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Feature Article Orthopaedics
The ankle sprain that does not get better
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Sprains and strains
Sprains and strains
Abstract
Chronic ankle symptoms following a sprain may be due to intra-articular and/or extra-articular pathology of the ankle. Effective surgical treatments are available if the patient continues to be symptomatic after an appropriate course of physiotherapy.
Key Points
- Ankle sprains don’t always get better on their own.
- If chronic ankle instability follows a sprain, look for laxity in the lateral ligaments. Active rehabilitation is the mainstay of treatment.
- If chronic ankle pain follows a sprain, careful examination and investigation may reveal pathology in or around the ankle joint.
- Physiotherapy is often the first-line treatment for ankle pain. If a trial of physiotherapy fails, effective surgical treatments are available.
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