Ankle Sprain Treatment in Fairfax, VA
Stretched or torn ankle ligaments, treated with early protection and rehab to heal fully and prevent repeat sprains.
Overview
An ankle sprain happens when the foot rolls and stretches or tears the ligaments that hold the ankle stable. Most involve the ligaments on the outside of the ankle. Sprains are graded from mild (stretched) to severe (complete tear). A "high ankle sprain" affects the ligaments above the joint and usually takes longer to heal.
Symptoms
- Pain and swelling around the ankle, usually the outside
- Bruising that may spread to the foot
- Difficulty bearing weight
- A feeling of looseness or instability
- A pop at the time of injury
Causes and risk factors
- Landing awkwardly or stepping on uneven ground
- Cutting and pivoting sports such as basketball, soccer, and tennis
- Trail running and hiking
- A previous sprain, the strongest risk factor for another
- Weak balance or ankle strength
Diagnosis
We examine ligament stability, check for bone tenderness, and take X-rays when a fracture is possible. MRI or ultrasound is used for severe sprains, high ankle sprains, or ankles that aren't recovering as expected.
Treatment
- Early care: protection in a brace or boot, elevation, ice, and early weight bearing as tolerated
- Rehab: a progressive program for range of motion, strength, and balance; this is what prevents repeat sprains
- Bracing and taping: for return to sport (Sports Medicine & Custom Orthotics)
- Surgery: rarely needed for a first sprain; reserved for severe injuries or ongoing instability
When to see us
Get evaluated if you can't put weight on the ankle, there's tenderness over the bone, swelling is severe, or the ankle still feels weak or unstable after two to three weeks. We offer same-day and next-day appointments at our Fairfax office for acute injuries.
Our approach
Sports-related injuries are a clinical focus for Dr. Andrew Falco, and Dr. Shyaun Rafii trained extensively in sports medicine during residency at MedStar Georgetown University Hospital and their respective fellowships. Our goal is a full recovery, not just getting the swelling down, so the ankle doesn't sprain again.
Frequently asked questions
Should I rest a sprained ankle completely?
No. Short-term protection helps, but early, guided movement leads to better recovery than prolonged rest.
How long does a sprain take to heal?
Mild sprains improve in two to three weeks. Severe or high ankle sprains can take two to three months.
Why do I keep spraining the same ankle?
Incomplete rehab after the first sprain is the most common reason. It can lead to chronic ankle instability.