Untold Physio Stories

Acute Ankle Antidotes: Navigating Lateral vs. High Ankle Sprains


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When an acute ankle sprain hobbles into your clinic, do you treat them all the same? 🛑

If you treat a high ankle sprain like a standard lateral inversion sprain, you are going to flare that patient up. Fast.

In this episode of Untold Physio Stories, Dr. Sean Wells and I break down two very recent, very acute cases that walked through the door.


Case 1: The Classic Lateral Sprain.

Patient presented with immediate swelling and loss of ROM. We discuss why checking the distal fibula for positional faults immediately can restore movement before they even leave the table.


Case 2: The "Combo" (Lateral + High Ankle).

This one is tricky. The squeeze test was positive. Dorsiflexion was painful and limited. We break down why you have to stabilize the syndesmosis differently than you treat the ATFL.

In this episode, we cover:


đŸ’„ Manual Therapy in the Acute Phase: Yes, you can touch it! We share the safe MWMs to regain dorsiflexion. Plus bonus - e-stim combo for early WB

đŸ’„ Taping Strategies: When to use a fibular repositioning tape


Stop guessing with acute ankles. Assess the mechanics, classify the injury, and load them appropriately.

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Untold Physio StoriesBy Dr. Erson Religioso III, DPT, FAAOMPT

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