Trauma

More serious trauma can cause fracture, serious laceration, or crushing injury. Ankle sprains, for example, are sometimes due to a preexisting foot dysfunction, typically aggravated by improper footwear such as thick-soled sports shoes or high-top sneakers. The most popular shoe in this category is the basketball sneaker. Plain high-top sneakers were popular for many years, but today they have become fancy over-supported, overpriced high-top shoes. Supposedly, the added ankle support, the key feature of this shoe, protects against ankle sprain and other injuries. But studies don’t verify this. Actually, these shoes can do just the opposite, as basketball players may have the highest rates of ankle sprains of any sport. When the ankle, or any area of the body, is supported, we run the risk of weakening that area. This is the result of muscles that sense the support and no longer have to work as much; the result is loss of some of their strength.

Whatever the cause of the trauma, it often results in abnormal muscle imbalance. In a sprained ankle, the trauma damages the muscles along with other important foot structures such as ligaments, tendons, fascia, or even blood vessels. An ankle sprain typically includes damage to the lateral collateral ligaments on the outside of the foot, but at other times different structures may be damaged such as the tendon, local joints or bones, or even nerves. But in almost all cases, muscle imbalance occurs as well, and many of these muscles stay chronically inhibited, slowing recovery time, maintaining pain and often allowing a recurrence of ankle sprain. In fact, the majority of athletes who sprain their ankle will do so again.

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If you sprain your ankle, and rule out serious injury, such as fracture, the area should heal relatively fast. Pain that does not diminish or is almost eliminated within a few days or a week of injury may also be associated with muscle inhibition that has not been corrected or compensated for by the body. Many traumatic injuries will recover significantly faster when normal muscle function is restored as quickly as possible.