chronic ankle instability

While ankle sprains remain one of the most common injuries in sports, accounting for more than 45 percent of all athletic injuries according to some estimates, they are not all alike, so it is important that each patient have an individualized treatment plan, recommends a new position statement from the National Athletic Trainers' Association (NATA). 

The position of the foot just before ground contact during running and walking may put people at risk for ankle sprains, according to a new study in the June 2011 online edition of the American Journal of Sports Medicine which found that people who have a history of repetitive ankle sprains demonstrated lower clearance heights between their feet and the floor during running, and pointed their toes down more during walking.

If your child's ankle gives way more and more easily during sports, and, eventually, during everyday activities, he has developed chronic ankle instability. Often times, such instability is the result of an ankle sprain that has not been allowed to fully heal. Repeated ankle sprains cause a loss of proprioception (communication between the central nervous system and the muscles, tendons, and ligaments of the ankle), which, in turn can lead to faulty technique or a sudden loss of control or balance, either of which can, in turn, lead to even more sprains! If your child has a chronically unstable ankle, sports medicine experts say that a rehabilitation program supervised by a physical therapist or athletic trainer (ATC) is absolutely essential.