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Ankle Sprains and how osteo can help – by Dr Sarah Walsh

By Eliza Gleadell
March 30, 2025

When people think of osteopathy, they often associate it with treating back or neck pain. However, osteopaths are trained to treat a wide range of injuries and conditions, including lateral ankle sprains. If you’ve ever twisted your ankle, you know how painful it can be and how it can interfere with daily activities. Osteopaths can play an important role in managing ankle sprains, using hands-on techniques and rehabilitation exercises to help reduce pain and speed up recovery.

A lateral ankle sprain occurs when the ligaments on the outer side of the ankle are overstretched or torn. This injury is often caused by the foot turning inward, leading to pain, swelling, bruising, and difficulty moving or putting weight on the ankle. It’s especially common in sports but can happen to anyone.

When you visit your osteopath they will assess your ankle and develop a tailored treatment plan to suit your needs. The initial focus will typically be on managing the pain and swelling, using gentle manual therapy techniques to reduce discomfort and improve circulation. Use of the R.I.C.E (Rest, Ice, Compression, and Elevation) method in the early stages of recovery may be recommended. In addition to this, your osteopath may use soft tissue massage and joint mobilisation to relieve tightness in surrounding muscles and improve joint mobility.

Rehabilitation in many cases can commence almost immediately after your first visit. Your osteopath will guide you through a specific set of rehabilitation exercises aimed at restoring strength, flexibility, and stability to the injured ankle. This might include range-of-motion exercises to help the ankle move smoothly again, as well as strengthening exercises to rebuild the muscles around the joint. Common exercises include calf raises, ankle circles, and resistance band work to target the ankle stabilizers.

Balance and proprioception exercises are also a key part of the rehabilitation process. These exercises, such as standing on one leg or using a balance board, help train your body to react quickly and maintain stability, reducing the risk of future sprains.

Osteopaths also take a holistic approach, looking at how the entire body functions. This means they might assess your posture, walking pattern, and alignment to ensure your body is moving efficiently. This comprehensive approach helps prevent compensatory issues in other areas, like the knees or hips, which could increase the risk of further injuries.

In some cases, if the injury seems more serious or isn’t improving as expected, your osteopath might recommend further imaging, such as an x-ray or MRI. These are simply tools that help get a clearer picture of the injury, ensuring that any underlying issues, like fractures or severe ligament damage, are properly addressed. However, it’s important to note that this is not always necessary. Your osteopath will only suggest imaging if they feel it’s needed to ensure you receive the best possible care. The goal is always to provide you with the most effective treatment plan and help you recover as quickly and safely as possible.

If you’ve suffered from a lateral ankle sprain or are dealing with lingering pain, don’t hesitate to see an osteopath. With hands-on treatment, personalized rehab plans, and a focus on long-term recovery, osteopathy helps not only address the injury but also reduce the risk of future problems.

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