Common Ankle Injuries and Physical Therapy Approaches

physical therapy Jul11th 2025

Physical therapists treat a number of common injuries that can take place in a variety of settings, both athletic and otherwise, and ankle injuries are a great example. There are a few different kinds of ankle injuries that are relatively common – how can physical therapy help treat them, and which PT approaches might be used for your ankle issues?

At ImPackt Physical Therapy, our physical therapists offer an extensive range of foot and ankle injury treatments to patients around Utah. Here are some of the most common ankle injuries that our patients tend to sustain, plus the approach your physical therapist may take to treating each of them if you’re dealing with such a concern.

Sprains

Some of the most common ankle injuries are sprains, which occur when the ligaments in your ankle are stretched or torn. This can happen due to a fall, sudden twist, or other trauma to the ankle joint.

Many sprains tend to be relatively minor in nature, causing pain and swelling that can be managed with rest, ice, compression, and elevation (RICE). However, more severe sprains may require some more advanced physical therapy approaches:

  • Manual therapy: This can involve a variety of hands-on techniques, such as joint mobilization or soft tissue massage, to help improve range of motion and decrease pain.
  • Therapeutic exercises: These may include stretching and strengthening exercises specifically tailored to your ankle injury, in order to promote healing and restore function.
  • Balance and proprioceptive training: Since sprains can also affect your balance and spatial awareness, physical therapists may utilize specialized equipment such as wobble boards or balance discs to help retrain these skills.
  • Taping or bracing: In some cases, applying tape or using a brace can provide additional support and stability while the ligaments heal.

It’s important to note that starting rehabilitation early after a sprain can help speed up recovery and prevent long-term complications such as chronic instability or recurring sprains. Your physical therapist will work with you to develop a personalized rehabilitation plan based on your specific injury, activity level, and goals.

Strains

While similar to sprains, strains involve stretching or tearing of a muscle or tendon. They are typically caused by overuse, repetitive motions, or sudden and forceful movements. Common areas for strains include the hamstrings, quadriceps, and calves.

Some factors that may increase the risk of strains include inadequate warm-up before physical activity, poor flexibility, fatigue, and muscle imbalances. Similar to sprains, initial treatment for strains involves rest, ice, compression, and elevation. Your doctor may also recommend anti-inflammatory medication to help reduce pain and swelling.

Physical therapy can play an important role in the rehabilitation process for strains. A key aspect of treating a strain is regaining strength and flexibility in the affected muscle or tendon. This is where a physical therapist can provide guidance and exercises to help you gradually return to your normal level of activity without further injury.

Fractures

Moving up the severity chart, fractures are breaks in the bone that can range from small cracks to complete breaks. They are often caused by a sudden impact or repetitive stress on a particular bone, such as in the case of stress fractures.

The treatment for fractures will depend on the severity and location of the break. In many cases, immobilization with a cast or splint is necessary to allow the bone to heal properly. In more severe cases, surgery may be required to realign and stabilize the broken bones.

Physical therapy plays an important role in helping patients recover from fractures. After a period of immobilization, physical therapists can provide exercises and techniques to help improve strength, range of motion, and function in the affected area.

Tendonitis

On the chronic side of things, tendonitis is a common overuse injury that affects many people, especially athletes. It occurs when tendons become inflamed or irritated due to repetitive stress on the affected area.

Tendonitis can develop in any tendon, but it most commonly occurs in the shoulder, elbow, wrist, knee, and ankle. The pain associated with this condition is typically described as a dull ache or throbbing sensation and may worsen with movement or activity.

Treatment for tendonitis usually involves rest, ice therapy, stretching exercises, and physical therapy. In some cases, corticosteroid injections may be used to reduce inflammation and pain.

If you are dealing with any kind of ankle injury anywhere in Utah and are looking for quality physical therapy treatments, our team at ImPackt Physical Therapy is here to help. Contact us today to learn about how our physical therapists will apply their expertise to help manage and control your ankle pain.

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