Sudden changes in direction
Slips and trips
Ill fitting footwear
Often ankle sprains may ‘heal’ with rest and ice however research shows that without proper treatment the tissues involved never fully heal and are highly likely to re-injure (Hubbard and Hicks 2008). When the ligaments are sprained they need to heal, the body produces collagen to heal the damaged area however, this can be laid down incorrectly by the body and lead to scarring or scar tissue. This tissue is relatively inflexible and weak increasing the likelihood of re-injuring and pain in the area.
After a sprain the ligaments are lax again increasing the likelihood of injury. Gradual increases in load and resistance strengthens the ligaments preparing them for activity or a return to sport.
The ankle area itself is vital for balance reactions and maintaining our stability (proprioception), after ankle sprains this is greatly reduced and exercises are needed to target problem. Without this the whole body stability can be affected with knock-on effect at the knees, hips and even lower back.