Management of Acute Ankle Sprains in the Athlete

Purpose of the Review Ankle sprains are one of the most common sports injuries, resulting in sequelae that can ultimately affect function, return to play, and increase the risk of re-injury. This narrative review analyzes the scientific literature regarding acute ankle sprains in the athletic population and provides an overview of the clinical management as well as secondary prevention of this injury. Recent Findings A detailed clinical assessment is necessary to confirm diagnosis, establish the severity of the sprain, and document associated injuries. The rehabilitation program can include functional and early mobilization, manual therapy, and cryotherapy followed by a progression of strengthening, sports-specific exercises, and plyometrics. Topical and oral NSAIDs can be helpful in pain control. Return to sports should be a shared decision, encompassing both subjective and objective measures. Secondary preventive strategies should be incorporated in the treatment protocol as recurrence of this injury is common. Ankle sprains are frequently seen by clinicians who care for athletes with sports injuries, particularly in the sideline and training room settings. These clinicians should be acquainted with the treatment and prevention of this condition.