Treatment FAQ

what is the treatment for torn ligaments in the ankle

by Savannah Bergnaum V Published 3 years ago Updated 2 years ago
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What Are the Treatments for a Torn Ligament in the Ankle?

  • Grading Ankle Injuries. Ankle sprains are categorized and treated based on the severity of the ligament injury. ...
  • Ankle Ligament Tear Treatment. Elevating your leg as much as possible helps limit and reduce swelling. ...
  • Interventions in the Subacute Phase. ...
  • Time to Get Moving. ...
  • Restore Full Function. ...
  • Surgery for Ankle Sprains. ...
  • Warnings and Precautions. ...

Ligament tears can be surgically repaired by stitching them back together, re-attaching them to the bone, or replacing them with a graft (a tendon from another part of your body or from a donor). Most ankle ligament surgery is carried out using keyhole (arthroscopic) surgery.Mar 17, 2021

Full Answer

How long does a torn ankle ligament take to recover?

Part of the recovery time may include physical therapy, stretching or exercise programs. A torn ligament can take anywhere from two weeks to several months to heal, depending on other factors of the injury like the person's age and where the injury occurred.

How to heal torn ankle tendons naturally and safely?

The power of ankle rehab

  • Support and encourage the healthy flow of blood, nutrients and immune cells to the injured area.
  • Support and encourage the removal of waste and debris from the injured area.
  • Safely and gently use flexibility training to improve range of motion.
  • Safely and gently use stability exercises to improve tendon stability.

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Can a torn ligament in ankle heal on its own?

Unless you experience repeated ankle trauma, your ligaments should heal on their own, provided that the advice of your medical professional is being followed. However, should this injury occur too frequently, surgical tightening of the ligaments may become necessary.

Do torn ligaments heal without surgery?

The severity of the torn ligament will have perhaps the biggest impact on recovery time. Small tears such as sprains — in which the tiny fibers that make up a ligament become slightly torn — can heal in just a few days or weeks without surgery. The RICE treatment is often used; RICE stands for rest, ice, compression, and elevation.

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What is the fastest way to heal a torn ligament in the ankle?

TreatmentRest. Avoid activities that cause pain, swelling or discomfort.Ice. Use an ice pack or ice slush bath immediately for 15 to 20 minutes and repeat every two to three hours while you're awake. ... Compression. To help stop swelling, compress the ankle with an elastic bandage until the swelling stops. ... Elevation.

Can a torn ankle ligament heal on its own?

Nearly all isolated low ankle sprains can be treated without surgery. Even a complete ligament tear (Grade 3) will heal without surgical repair if it is immobilized and rehabilitated appropriately.

Can you walk on a torn ankle ligament?

“A torn ligament is considered a severe sprain that will cause pain, inflammation, bruising and result in ankle instability, often making it difficult and painful to walk. Recovery from a torn ligament may take several weeks, and should be done under the supervision of a health care provider.”

What do doctors do for a torn ligament in the ankle?

Types of Foot and Ankle Ligament Surgeries If you have severe ligament damage caused by an ankle sprain, overuse or injury, your doctor will likely recommend ankle ligament reconstruction surgery.

Will xray show torn ligament in ankle?

X-rays do NOT show tendons, ligaments, nerves, cartilage or blood vessels. X-rays typically show bones and joints, and may, at times, show the absence of skin (e.g. infection).

What happens if you don't fix torn ligaments?

Without surgery, the joint remains unstable, painful, and requires continuous care to restore some range of motion. Athletes, in particular, should consider surgery to speed up the recovery process. Surgery may also work with lesser injuries, like a grade 2 tear.

What happens if a torn ligament in ankle goes untreated?

This is especially true in sprains that were not treated. If they're left untreated, sprains will often cause the ankle to become unstable, which can lead to chronic pain, swelling, instability and, ultimately, arthritis.

Do you need crutches for a torn ligament in ankle?

You may need to use crutches until you can walk without pain. If you do use crutches, try to bear some weight on your injured ankle if you can do so without pain. This helps the ankle heal. Take pain medicines exactly as directed.

How do you tell if I tore a ligament in my ankle?

If you have torn your ankle ligament, symptoms include:Swelling around your ankle joint.A feeling of instability.Bruising – sometimes up your lower leg and into your foot.Tenderness to touch.Pain when putting weight on your ankle.Popping sound at the time of injury.

How serious is a ligament tear?

Ligament damage often happens from a sports injury. A torn ligament severely limits knee movement. This results in the inability to pivot, turn, or twist the leg. Surgery is a choice to repair a torn ligament if other medical treatment is not effective.

How long does a torn ligament in ankle take to heal?

Moderate injuries may take between three and four weeks. Because of limited blood flow to the ligaments of the ankle, more severe injuries may take between three and six months to heal.

Can you walk on a foot with torn ligaments?

The quick answer is yes, typically you can walk with a torn ligament or tendon in the foot. Walking may be painful but you can typically still walk.

What is an Ankle Ligament Tear?

Sprained ankles are one of the most common injuries among adults.The bones of your ankle are supported and mobilised by a series of ligaments, tend...

What Are the Symptoms of an Ankle Ligament Tear?

If you have torn your ankle ligament, symptoms include swelling around your ankle join, a feeling of instability, bruising – sometimes up your lowe...

When Should I Seek Treatment for an Ankle Ligament Tear?

If any of these symptoms occur, you should seek treatment from a specialist. Also, if you have suffered a sprained ankle in the past, and persisten...

How is an Ankle Ligament Tear Treated?

Any treatment of an ankle ligament tear starts with a thorough diagnosis. This usually includes a physical examination to test your range of motion...

Can You Walk with a Torn Ligament in Your Ankle?

Yes, you can usually walk with a torn ligament thanks to the other ligaments and supporting structures, but you may feel a lot of pain and a sensat...

How Long Does It Take to Recover from a Torn Ankle Ligaments?

This depends on the extent of the injury, whether you have other related damage, and whether you have surgery.It can take anything from a few weeks...

Do Torn Ankle Ligaments Require Surgery?

Many torn ankle ligaments recover well with a short period of rest, ice, compression and elevation (RICE), followed by a physical therapy programme...

How to treat a partial ankle ligament tear?

A partial ankle ligament tear can be treated effectively with physiotherapy. You will be given exercises to help build up the muscles around your ankle. This will improve stability and help prevent re-injury.

What to do if you can't put weight on your foot?

If you are unable to put any weight on your foot 20 minutes after the injury has occurred, you’re advised to go to A&E. An x-ray will rule out any fracture in the bones of your ankle. But it won’t show the extent of the soft tissue damage.

Can you have surgery on a tear in your ankle?

Surgery is usually only recommended if the ligament tear has caused damage to other structures of your ankle, or has resulted in long-term instability or the risk of other conditions such as arthritis.

How to repair a torn ligament?

The torn ligament is repaired with sutures or stitches, or other ligaments and/or tendons are used to repair the tear. The aim of surgery is to tighten ligaments and ensure that they are properly attached to the bone. Severely damage ligaments are replaced.

How to prevent swelling of ankle?

To prevent further swelling (odema) from inflammation and bleeding a elasticated bandage should be applied to the ankle. This should be tight, but comfortable. Any bandaging should start distal to the injury, moving proximally by overlaying each prior layer by half.

Why is it called a high ankle sprain?

Because this injury involves ligaments located above the ankle joint it is sometimes called a high ankle sprain. This injury affects at least one ligament that connects the fibula and tibia bones being sprained. Mild injuries of this type can take twice as long to heal compared with a typical ankle sprain.

What is the first response to a ligament sprain?

The first response of any ligament sprain is to apply first aid immediately after the injury. This should involve Rest, Ice, Compression and Elevation (RICE). This helps to minimise bleeding at the site of the strained or torn ligament and can help to reduce discomfort and improve recovery time.

What is the ecchymotic swelling of a torn ligament?

The bruising and swelling result from the rupturing of blood vessels caused by tearing of the soft tissues.

How to reduce MCL strain?

Maintaining strong muscles around the ligaments and knee joint can help to reduce the strain on the MCL. Strong quadriceps muscles are particularly beneficial. Located above the knee, these muscles are used in running and can be strengthened with squats and lunges.

How long does it take for a sprain to heal?

The aim is to minimise pain and odema, plus improve recovery time and limit the risk of further injury. Most sprains only require four to six weeks to heal, depending on the grade. If correctly immobilised, a compete ligament tear can heal without the need for surgery.

What type of therapy is needed for torn ligaments in ankle?

You may require different types of therapy depending on the severity of your torn ligament in ankle. For Grade I-II: Physical therapy aims to protect the joint and ligament, and progresses based on your symptoms. You need therapy after the removal of immobilizing device for proper rehabilitation.

How to prevent ligament damage in ankle?

To reduce your risk of an ankle injury and torn ligament in ankle, you should always keep the following tips in mind: Do not exercise or play when you are tired. Maintain a well-balanced diet to keep muscles strong. Take steps to maintain a healthy body weight.

What is the ligament on the inside of the ankle?

The deltoid ligament , which is on the inside of the ankle, has a couple of layers. Although the ligament is quite strong, fractures of the anklebones can tear them apart. Sporting injuries involving ankle ligament are rare, but torn ligament in ankle is always a possibility.

What is a torn ligament in the ankle?

Torn Ligament in Ankle. The ankle facilitates up and down movement between the leg and the foot. It is a hinge joint with the bones of the leg form ing a slot and the talus bone of the foot fitting between them .

What is grade 1 ankle ligament?

Grade I: You may only have some mild damage to the fibers due to micro tearing of the ligaments. Grade II: This refers to partial tearing of the ligament. It may also cause abnormal laxity of the ligaments. Grade III: These types of injuries will cause torn ligament. This will make your ankle joint unstable.

How to help ankle swelling?

It is a good idea to wear ankle-walking boot or you can also use crutches or wear a supportive ankle brace for support. Applying icepack will also help reduce pain and swelling. Just make sure to apply ice for about 20 minutes every couple of hours or so. Use it when your injury is warm or hot.

What happens if you twist your ankle?

Wearing high-heeled shoes or walking in loose-fitting clogs or sandals may also contribute to ankle injuries. An ankle injury can also happen when landing awkwardly after a jump, having a sudden impact such as a car crash and twisting the ankle.

How to heal a ligament in foot?

You want to help your ligament heal as well as possible. That can mean staying off of your foot for a while, depending on the severity of the injury. But when you’re cleared to move around, exercise is a good choice. It not only helps you retain flexibility, but it can also help your ligaments get stronger.

What is a torn ligament?

A torn ligament is a tear in the bands of fibrous tissue that connect joints and bones. These ligaments help with movement, but when they’re stretched or twisted too hard they can tear. Not only does that make movement more difficult, but it can also make movement painful, as it’s often associated with a foot sprain .

How long does it take for a torn ligament to heal?

A minor tear may heal up on its own with proper rest. It may take a few weeks, but it probably doesn’t need treatment. Large tears, though, often need a lot more attention.

Can you walk on crutches with a torn ligament?

Both minor and more serious sprains could have you on crutches for a while, as part of your treatment for a torn foot ligament. Thankfully, the crutches will not only keep you from trying to walk on that foot, but can also be a good way to reduce the pain. If you tear the ligaments in your foot very badly— to the point that they’re completely torn ...

How long does it take to recover from a grade 3 ankle sprain?

Commonly, you could expect the grade 3 ankle sprain recovery time to be between 4 weeks and 8 weeks, with some variation due to the health of the patient, any other injuries, the severity of the sprain, and whether they followed the treatment guidelines.

What is grade 3 ankle sprain?

If you have sprained your ankle, and the pain hasn’t faded quickly , then you may have sustained a serious sprain, like a grade 3 ankle sprain. In many ways, the symptoms and experience of a severe ankle sprain are similar to that of an ankle fracture. Both are very painful and take time to recover from to ensure a healthy level ...

Can you walk with a torn ankle ligament?

Is no, as the pain is very severe and the main symptoms limit mobility. However, there are different types of severities of torn ligament, which could mean that walking is a possibility. Some of the most common torn ankle ligament symptoms, include: Weakness and Bruising. Tenderness and Swelling.

Can you get free ice packs for a torn ligament?

You could be eligible to get free medical supplies, like ice packs, crutches, and bandages, for your torn ligament injury, as well as access to physiotherapy services and orthopaedic reporting.

Can physiotherapy help with ankle injury?

Physiotherapy can help will all different types of injury, including the tearing of ligaments in the ankle. The right treatment can accelerate your recovery, without compromising on the quality of the recovery. You may be able to make a claim for free physiotherapy in your local area.

What is the best treatment for a sprained ankle?

A removable walking boot, an air-filled or gel-filled ankle brace, or a short leg cast is often used to provide support and promote healing, especially for severe sprains. As pain and swelling resolve, resuming normal movement of the ankle becomes a high priority to prevent long-term stiffness.

How long does it take for a torn ankle ligament to heal?

Severe ankle sprains may take weeks to months to recover fully. Rest, ice, compression and elevation are generally recommended as initial treatments for torn ankle ligaments. Nonsteroidal anti-inflammatory medications, such as ibuprofen (Advil, Motrin) or naproxen (Aleve), are useful for pain.

What happens if you tear your ankle ligaments?

A partial ligament tear produces a moderate sprain and a complete tear causes a severe sprain. Pain, a popping sound, swelling, bruising, stiffness and instability are signs of torn ankle ligaments. A severe ankle sprain typically causes severe signs, which may be similar to those seen ...

Why does my ankle swell?

A partial or complete ligament tear causes ankle swelling due to bleeding and inflammation in the area. Bruising also occurs, as blood leaks into the tissues beneath the skin. The amount of swelling and bruising generally depends on the severity of the ligament tear -- it is moderate with a partial tear and severe with a full tear.

How long does it take for a sprained ankle to heal?

Severe ankle sprains may take weeks to months ...

Why does my ankle feel unstable?

With a complete tear, the ankle will also feel unstable when the person attempts to stand on the leg.

Why do my ankles face inward?

Several ligaments around the ankle provide stability to the ankle joint. These ligaments can be stretched or torn when a twisting injury of the ankle occurs. As noted by the American Orthopaedic Foot and Ankle Society, the most common twisting injury causes the sole of the foot to face inward, toward the other foot.

How long does it take to heal a ligament tear?

The recovery time can be a few weeks or up to a year, depending on the severity of the ligament tear. 11 .

What ligaments are torn when skiing?

Thumb: The ulnar collateral ligament can be torn when skiing (the injury is often called skier's thumb) or in a fall when the thumb is bent in an extreme position. 6 . Neck: The ligaments of the neck can be torn during whiplash injuries when sudden acceleration and deceleration cause extreme movement of the cervical spine.

What causes a torn ulnar collateral ligament?

Other common sites of ligament tears and the possible causes behind them include: 1 Thumb: The ulnar collateral ligament can be torn when skiing (the injury is often called skier's thumb) or in a fall when the thumb is bent in an extreme position. 6  2 Neck: The ligaments of the neck can be torn during whiplash injuries when sudden acceleration and deceleration cause extreme movement of the cervical spine. The ligament tear is just one part of a whiplash injury, which may also damage muscles, nerves, and bones. 7  3 Back: The ligaments in the back can be torn by lifting something that is too heavy. 8 

How to tell if a ligament is tearing?

Symptoms. A ligament tear is painful and tender to the touch. You may see swelling and bruising. It may be difficult to move the joint. In the case of some ligaments, you may hear a pop or feel tearing at the time of the injury. You may also experience muscle spasms. 1 . Ligaments support and strengthen joints.

Why do ligaments tear?

A ligament tear usually occurs due to extreme force to a joint such as with a fall or another high-impact event. Common ligament tears are to the ankle, knee, wrist, thumb, neck, or back ligaments.

Which ligament is most commonly injured?

The ACL is the most common ligament to be injured. 4 . Wrist: There are 20 ligaments in the wrist and tears most often occur in falling on an outstretched hand. The scapholunate ligament and the triangular fibrocartilage complex (TFCC) are the most common ones injured. 5 . Other common sites of ligament tears and the possible causes ...

What is the function of ligaments?

Ligaments support and strengthen joints. Their main function is to keep the bones of the skeleton in proper alignment and prevent abnormal movements of the joints. Movement will be impaired when a ligament is torn, resulting in looseness in the joint or being unable to move the joint normally.

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Causes

Overview

Symptoms

  • A torn lateral ankle ligament presents as painful swelling and can often be ecchymotic. The bruising and swelling result from the rupturing of blood vessels caused by tearing of the soft tissues. Consequently, the initial swelling is due to bleeding into the surrounding tissues and the build-up of fluid.
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Prognosis

  • Often people that suffer a sprained ankle will experience future strains due to ankle instability. This is especially the case for people that have received several minor sprains or a single severe sprain. When ligaments are sprained they can become thickened and irritated, further agitating the ankle. Most sprains only require four to six weeks to heal, depending on the grade. If correctly i…
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Diagnosis

  • Diagnosing torn lateral ankle ligaments is usually through physical examination and x-rays to identify any potential fractures. During the assessment the physician will determine: If a very severe sprain is suspected, the physician may request an MRI to fully assess the extent of the injury and determine the recommended course of action.
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Treatment

  • The first response of any ligament sprain is to apply first aid immediately after the injury. This should involve Rest, Ice, Compression and Elevation (RICE). This helps to minimise bleeding at the site of the strained or torn ligament and can help to reduce discomfort and improve recovery time. Grade 1 and Grade 2 sprains should effectively heal u...
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Variations

  • There are variations of the RICE application; however the principles remain the same. The aim is to minimise pain and odema, plus improve recovery time and limit the risk of further injury.
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Preparation

  • During this procedure a C or J-shaped incision is made over the ankle and ligaments identified. Using anchors or stitches attached to the fibula bone, these ligaments are tightened. Other tissue may be stitched over the ligaments to strengthen the repair. If the ligaments need replacing, tendons can be taken from the hamstring or a portion of the ankle and weaved into the bone sur…
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Research

  • Other research also published at the same time as Li and colleagues suggests that arthroscopic repair of chronic lateral ankle instability can be just as successful as a Broström-Gould anatomic repair. Nuro and Moreira used an anchor placed in the fibula during arthroscopic lateral ligament repair to treat 31 patients6. Although some complications were noted, most of these were mino…
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Clinical significance

  • Studies confirm that a prolonged history of instability of the lateral ankle ligaments can promote cartilage breakdown and subsequent osteoarthritis, although the severity is also influenced by ages and other risk factors8.
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Prevention

  • Ankle sprain and associated ligament tears can be difficult to prevent, especially for individuals that play a lot of sport or are obese. The best way to protect the ankle is by maintaining good muscle flexibility, balance and strength. Wear appropriate supporting footwear, pay attention to working, running and walking surfaces, and warm-up prior to vigorous physical activities.
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Diet

  • Good nutrition can help to accelerate healing by reducing tissue inflammation and stress. Eating plenty of fresh fruit and vegetables will help to increase antioxidant activity and lower inflammation.
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Benefits

  • Vitamin C, protein, zinc and copper are all important nutrients that support ligament recovery. As vitamin C is involved in collagen production it is an essential precursor for the structural base of ligaments. Vitamin C has also been shown to successfully stop inflammation following surgery to repair torn ligaments10. High-quality protein is also needed to facilitate rejuvenation of ligament…
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