What is an Eversion Ankle Sprain?
An eversion ankle sprain is a less common but often more severe type of ankle injury where the foot twists outward, overstretching or tearing the ligaments on the inner (medial) side of the ankle. Unlike the more common inversion sprain (where the ankle rolls inward), an eversion sprain affects the structures that stabilise the ankle against outward movement.
Structures Involved in an Eversion Ankle Sprain
The key anatomical structures that may be implicated include:
- Deltoid Ligament: This strong, fan-shaped ligament complex on the medial side of the ankle is the primary structure injured during an eversion sprain.
- Tibialis Posterior Tendon: Can be strained or irritated due to overstretching.
- Medial Malleolus: In severe cases, the bony prominence of the tibia may sustain a fracture.
- Syndesmosis (High Ankle Ligaments): These may be involved in more serious injuries, particularly if there is a twisting force combined with dorsiflexion.
- Spring Ligament (Plantar Calcaneonavicular Ligament): May also be strained in more complex cases.
Consequences of an Eversion Ankle Sprain
- Pain and Swelling on the inner aspect of the ankle
- Reduced Mobility and Stability, particularly during weight-bearing activities
- Difficulty Walking, especially on uneven surfaces or stairs
- Prolonged Recovery Time, as medial ankle structures heal more slowly than lateral ones
- Potential for Chronic Instability or recurrent sprains if not properly managed
- Risk of Associated Fractures in moderate to severe cases
Physiotherapy Management for Eversion Ankle Sprain
Early intervention by a physiotherapist is crucial for optimal recovery and preventing long-term complications.
1. Acute Phase (0–72 hours)
- RICE Protocol: Rest, Ice, Compression, Elevation
- Immobilisation: Use of a brace or moon boot if weight-bearing is painful
- Pain Management: Gentle manual therapy, taping, and modalities like ultrasound or TENS
2. Subacute Phase (3–14 days)
- Range of Motion Exercises: Gentle active and passive movements to prevent stiffness
- Soft Tissue Therapy: To address muscle guarding and swelling
- Progressive Weight-Bearing: With support as needed (e.g., crutches or ankle brace)
3. Strengthening Phase (2–6 weeks)
- Targeted Strengthening: Focus on tibialis posterior, peroneals, calf muscles, and intrinsic foot muscles
- Balance and Proprioception Training: Wobble boards, single-leg stance, etc.
- Manual Therapy: Joint mobilisations to restore ankle joint mechanics
4. Return to Activity/Sport Phase (6–12+ weeks)
- Sport-Specific Drills: To simulate dynamic ankle loading
- Agility and Plyometric Training
- Graduated Return to Sport: Under physiotherapist supervision
When to See a Physio for an Eversion Ankle Sprain
If you’ve sustained an ankle injury and notice swelling, bruising, or difficulty walking, it’s important to get assessed early. At After Hours Physio, we offer emergency home visit physiotherapy services for urgent musculoskeletal injuries, including eversion ankle sprains. Our expert physios provide immediate care to reduce pain and promote faster recovery—right at your doorstep.
Book a Mobile Physio for Eversion Ankle Sprain in [Your Location]
Looking for expert treatment for an eversion ankle sprain in Mitcham, Nunawading, Doncaster, Blackburn? Contact After Hours Physio today for rapid, hands-on care tailored to your needs.
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