All About Ankle Sprains: Expert Insights from Dr. Miguel Cunha at Gotham Footcare | Gotham Footcare (2024)

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Ankle sprains are among the most common injuries, particularly for athletes and those who lead an active lifestyle. Often dismissed as a simple “ankle roll,” untreated sprains can result in long-term damage if not properly addressed. Dr. Miguel Cunha, a renowned podiatrist and founder of Gotham Footcare in Manhattan, has seen countless cases of ankle sprains and their effects on long-term foot and ankle health. In this blog, we’ll highlight some of the most frequently asked questions about ankle sprains and Dr. Cunha’s expert advice on treatment and recovery.

What Happens When You Sprain Your Ankle?

Dr. Cunha explains that “the most common way to sprain your ankle is by inverting and plantarflexing, which means turning your foot inward and pointing it down under the ankle.” This movement places stress on the ligaments that support the ankle, causing a sprain. One of the most commonly injured ligaments during an ankle sprain is the anterior talofibular ligament (ATFL), which connects the talus bone to the fibula. The ATFL provides crucial stability to the ankle joint, and when it is sprained or torn, you can experience pain, swelling, and instability.

Dr. Cunha adds, “While the ATFL is the most common ligament injured, other ligaments can be affected too, including the calcaneofibular ligament and, less commonly, the deltoid ligament on the inside of the ankle.”

How Do I Know If My Ankle Sprain Is Serious?

Spraining your ankle results in immediate pain and swelling, but it can be difficult to know if it’s severe. “Lingering pain and swelling weeks after the injury is a sign that the sprain may be more serious,” says Dr. Cunha. “If you notice instability in your ankle or feel like it ‘gives out’ after a sprain, it’s likely that the ligament is torn or severely stretched.”

Additionally, a torn ligament can cause swelling in the ATFL region, and you may experience tenderness when applying pressure to the area. Dr. Cunha advises seeking a professional evaluation if the swelling persists or if you feel ongoing instability.

How Long Does It Take for an Ankle Sprain to Heal?

According to Dr. Cunha, “Ankle sprains usually take 4 to 6 weeks to heal if treated properly.” However, this depends on the severity of the injury and whether other ligaments or bones are involved. Rest, ice, compression, and elevation (R.I.C.E.) are critical in the early stages of healing, but professional evaluation and treatment are necessary for more serious sprains.

In some cases, Dr. Cunha notes, ankle sprains can take months to fully heal, especially if the injury wasn’t treated immediately. “Ligament injuries can take longer to heal if not properly managed, and some patients experience swelling for up to a year after their injury,” he says.

Should I Wrap a Sprained Ankle?

Dr. Cunha advises that wrapping a sprained ankle with a compression bandage, sleeve, or brace can help control swelling immediately after the injury. “However, it’s essential to get an evaluation from a foot and ankle specialist to determine if additional support, such as a walking cast boot, is needed,” he adds.

Walking on a sprained ankle without proper support can cause further damage. Dr. Cunha recommends keeping weight off the ankle until a specialist has determined the extent of the injury.

Do Sprained Ankles Need Surgery?

Most ankle sprains can be treated without surgery, especially if it is a patient’s first sprain. “Conservative treatment often involves a period of time in an orthopedic boot combined with a course of physical therapy to restore strength and stability,” says Dr. Cunha. However, for patients with recurring ankle sprains or severe ligament tears, surgery may be necessary to repair the damaged ligaments.

In cases where surgery is required, Dr. Cunha explains that it typically involves repairing the ATFL and sometimes performing an ankle arthroscopy to assess the ankle joint. “These procedures are generally quick, taking about 45 minutes to 2 hours depending on the complexity,” he adds. Most patients can return home the same day after ankle surgery.

What Is the Recovery Process Like After Ankle Surgery?

Dr. Cunha outlines a typical recovery timeline for patients undergoing ankle surgery. “For the first three weeks, patients are non-weight bearing and need to keep the affected limb in a cast. After three weeks, they can begin to bear weight on the ankle but must remain in an orthopedic boot,” he says. At the six-week mark, patients are usually transitioned out of the boot and into a brace, and physical therapy begins.

“Physical therapy is crucial for regaining strength and stability after ankle surgery,” Dr. Cunha stresses. “A rigorous course of physical therapy for at least 6 to 12 weeks is essential for a full recovery.” He adds that by the 12-week mark, many patients can resume high-impact activities like running and jumping.

Dr. Cunha’s expertise offers valuable insight into the causes, treatment, and recovery process for ankle sprains. Whether you’ve had a minor sprain or are considering surgery, following these guidelines will help you make informed decisions about your foot health. For more information or to book an appointment, visit Gotham Footcare.

Common Questions About Ankle Sprains

How long will my ankle stay swollen after a sprain?
The duration of swelling depends on the severity of the sprain and whether there is any associated bone injury. Dr. Cunha explains, “In some cases, swelling can last anywhere from 3 months to a year, especially if there’s a significant ligament injury or bone involvement.” If the swelling persists beyond a few weeks, Dr. Cunha advises seeking medical evaluation to ensure proper healing.

What’s the fastest way to recover from an ankle sprain?
Dr. Cunha emphasizes that proper rest, ice, compression, and elevation (R.I.C.E.) are key in the early stages of healing. “One of the fastest ways to recover is to avoid putting weight on the ankle immediately after the injury,” he advises. Following up with a foot and ankle specialist for an accurate diagnosis and treatment plan is also crucial for a quick recovery. Physical therapy plays a significant role in regaining strength and flexibility.

Can I walk on a sprained ankle?
Walking on a sprained ankle right after the injury is not recommended, as it can worsen the damage. “If the ligament is ruptured, walking on the ankle can lead to further injury,” Dr. Cunha cautions. He recommends avoiding weight-bearing until after an evaluation by a specialist.

About Dr. Miguel Cunha and Gotham Footcare
Dr. Miguel Cunha is a leading podiatrist and founder of Gotham Footcare, located in the heart of Manhattan. Known for his innovative treatments and patient-focused approach, Dr. Cunha has helped countless patients recover from ankle sprains, foot deformities, and other injuries. At Gotham Footcare, patients receive state-of-the-art care for various foot and ankle conditions, from conservative treatments to advanced surgical procedures. If you’re dealing with an ankle sprain or other foot issues, schedule a consultation at Gotham Footcare.

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