Foot & Ankle Surgeon Questions Podiatrist

Does ankle sprain need surgery?

I sprained my ankle. Does ankle sprain need surgery?

11 Answers

No
Technically, if the ankle is not just 'strained' (mild over-stretch injury) there are 'grades' of sprains from mild to severe, consistent with one to several supportive ligaments and/or tendons components being frayed or torn. Sometimes there can even be bony fractures involved.

MRI imaging assists with this diagnosis, but it is the patient's ankle joint stability and activity tolerance that usually directs Orthopedists and Physiatrists to offer specific therapeutic options.

Age and stage of life also is important to consider when thinking about surgery. If someone has several advanced medical conditions that makes surgery riskier and thus less than desirable - especially if one is not an athlete and can get away with conservative therapies and supportive bracing during more intensive activities - surgery can be avoided (even with a more advanced sprain per MRI imaging).

Ultimately, one needs a full and proper diagnosis WITH consideration of all medical and psychosocial variables before a decision is made to just follow the more conservative approach versus surgery.

From a patient's perspective, how does this 'sprain' affect your functional independence during walking, transferring into and out of chair or bed, standing during showers, driving, or doing exercises and your favourite activities? Is there instability, pain, compromise of circulation, recurrent wounds/blisters/calluses that appear due to a deformity, development of plantar fasciitis, etc? The physician can help you weigh the risks and benefits of your options. Ultimately, this is a shared decision between the surgeon and the patient.

I hope that this helps!
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No just need to off your feet and keep ice on them for 2-4 days. And start Physical therapy to help strengthen the foot.
Good day,
The answer to this question is determined by the degree of the ankle sprain. Most sprains do not require surgery. Immobilization and limited weight-bearing for a period of time are the normal ways to treat a sprained ankle. If it is determined there is a complete tear of some or all the ligaments of the ankle, consideration for surgery may be one of the options.
Sprains are ligament injuries. They usually do not require surgery, but they often require splinting or even casting.
Depends on the severity of the sprain, but most do no require surgery and will take anywhere from 2-6 weeks to heal.
Typically, no surgery recommended. If only an ankle sprain.
It is unlikely you need surgery. The most suggested form of rehab is to strengthen the muscles that would prevent the ankle from moving in the direction that caused the sprain.
Not usually, but sometimes. A 'sprain' actually means the ligaments were stretched. But about 30% of ankle sprains involve a fracture of the ankle bones, and that sometimes requires surgery. Sometimes, the the ligaments are more than stretched, they tear/rupture. Many times these ligaments will require surgery to maintain the stability of the ankle.
Treatment will depend on severity of the injury. I recommend this be discussed with a foot and ankle surgeon (podiatrist) for this particular case.
It depends if ligaments are torn.