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It can be caused by a fall, exercise, or overuse, physical therapists say there are many things that can lead to an ankle injury. "The time that they would want to come to see us would be certainly if they've got a lot of swelling, a lot of bruising, maybe a lot of pain in the ankle," said Tom Pitney, a physical therapist orthopedic & sports clinical specialist with Lee Health. While ankle sprains can heal on their own, up to 40 percent of them can progress, causing chronic ankle instability. "Many times actually, uncared for injuries progress to greater chronic problems. They actually require more care and can be more debilitating later one," he said. Chronic ankle instability can happen after one ankle injury—putting patients at risk for falls and limited mobility in the ankle. "People can have increasing difficulty with some movements of the foot and ankle, they can have difficulty with sensing where the foot is, it's found that sometimes they lose some of the feelings on the bottom of the foot, which makes them have more difficulty being able to tell where they are," Pitney said. Physical therapy can help to improve these symptoms and strengthen a patient's gait and balance. "It's really never too late to start. The only thing that may be different is where we start from," he said. Teaching patients techniques that can help injuries heal quickly, prevent future injuries, and strengthen ankle stability. View More Health Matters video segments at LeeHealth.org/Healthmatters/ Lee Health in Fort Myers, FL is the largest network of health care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For more than 100 years, we’ve been providing our community with personalized preventative health services and primary care to highly specialized care services and robotic assisted surgeries. Lee Health - Caring People. Inspiring Care. Visit LeeHealth.org