Ankle sprain& unstable ankles.
A twisted ankle that is still swollen, or one that keeps giving way: rebuilt with balance and strength, not just rest.
What it is
An ankle sprain is a stretch or tear of the ligaments that hold the ankle steady, most often on the outside of the ankle when the foot rolls inwards. It is one of the most common injuries there is. Most heal well, but a sprain that is only rested and never rehabilitated often leaves the ankle weaker and less steady, and many people go on to sprain it again. Balance and strength training is what reduces that risk.
How we treat it
- 01An assessment to grade the sprain and check whether an X-ray is needed.
- 02Early care: managing swelling, protecting the ligament and walking as soon as it is safe.
- 03Restoring ankle movement with manual therapy and mobility exercises.
- 04Balance and strength training, progressed to hopping and sport-specific work where needed.
- 05Taping for support while you return to activity.
When to see a doctor first. See a doctor or go to an emergency department first if you cannot take four steps after the injury, if there is tenderness on the bony points of the ankle or the outer edge of the foot, if the ankle looks deformed, or if the foot becomes numb or cold.
Commonquestions.
- Do I need an X-ray for a sprained ankle?
- Not always. Doctors and physiotherapists use simple examination rules to decide whether an X-ray is needed, based on where it is tender and whether you can take a few steps. If one is needed, we will refer you.
- Should I walk on a sprained ankle?
- For most sprains, early walking as pain allows helps recovery. A severe sprain may need a short period of support first. The assessment tells you which applies.
- Why does my ankle keep giving way?
- After a sprain, the ankle’s balance and position sense are often reduced, even once the pain has gone. Specific balance and strength training usually improves this and lowers the chance of spraining it again.
Treatments we use for it
- Manual TherapyPrecise hands-on mobilisation that gives stiff, guarded joints their range back.
- Therapeutic TapingKeeps the correction working long after the session ends.
- Aqua TherapyBuoyancy takes the load off, so you move far earlier.
Other conditions
- Back Pain & Sciatica
- Frozen Shoulder & Shoulder Pain
- Knee Pain & Knee Surgery Rehab
- Neck Pain & Cervical Spondylosis
- Sports Injuries
- Post-Surgery Rehabilitation
- Arthritis & Joint Pain
- Stroke & Paralysis Rehabilitation
- Heel Pain & Plantar Fasciitis
- Tennis Elbow & Golfer’s Elbow
- Jaw Pain & TMJ Disorders
- Balance, Falls & Mobility in Older Adults
- Vertigo & Dizziness


