Sports Topics > Foot & Ankle Injuries

Contributed by Steven R. Myers, M.D., FACS, Orthopedic Surgeon
Colorado Springs Orthopaedic Group

Introduction
Though other injuries seem to be more serious, injuries to the foot and ankle can be disabling and require long recovery periods. The initial treatment for these injuries is very similar to the non-athlete, but the rehabilitation is more aggressive to hasten return to play. Studies have shown that in basketball alone, 35 percent of high school participants will suffer an injury to the foot or ankle requiring treatment!

Injury Prevention
First of all, a word about prevention. The cornerstone of preventing injuries on any surface is a strong athlete. A prophylactic pre-season exercise program in Sweden was shown to decrease soccer foot and ankle injury rates by 75 percent! High-top shoes alone won’t make a difference, but high tops plus taping or bracing is beneficial for an “injury prone” player. Don’t worry if your child has a flat foot or a high arch, as it doesn’t seem to make any difference in the overall incidence of injuries. Your main goal is to send that athlete to the first day of practice strong and ready to work hard.

Shoes and Orthotics
Next is the issue of footwear and use of “orthotics.” Nothing more than common sense will help you pick out the right shoes for your young star, as long as the shoes fit well, have a strong and durable sole, and a comfortable, supportive insole. Rarely, and I do mean RARELY, do I ever see a growing athlete who needs an expensive custom orthotic. If you do feel that your son or daughter needs more than what comes inside the new shoes on which you have just spent next year’s vacation allowance, then start by going to one of the local sports stores and pick out a full-length “sport insole” with a good supportive arch. Beyond that, if problems persist or if pain limits activity, make an appointment at our clinic and we’II get you pointed in the right direction.

Ankle Injuries
As far as injuries go, I’II start at the ankle and work down to the toes.
The ankle sprain is the single most common injury in sports. They can occur on both sides of the ankle, and in severe cases, are associated with dislocations. Let’s look at the ligaments of the ankle. (Figure)

A sprain is the same as saying a ligament is torn. There can be degrees of tears, from a minor tear (Grade I) to a major tear (Grade lll). In the less severe tears, the athlete will complain of pain, but usually is able to bear weight and will have minimal swelling and bruising. Treatment is directed towards pain relief with Tylenol, rest, ice and elevation. Return to sport is allowed when running is pain-free and strength is normal.

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