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14 Aug 2026
41m

Ep 385: Lateral Ankle Sprains Masterclass

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The Physical Performance Show

Lateral ankle sprains represent the most common musculoskeletal injury in sports, yet they are frequently undertreated, leading to a 40% recurrence rate and potential long-term chronic instability. Effective management begins with a thorough clinical assessment to rule out fractures—using tools like the Ottawa ankle rules—and to identify specific structural damage, including ligamentous tears or syndesmosis injuries. Rehabilitation must move beyond simple rest, focusing on restoring dorsiflexion, balance, and strength through a structured, progressive loading program. Key markers for recovery include single-leg landing proficiency and hop testing. Because untreated sprains significantly increase the risk of post-traumatic osteoarthritis, athletes should prioritize professional diagnosis and implement secondary prevention strategies, such as bracing or taping, to ensure a safe return to high-intensity activities and long-term joint health.

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