Ankle Sprains: Physiotherapy vs Surgery – Which is Best?
Ankle sprains are one of the most common injuries, occurring when the ligaments in the ankle are stretched or torn due to a sudden twist, roll, or awkward landing. While many sprains heal with physiotherapy, some severe cases may require surgery. Understanding the best treatment approach can help ensure a full recovery.
What Happens in an Ankle Sprain?
The ankle is supported by ligaments that provide stability. When these ligaments are overstretched, they can partially or completely tear, causing pain, swelling, and difficulty walking. The severity of a sprain is graded as:
- Grade 1 – Mild stretching of the ligament with minor swelling and discomfort.
- Grade 2 – A partial ligament tear with more noticeable swelling, bruising, and pain.
- Grade 3 – A complete ligament tear, leading to significant swelling, instability, and difficulty bearing weight.
When is Physiotherapy Enough?
Most mild to moderate sprains can be successfully treated with physiotherapy. This includes:
- Reducing pain and swelling with rest, ice, compression, and elevation (RICE).
- Restoring strength and mobility through targeted exercises.
- Improving balance and stability to prevent future injuries.
Physiotherapy is highly effective for most cases, helping patients return to normal activity without long-term complications.
When is Surgery Needed?
Surgery is usually only recommended in severe cases where:
- The ligaments are completely torn, causing persistent instability.
- The ankle remains weak despite a full rehabilitation program.
- The patient experiences repeated sprains affecting mobility.
Which Option is Best?
For most people, physiotherapy is the first-line treatment, leading to a full recovery. Surgery is reserved for extreme cases where ligament damage is too severe for the ankle to heal on its own. Consulting a physiotherapist early can help guide the best treatment choice and ensure a safe, effective recovery.