturdy ankle brace (FCSF)(Lems). 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.

Modern High-Tops and Ankle Support
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, today’s 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 and Ankle Braces

Challenges with 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.
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.

Low-Top Work Shoes
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.

Conclusion

Choosing the right shoes to wear with your ankle brace is crucial for comfort and effectiveness. Stick with traditional tongue and lace designs, preferably low-tops, and avoid modern sleeve-style shoes that complicate fitting. For athletes, low-top athletic shoes paired with a high-performance ankle brace provide the best support. In work environments, opt for low-top work shoes over tall boots to ensure a comfortable and supportive fit.

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 or call us directly at (317) 520-9898.