Physio Edge podcast with David Pope 148. How to assess ankle sprains & start rehab with Zoe Russell
56:06
Ankle Sprain Severity
- Most people underestimate ankle sprains due to their common nature.
- This lack of awareness leads to inadequate treatment and potential long-term issues.
Long-Term Consequences
- Untreated ankle sprains can lead to chronic ankle instability (CAI) and other lower limb injuries.
- Post-traumatic osteoarthritis is a serious long-term consequence, as illustrated by the basketball player's case.
Key Subjective Questions
- Ask patients to describe and demonstrate the mechanism of injury, not just say "rolled ankle."
- Enquire about previous sprains, ability to walk, and swelling onset for proper assessment.
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Introduction
00:00 • 2min
Ankle Injuries - What Are the Problems With Ankle Strains?
02:23 • 3min
Ankle Injuries - Is There a Need for Rehab?
05:15 • 4min
Ankle Injuries - What's the Role of Lateral Ligaments in an Ankle Injury?
09:43 • 2min
Medial Ankle Pain
11:47 • 2min
Ottawa Ankle Rules - Are You Able to Wait Bare?
13:27 • 2min
Dorsiflexion Eversion Injuries - What Kind of Injury Are You Looking For?
15:22 • 2min
Is There a Mechanism of Injury?
16:54 • 3min
Is It a Cystinacal or Fusion?
19:26 • 2min
Ankle Injuries - How Do You Assess Ankle Pain?
21:12 • 5min
ACL Injuries - Do You Have a Balance Test on the Uninjured Side?
26:28 • 2min
Is There a Difference Between AP and the Inferiority Bib Joint?
28:15 • 2min
What Are You Expecting From Your Clinical Assessment?
30:29 • 2min
Ankle Injuries - What Are Your Early Strategies?
32:13 • 4min
Ankle Injuries - What's Your Goals?
35:58 • 2min
How Do I Get Rid of a Swollen Ankle?
38:03 • 3min
Are There Any Dynamic Balance Tests That You Might Use?
41:03 • 2min
Can You Use Taping for Knee Injuries?
42:41 • 4min
Is There a Trend to Brace Your Ankle?
46:25 • 2min
Should I Just Be Strapping My Ankle From Now On?
48:19 • 2min
Moonbeach for Ankle Injuries?
50:11 • 3min
What a Great Podcast, Dave!
52:45 • 2min
Physio Age Podcast - Zoe's at Clinical Edge
54:34 • 2min
Untreated or poorly rehabilitated ankle sprains can develop into chronic ankle instability (CAI), osteoarthritis, or other lower limb injuries (Bestwick-Stevenson et al. 2021; Delco et al., 2017; Herzog et al., 2019; van Ochten et al., 2017).
In this podcast Zoe Russell discusses ankle sprain assessment and treatment, and how to return your patients to sport. You’ll discover how to help your ankle sprain patients fully recover as quickly as possible, and avoid long term ankle issues.
Zoe is a Specialist Sports Physiotherapist (FACP), APA Titled Musculoskeletal and Sports Physio, as well as a Clinical Edge Senior Educator and Presenter, and in this Physio Edge podcast hosted by David Pope, we discuss the latest evidence and practical treatment strategies for ankle sprains, including:
Assessment- Common issues therapists face when rehabilitating ankle sprain patients.
- Questions you need to ask your ankle sprain patients.
- How a previous history of ankle sprains impacts your assessment & treatment.
- Why patients with inversion injuries may have medial ankle pain.
- How to avoid stirring up patients pain during your assessment.
- Common mechanisms of injury, and how this guides your diagnosis.
- Structures that are likely to be injured with different ankle injuries.
- 10 key elements to include in your assessment & treatment.
- How to help reduce swelling quickly after an ankle sprain, and why this is important.
- Immediate sideline management for ankle sprains at sporting events.
- Whether manual therapy has a role in acute ankle injuries or persistent ankle pain and swelling.
- How to explain ankle sprains, recovery & rehab to your patient.
- What you’re looking to achieve with your early rehab.
- How to set rehab targets or goals with your patients.
- The role of taping in ankle rehab.
- Taping compared to bracing.
- Whether long term taping or bracing is a useful long term injury prevention strategy.
- The latest surgical procedures for patients with chronic ankle instability (CAI).
- Zoe Russell
- David Pope on Twitter
- Improve your musculoskeletal and sports injury assessment & treatment results with a free trial Clinical Edge membership
- Explain acute and persistent pain to your patients, without giving them the message “It’s all in your head” with the Making sense of pain training module
- Comprehensive low back pain assessment & treatment training module
- David Pope at Clinical Edge
Chapters:
- 03:47 - Untreated ankle sprains
- 05:27 - Latest evidence
- 07:04 - Subjective questions
- 09:45 - Common mechanisms of injury
- 11:47 - Plantarflexion/inversion injury with medial ankle pain
- 15:22 - Dorsiflexion eversion injuries
- 15:54 - Swelling
- 21:11 - Objective tests
- 26:32 - Irritability
- 26:47 - Figure of 8 taping technique
- 28:56 - Inferior and superior tib-fib joint assessment
- 32:14 - Treatment
- 42:41 - Change of direction
- 43:17 - Tape or brace?
- 50:06 - Mobilise or immobilise?