Pain and injuries · 5 min read
Poorly healed ankle sprain: what can help you recover stability?
An ankle may continue to hurt, swell or feel unstable after a sprain. This does not always mean a serious injury, but it may indicate that your recovery needs reassessment.
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Why an ankle may remain unstable
After a sprain, mobility, strength and coordination may not recover at the same pace. You may also feel hesitant when weight-bearing, less confident running or unable to react when your foot loses balance.
When to ask for an assessment
Consider an assessment if pain or swelling persists, the ankle gives way, you cannot return to usual activities or you have had repeated sprains. Assessment helps identify which movements and loads you can tolerate and what should be rebuilt gradually.
What physiotherapy may involve
The plan depends on the examination and stage of recovery. It may include mobility, foot and leg strength, balance, coordination, changes of direction and a progression tailored to your sport or activity.
Returning to walking, running or sport
Return should be progressive. Reduced pain is not the only factor: control, confidence and tolerance of the loads required by your activity also matter. The right pace depends on your starting point and response.
When to seek urgent care
Seek urgent medical attention for deformity, complete inability to bear weight, severe pain after major trauma, loss of sensation or a marked increase in swelling and colour change.
Frequently asked questions about pain and injuries
Why does my ankle keep giving way?
Reduced strength, balance or coordination may contribute, but other causes should also be considered. An assessment can guide recovery.
What should you do about a poorly healed ankle sprain?
If the ankle still hurts, swells or gives way when walking or running, seek a new assessment. Recovery may focus on mobility, strength, balance and a gradual return to loading.
Is walking good after an ankle sprain?
It depends on the stage and severity. Weight-bearing is usually adapted progressively without forcing severe pain or ignoring medical advice.
When can I run again after a sprain?
There is no single timeline. It is better to check that you tolerate the required loading, changes of direction and landing demands first.