Unlike acute ankle sprain, chronic ankle instability might require surgical intervention. Before conducting any surgical procedure, nonsurgical management is highly recommended for patients with chronic ankle instability. During the rehabilitation stage, neuromuscular and proprioceptive training should be provided as well as orthotics if indicated gery in patients with chronic ankle instability is failure of nonsurgical management. A patient may benefit from a structured program of func-tional and prophylactic rehabilita-tion, which may be supplemented with external splinting. The patient with functional instability is more likely to benefit than is the patient with mechanical instability.1 Rehabilitation (rehab) exercises are critical to ensure that the ankle heals completely and reinjury does not occur. You can begin healing by walking or bearing some weight, while using crutches if needed, if you can do so without too much pain. Start rehab with range-of-motion exercises in the first 72 hours after your injury
. Rehabilitation (rehab) exercises are critical to ensure that the ankle heals completely and reinjury does not occur. You can begin healing by walking or bearing some weight, while using crutches if needed, if you can do so without too much pain. Start rehab with range-of-motion exercises in the first 72 hours after your injury A new paradigm for rehabilitation of patients with chronic ankle instability. Lateral ankle sprains have been shown to be one of the most common musculoskeletal injuries in both athletes and the recreationally active population the acute and subacute phases of ankle rehabilitation is provid-ed, along with recommendations for functional rehabilitation of ankle injuries, including a structured progression of exercises. Recommendations:Early functional rehabilitation of the an-kle should include range-of-motion exercises and isometric and isotonic strength-training exercises The ability of FIRE to attenuate the severity of related symptoms compared to SOC rehabilitation will be determined through the Cumberland Ankle Instability Tool. The Cumberland Ankle Instability Tool is a 9-item instrument used to identify self-reported impairments associated with CAI
Context: Researchers have shown that rehabilitation programs incorporating resistance-band and balance-board exercises are effective for improving clinical measures of function and patient-reported outcomes in individuals with chronic ankle instability (CAI) Hot to Treat Chronic Ankle Instability: Exercises; If the ankle is unstable, stabilize it! And how to stabilize the ankle? There are a number of exercises that can stabilize the ankle joint, including balance exercises, proprioception, walking exercises, and exercise band/theraband exercises. Physical Therap Rest: try not to move the ankle joint, walk, or put any weight on the ankle. Ice: apply ice to the ankle for no more than 20 minutes at a time. Compression: wrap the ankle with an elastic bandage. Ice ankle/foot 3-5 times (15 minutes each time) per day to control swelling and inflammation. Elevate leg above the heart as much as possible to control swelling and inflammation. Come out of boot twice daily for 20 minutes each time to allow skin to breathe and to promote skin healing Rehabilitation concentrates on two main areas, firstly strengthening the muscles around the outside of the ankle, secondly by Most people with ankle instability will not need an operation. Even if your ankle still feels unstable after physiotherapy, you could try a brace rather than having an operation t
Proper rehabilitation is essential to strengthen the muscles around the ankle and retrain the tissues within the ankle that affect balance. Failure to do so may result in repeat sprains. Repeated ankle sprains often cause chronic ankle instability Michael D. Osborne MD, in Essentials of Physical Medicine and Rehabilitation (Second Edition), 2008 DEFINITION. Chronic ankle instability is a condition characterized by a constellation of symptoms (typically including pain, weakness, and a feeling that the ankle episodically gives way) that persist after an acute lateral ankle sprain. Although chronic ankle instability may occur after a. Proper rehabilitation is needed to strengthen the muscles around the ankle and retrain the tissues within the ankle that affect balance. Failure to do so may result in repeated ankle sprains. Repeated ankle sprains often cause - and perpetuate - chronic ankle instability
Ankle Strengthening PROTOCOLS . o . Frequency. Sitting on the ground with the theraband around your foot . BACKGROUND STRETCHING EXERCISES: • Purpose o Improve muscular strength o Regain balance and proprioception o Increase functional abilities o Rehab exercises should be performed for 6 Lateral Ankle Sprain Rehab And Treatment: Early Mobility Is Key! The old adage of Rest, Ice, Compression, and Elevation (RICE) for ankle sprain rehab is far outdated.Complete rest is one of the worst things you can do following an ankle sprain, and instead, a new acronym called P.O.L.I.C.E is now the recommendation. Rest is replaced by Protection, and Optimal Loading Chronic Ankle Instability: Post-Op Rehabilitation By El Paso Chiropractor However, a number of acute ankle sprain sufferers may go on to develop later-stage chronic or recurrent ankle instability, with a feeling of 'vulnerable ankles', episodes of catching and ongoing pain - and further episodes of repeat ankle sprains(4)
Sample Ankle Sprain [P]Rehab Program Education Video. Ligaments are passive structures and are meant to keep joints from moving excessively. When a ligament is sprained, proprioception is often impaired, which may result in instability due to damage of the mechanoreceptors within the ligaments. (Solomononow, 2006) We hypothesize that these individuals will have a decrease in bouts of instability because balance training has been shown to decrease the prevalence of ankle sprains. 48 Furthermore, each rehabilitation session lasted approximately 1 hour and was completed 3 times each week, which is consistent with clinic-based rehabilitation but may not be appropriate for the traditional athletic training. European Scientific Journal July 2015 /SPECIAL/ edition ISSN: 1857 - 7881 (Print) e - ISSN 1857- 7431 370 VALIDITY OF PROPRIOCEPTIVE REHABILITATION FOR ANKLE INSTABILITY BASED ON FREEMAN BOARD TRAINING Jamal Ktaiche, PT, MS Lebanese University, Beirut, Lebanon
In the weeks following an ankle sprain, activities of daily living can be compromised, and, even though acute symptoms resolve, persistent symptoms are reported to occur in 30% to 40% of people, 4 with higher incidences being reported in athletes involved in high-velocity, dynamic sports. 5 These symptoms, which include a feeling of joint instability and repeated episodes of the ankle joint. Ankle injuries like sprains lead to long-term ankle instability for somewhere around half of patients.As with other types, ankle injury weakens the muscles in the affected area and makes them susceptible to further injury. Strengthening exercises regularly can strengthen the muscles, improving mobility and avoiding future injury Ankle Instability ICD 10 Codes: M25.37: Other instability, ankle and foot S93.4: Sprain of ankle S93.41: Sprain of calcaneofibular ligament S93.49: Sprain of other ligament of ankle The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation course of a patient who has undergone an anatomical surgical procedure Ankle instability rehab emphasizes individuality. Research presented at the most recent International Ankle Symposium indicates that rehabilitation for chronic ankle instability is evolving from a one-size-fits-all approach to an increased focus on matching specific interventions to the patients who are most likely to benefit. By Lori Roniger Rehab Exercises for Ankle Sprain and Ankle Instability and Arch Strengthening Exercises The best exercises for strengthening an unstable ankle are one-leg balance exercises Studies over the past ten years have demonstrated that these one-leg balance exercises are a critical part of rehabilitation after an ankle sprain or following a diagnosis of an unstable ankle
Ankle instability is caused by injury to the lateral [outside] ankle ligaments. This usually causes strain or stretch, and in more severe forms, causes a sprain or tear in the ligaments. This can lead to a sense of instability (giving out) in the ankle and predispose the patient to get frequent ankle sprains even with minor trauma or twist Lateral ankle ligament sprains are one of the most common in people of all ages and sporting participation. Without the correct rehabilitation, a sprained ankle can lead to loss of movement at the ankle with reduced stability. This may result in reoccurring sprains and limited participation in sport or normal activities later in life Our purpose was to analyze the effects of 4 weeks of visual gait biofeedback (GBF) and impairment-based rehabilitation on gait biomechanics and patient-reported outcomes (PROs) in individuals with chronic ankle instability (CAI). Twenty-seven individuals with CAI participated in this randomized controlled trial (14 received no biofeedback (NBF), 13 received GBF) Ankle Sprain. The management of ankle sprain is usually conservative and involves symptom management during the acute phase followed by a period of rehabilitation. The therapist is also often involved in the treatment of the main sequelae of ankle sprain: chronic ankle instability
Specifically, self-reported ankle instability should be confirmed with a validated ankle instability specific questionnaire using the associated cut-off score. Currently recommended questionnaires: a. Ankle Instability Instrument (AII): answer yes to at least 5 yes/no questions (This should include question 1, plus 4 others.) b In the third and final installment on the topic of chronic ankle instability, Chris Mallac discusses the post-operative rehabilitation involved in bringing an athlete back to full competition. Ankle sprains in athletes account for a large amount of time away from competition(1,2). Its prevalence as a joint injury may be as high as 20% of all joint injuries..
Chronic ankle instability is a condition characterized by a constellation of symptoms, typically including pain, weakness, and a feeling that the ankle episodically gives way, that persist after an acute lateral ankle sprain. Although chronic ankle instability may occur after a single ankle sprain, it is more commonly a sequela of repeated sprains CHRONIC ANKLE INSTABILITY AND AGING Lateral ankle sprains are the most common musculoskeletal injury among the general population and U.S. military personnel. Despite the common perception of being a minor injury, at least 1 out of 3 individuals with a previous ankle sprain will develop chronic ankle instability (CAI) Chronic ankle instability usually develops following an ankle sprain that has not adequately healed or was not rehabilitated completely. When you sprain your ankle, the connective tissues (ligaments) are stretched or torn. The ability to balance is then often affected. Proper rehabilitation is needed to strengthen the muscles around the ankle.
Our purpose was to analyze the effects of 4 weeks of visual gait biofeedback (GBF) and impairment‐based rehabilitation on gait biomechanics and patient‐reported outcomes (PROs) in individuals with chronic ankle instability (CAI) Studies assessing patients with functional ankle instability and/or mechanical ankle instability and/or recurrent ankle sprains were eligible for inclusion. After combining data from self-administered questionnaires, we analyzed patient self-reported outcomes of function at the end of the rehabilitation period and 1 to 6 months after treatment
Proper evaluating the ankle.doing other activities, but it can also rehabilitation is needed tohappen when you're just standing. strengthen the muscles aroundMany athletes, as well as others, the ankle and retrain the tissuessuffer from chronic ankle instability. within the ankle that affect balance .23,38,42,43 Specifi-cally, Tropp et al38 reported a decreased incidence of lateral ankle sprain among soccer players with a history of CAI fol-lowing ankle disk training. Following a balance-training program, Verhagen C hronic ankle instability (CAI) is a common problem in athlet-ics and among active persons
syndesmosis. Ankle sprains are usually treated non-surgically.3 Careful evaluation determines prognosis, progression of treatment and may detect other injuries. Forty percent of lateral sprains develop chronic ankle instability (CAI).5 This is defined as a combination of persistent symptoms and repetitive lateral ankle sprains. Ankle sprains are the most common musculoskeletal injury 1-3 and up to 40% of patients who sprain an ankle develop chronic ankle instability (CAI). 4 CAI is characterized by recurrent sprains, multiple episodes of the ankle giving way, persistent symptoms, and diminished self-reported function for at least one year following a significant ankle sprain. 5 Additionally, seven out of every 10. Lateral ankle sprain is accounted for about 75-85% of all ankle injuries. It is one of the most common injuries among athletes as well as physically active individuals. Furthermore, chronic ankle instability is usually caused by an ankle sprain that has not healed properly. People with chronic ankle instability will often complain of persistent discomfort around the ankle, and the feeling that.
He is also the founder of the Ankle Instability Group and has held leadership roles in various associations. His research is focused now mainly on ankle ligament treatment. Mark Glazebrook, B.Sc.(H), M.Sc., Ph.D., MD, FRCS(C) is a full time Professor of Orthopaedic Surgery at Dalhousie University McKeon PO, Wikstrom EA. Sensory-Targeted Ankle Rehabilitation Strategies for Chronic Ankle Instability. Medicine and Science in Sports and Exercise. 2016; 48(5): 776-84.  Hiller CE, Refshauge KM, Bundy AC, Herbert RD, Kilbreath SL. The Cumberland ankle instability tool: a report of validity and reliability testing The Cumberland Ankle Instability Tool and the Foot and Ankle Activity Measure (FAAM and FAAM-Sport) offer a valid way to monitor progress within rehabilitation and also quantify perceived impact of pathology on lifestyle and sport. These are particularly useful in CAI. The CAIT is a 30 point scale where 30 is the best
Have you ever rolled your ankle? And did you rest it until it felt better? This could be keeping your ankle unstable and more prone to injury in the future.. Rehabbing an ankle sprain is critical for reducing the risk of future ankle sprains and the development of chronic ankle instability. Here's a 5-stage rehab program with 10 exercises How do I strengthen my ankle after a sprain? Following an ankle sprain, you may start strengthening exercises once you can bear weight comfortably and your range of motion is near full.Make sure to check with your foot and ankle orthopaedic surgeon before you begin.. There are several types of strengthening exercises. It is easiest to begin with isometric exercises that you do by pushing. Ankle sprains are among the most common musculoskeletal injuries in sportsmen and women. Up to 45% of sports injuries may be related to ankle instability, and 73% of individuals are likely to experience recurrent injuries (1,2).When the structural stability of the lateral ligaments, such as the anterior talofibular ligament, is compromised, ankle instability becomes a risk (see figure 1)
The effect of a 4-week comprehensive rehabilitation program on postural control and lower extremity function in individuals with chronic ankle instability. J Orthop Sports Phys Ther. 2007; 37:303-311 What are Ankle Instability and Sprains? Our orthopaedic and sports medicine specialists offer a full range of non-invasive treatments for ankle problems, including rehab with our in-house physical therapists. Also known as a twisted ankle, ankle sprains occur when the joint's ligaments stretch or tear Our clinic has developed its own unique protocols for treating ankle instability and ankle sprains, to ensure fully restored function of the foot-ankle complex and optimal movement mechanics throughout the entire body. Learn more about our latest technology for ankle rehabilitation and our award-winning evidence-based test for ankle stability Chronic ankle instability is a clinical problem frequently seen in athletes. Various complicated mechanical and neuromuscular factors seem to be involved in chronic ankle instability. The purpose of this special communication is to revisit the concept of functional ankle instability and to discuss its clinical relevance
Chronic ankle instability has been describes as a combination of mechanical (pathological laxity, arthrokinematic restrictions, and degenerative and synovial changes) and functional Effect of accelerated rehabilitation on function after ankle sprain: randomised controlled trial., BMJ, 2010 rehabilitation exercise improves ankle stability, muscle power, and body balance in chronic ankle instability taekwondo players. Keywords: Instrument-assisted soft mobilization, Range of motion, Stat Abstract. Lateral ankle sprains have been shown to be one of the most common musculoskeletal injuries in both athletes and the recreationally active population. Moreover, it is estimated that approximately 30% of people who incur a lateral ankle sprain will ssustain recurrent ankle sprains and experience symptoms of pain and instability that last > 1 year . This can be a result of an injury or occur over a long period of time from poor foot positioning, bad shoe wear, or genetic predisposition. Whe Chronic ankle instability (CAI) after ankle sprains has been shown to cause foot and ankle disability. Although rehabilitation programs for patients with CAI have been performed in related studies, few researchers have studied overall performance including pain, balance, and isokinetic torque
Ankle instability; There are multiple different 'types' of ankle instability depending on which ligaments are injured. However in general, when we refer to ankle instability it is due to an ankle sprain, in which there is an inversion (inward) ankle injury. When this happens, the ligaments on the outside of the ankle are either stretched or. After an ankle injury, as many as 30% to 70% of people will experience chronic ankle instability, In addition, they can guide you in your rehab and help you gain ankle mobility and strength. It can be tough to recover from ankle injuries. Therefore, rehabilitating your ankle should be done slowly and carefully
Neuromuscular control and rehabilitation of the unstable ankle You-jou Hung You-jou Hung, Department of Physical Therapy, Angelo State University, San Angelo, TX 76909, United States Author contributions: Hung Y contributes to the entire manuscript. Conflict-of-interest: No potential conflict-of-interest relevant to the manuscript Tony Latham/Getty Images. The early treatment of an ankle sprain is the RICE method of treatment. This is focused on reducing ankle swelling and alleviating pain: . Rest: The first 24-48 hours after the injury is considered a critical treatment period and activities need to be limited. Gradually put as much weight on the involved ankle as tolerated and discontinue crutch use when you can. Those with mechanical ankle instability may not only have laxity in the talocrural joint but also the subtalar joint, with both contributing to symptoms of instability. 112 In contrast, it has been hypothesized that functional ankle instability results from sensorimotor and/or neuromuscular deficits. 88, 110 However, defining what constitutes ankle instability and, furthermore, categorizing. Ankle Fracture Rehabilitation Protocol. Home » Patient Education » Ankle Fracture Rehabilitation Protocol. This protocol provides you with general guidelines for initial stage and progression of rehabilitation according to specified time frames, related tissue tolerance and directional preference of movement
Chronic ankle instability (CAI) is defined as a frequently recurring feeling over a period of six months of the ankle giving way due to an unstable ankle movement pattern similar to an ankle sprain . The initial treatment of chronic ankle instability is usually rehabilitation therapy, consisting of several training programs; however, surgery should be considered if symptoms persist [ 4 ] the unstable ankle joint by improving postural sway and isokinetic muscular function (isokinetic strength)22). An ankle joint balance improvement exercise program was effective in the rehabilitation and prevention of chronic ankle instability and sprain, and the control of proprioceptive ability protected the body from injuries11) Research Article Effectiveness of Hospital-Based Systemic Rehabilitation in Improving Ankle Function after Surgery in Chronic Ankle Instability Patients Da Hye Kong,1 Gun Sang Lee,1 So Hee Park,1 Min Cheol Joo,1 Sung Hyun Lee ,2 and Min Su Kim 1 1Department of Rehabilitation Medicine, Wonkwang University College of Medicine and Institute of Wonkwang Medical Science CHRONIC ANKLE INSTABILITY AND AGING Lateral ankle sprains are the most common musculoskeletal injury among the general population and U.S. military personnel. Despite the common perception of being a minor injury, at least 1 out of 3 individuals with a previous ankle sprain will develop chronic ankle instability (CAI) Chronic ankle instability To determine the relative effectiveness of manipulation and rehabilitation versus rehabilitation only, to the ankle joint in terms of participantive assessments (visual analogue scale and motion palpation) in participants experiencing CAI syndrome. Study Design
Ankle Strengthening - Basic Exercises. To begin with, the following basic ankle strengthening exercises should be performed approximately 10 times, 3 times daily. As your ankle strength improves, the exercises can be progressed by gradually increasing the repetitions, number of sets and resistance provided they do not cause or increase pain CAI subjects demonstrated limited ankle dorsiflexion ROM during the time of maximal dorsiflexion during jogging. Limited dorsiflexion ROM during gait among individuals with CAI may be a risk factor for recurrent ankle sprains. These deficits should be treated appropriately by rehabilitation clinicians. PMID: 18835218 [Indexed for MEDLINE] MeSH. rehabilitation; ankle injuries; proprioception; strength training; Ligamentous ankle injuries are the most common sports trauma, accounting for 10-30% of all sports injuries. 1 As most ankle sprains occur during plantar flexion, supination, and inversion, 2, 3 they are most common in soccer players, but they can also occur in basketball, volleyball and all sports that involve jumping and.
Turkish Journal of Physiotherapy and Rehabilitation; 32(3) ISSN 2651-4451 | e-ISSN 2651-446X www.turkjphysiotherrehabil.org 7283 HIP PROPRIOCEPTION INSUBJECTS WITHFUNCTIONAL ANKLE INSTABILITY . Manar Mahmoud Mohamed. 1, 2Prof. Salwa Fadl Abd El Majeed, 3Mohammed Moustafa Aldosouki Hegaz Ankle Sprain Rehabiliation Program. A step by step rehabilitation program for acute and chronic Ankle sprains. Criteria based, we take you from initial injury to full competition fitness. It is based on what Phil would do with his elite Internation players, but adapted for use by anyone. Progress through 4 phases at your own pace, meeting. Physical Therapy Guidelines for Ankle Fracture with Surgery This was written and developed by the therapists of MGH Physical Therapy Services. The information is the property of Massachusetts General Hospital and should not be copied or otherwise used without express permission of the Director of MGH Physical & Occupational Therapy Services Instability leads to fear of having an ankle sprain on unstable ground or of repeated sprain despite an anodyne mechanism, such as walking on flat ground. Instability can be painful, in which case associated lesions are to be screened for Proper evaluating the ankle.doing other activities, but it can also rehabilitation is needed tohappen when you're just standing. strengthen the muscles aroundMany athletes, as well as others, the ankle and retrain the tissuessuffer from chronic ankle instability. within the ankle that affect balance
If, while performing a rehabilitation exercise, ankle joint pain or discomfort is experienced, stop immediately and reconsult a sports medicine professional. Players with significant ligament injuries (Grade 2 or 3) are advised to use bracing or protective taping when playing sport for a minimum of 6 to 12 months post injury Description Sometimes the ankle can feel wobbly, unstable and like it gives way—even while standing still. When this happens repeatedly, the condition is called ankle instability. Keep reading to find out who is most likely to be affected, and how to recover from it Functional ankle instability (FAI) is defined by a subjective feeling of giving way and/or recurrent ankle sprains due to sensorimotor deficits. 1 Clinicians are challenged to develop rehabilitation protocols that can adequately decrease symptoms of giving way and, more important, prevent recurrent ankle sprains . If the ankle ligaments do not heal adequately, you may end up with ankle instability. This can cause the ankle to give way and feel untrustworthy on uneven terrain. If your ankle ligaments do not heal adequately following an ankle sprain, your doctor may suggest several things Ankle sprains involve an injury to the ATFL and CFL and are the most common reason for missed athletic participation. Treatment usually includes a period of immobilization followed by physical therapy. Only when nonoperative treatment fails is surgical reconstruction indicated
Even with proper functional rehabilitation 10 to 40% of patients will go on to develop chronic ankle instability following acute ankle sprains. Multiple studies have been published which show both the benefits of conservative therapy as well as surgical treatment for cases that do not adequately respond to conservative treatment Proper rehabilitation is needed to strengthen the muscles around the ankle and retrain the tissues within the ankle that affect balance. Failure to do so may result in repeated ankle sprains. Repeated ankle sprains often cause—and perpetuate—chronic ankle instability .1 A recent study, analyzing the ankle sprains presenting to emergency departments in the United States has shown an incidence of 2.15. Rehabilitation of the ankle after acute sprain or chronic instability. J Athl Train. 2002;37(4):413-29. Mc Guine TA, Greene JJ, Best T et al. Balance as a predictor of ankle injuries in high school basketball players
Research; Open Access; Published: 03 June 2021 Prophylactic ankle supports effects on time to stabilization, perceived stability and ground reaction force during lateral landing in female collegiate athletes with chronic ankle instability. Ali Yalfani 1 & ; Zahra Raeisi 2 ; BMC Sports Science, Medicine and Rehabilitation volume 13, Article number: 62 (2021) Cite this articl Physiotherapy following ankle fracture, July 2019 1 . Physiotherapy following your ankle fracture. Introduction . This leaflet has been given to you to assist you in returning back to normal following your fractured ankle. If you have any queries after reading it please discuss with you
Acute ankle sprain is the most common injury in the lower extremities, and approximately 10% to 40% of acute lateral ankle ligament injury causes chronic pain or instability. For chronic symptoms lasting after an acute sprain, the possibility of joint damage, such as bony structures, ligaments, cartilage, and nerves around the ankle joint, should be considered The ankle joint is fairly unstable and largely depends on the ligaments for its stability. The ankle sprain is of two types-1-Pronation or eversion type. 2-Supination and inversion type. The most common type is the inversion ankle sprain (85%), in which the ankle rolls over on the outside.In the sprained ankle the most common damage is done to the talo-fibula ligament (if the ankle sprain is. Context: The modified Star Excursion Balance Test (mSEBT) and Y-Balance Test (YBT) are common dynamic postural stability assessments for individuals with chronic ankle instability (CAI). However, the reach distance measurement technique and movement strategy used during the mSEBT and YBT differ. To date, no studies have compared task performance differences on these tests in CAI patients Changes in balancing ability of athletes with chronic ankle instability after foot orthotics application and rehabilitation exercises. Ann Rehabil Med. 2013; 37 : 523-533 View in Articl
Ankle Dislocation | Twin Boro Physical Therapy - New Jersey. Find a Location 1-888-416-8001. Why Twin Boro. About Us. Our Unique Approach. Meet the Directors. News & Events. Our Programs. Arthritis Rehabilitation It is proposed that ankle taping, such as that with RockTape, increases the afferent input of skin mechanoceptors, stimulated by the traction of the tape on the skin. When combining athletic tape with instability training it was found that there was a significant acceleration in rehabilitation in subjects with chronic ankle instability (CAI) 1. Introduction. Ankle sprains are one of the most common injuries in both athletic and general population [1, 2, 3, 4].Inversion injury is responsible for high percent of ankle sprain involving the lateral ligament [5, 6, 7].Unfortunately these injuries are not completely manageable, and may result in chronic ankle instability (CAI) Ankle injuries tend to fall into two categories: sprains and/or fractures although ankle pain can be caused by other problems such as a biomechanical malfunction of the foot or ankle caused by repeated stress or osteoarthritis. With the correct diagnoses of injuries and in most cases, simple treatment and a rehabilitation programme will be.