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Ankle sprain treatment by Oakland Chiropractor Dr. Sandy Baird. Riverstone Chiropractic sports chiropractor describes the types of ankle sprains, the causes of sprained ankles, and the chiropractic treatment and rehab for ankle sprains. For more information visit us on our website at www.riverstonechiropractic.com or call us at (510) 465-2342. Transcript: Hi, I'm Dr. Sandy Baird, owner of Riverstone Chiropractic here in Oakland California. We're going to be talking about ankle sprains today. So a lot of people will come into our office and they are actually very surprised that there's anything that can be done to help them recover from their ankle sprain. The old adage used to be, if you sprain your ankle, roll your ankle, you put some ice on it, you elevate it on a bed, and wait for it to heal up. But there's actually a lot you can do about an ankle sprain. So let's look at the anatomy of the ankle and get a picture of what's happening when you twist your ankle. The most common type of ankle sprain is an inversion sprain, and that's when the bottom of the foot rolls inward in relation to the lower leg. When this happens, the ligaments on the lateral side of the ankle become damaged. Those ligaments, there's three of them, there's the anterior and posterior talofibular ligament, and there's the calcaneofibular ligament. So we'll look at a picture of this anatomy, it basically means ligaments connecting the bones in the foot to the bone in the lower leg, the fibula, that's on the outside of the leg. Picture of the three supporting ligaments forming a triangle of support. Ankle sprains are graded on a scale of 1-3, so a grade 1 ankle sprain would be a mild ankle sprain, you just tear a couple of fibers in one of the ligaments, grade 2 is a moderate sprain, a partial tear of a ligament, and grade 3 is a very severe ankle sprain, you typically will require surgery or at least need to be evaluated for surgery. But grade 1 and 2 ankle sprains can be managed by chiropractic care. Did you know that the #1 cause of an ankle sprain is actually history of a previous ankle sprain?! Other causes of ankle sprains include jumping and landing funny, tripping over some rocks or roots when you're doing train running, slipping, falling off a curb, and any other strange sports injuries, you can twist your ankle falling off a bicycle. So there's a few things we need to do if you sprain your ankle. We need to check whether the talus or the calcaneus has become fixated, oftentimes the muscles along the outside of the leg, the peroneal muscles, they will actually pull a bone into what's called subluxation. That's basically pulling the bone into a position it's not supposed to be in, it becomes fixated, and adhesions form right around the joint, so all of a sudden the bones in the foot do not move as well. There's 26 bones in the foot, and the ones that are most commonly involved with the ankle sprain are going to be the talus and the calcaneus, but there could be subluxation of any of the bones. So a chiropractor needs to check everything, adjust what needs to be adjusted. The next thing is soft tissue work, so anytime the peroneal muscles are overworked or overused, they are going to develop these adhesions. This happens with an ankle sprain, this happens with overuse, really any overworking condition. You need to reduce the adhesions, you can either do that with Active Release Techniques, with Graston Technique, there are some other techniques that will do this, but you have to get the adhesions out. Pictorial example of chiropractic adjustment to treat ankle sprain. Once we've addressed those things, and the ankle has become more stable, we can start some rehabilitation exercises, it's going to be mostly focusing on the peroneal muscles, the ones that have actually become overworked, get those strong by using either bands or light weight. So we'll be addressing the peroneal muscles, and addressing the deep calf muscles, and anything else that has become weak or overworked in this ankle sprain. So a lot of times there are contributing factors, there actually could be a weakness happening in the hip or the glute which causes the person to sprain their ankle in the first place. We look at all that and prescribe rehabilitation exercises to strengthen all the areas involved. If you've suffered an ankle sprain or you have any questions about ankle sprains or any other sports injuries, please give us a call at (510) 465-2342 or check out our website at www.riverstonechiropractic.com. Thanks for watching! Also, check out www.engineeringyourbody.com for my easy-to-follow science-based corrective exercise program that's designed to help you overcome the most common compensation patterns in runners that can cause foot, knee, or hip pain.