High Ankle Sprain | Syndesmosis Injury (Evaluation | Education | Exercises)

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In this video, I discuss the anatomy, mechanism of injury, assessment, and management of high ankle sprains, also referred to as syndesmosis injuries.
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Intro (0:00)
Anatomy (0:11)
Mechanism of Injury (1:45)
Assessment (3:13)
Management (5:12)
Return to Sport (8:10)
Summary (8:52)
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Disclaimer: The information presented is not intended as medical advice or to be a substitute for medical counseling but intended for entertainment purposes only. If you are experiencing pain, please seek the appropriate healthcare professional.

[@E3Rehab]

Thank you so much for watching! Be sure to check out the blog with references here: e3rehab.com/blog/highanklesprain

[@h2cro953]

Thank you bro. Makes this injury a lot easier to understand right now. Very informative. Gods plan I’m better soon. Support from Australia

[@albertosantini463]

The best channel on KZbin!

[@philipkim9779]

Thank you for the valuable education!!

[@dartagnan5464]

Thank God i saw your video..been suffering of ankle sprain for nearly 1 mo.but didn't go to the doctor..hoping exercise will help me..

[@kylecontreras8741]

Great video! I especially love the RTS criteria, a nice and short list that hits the major goals for athletes.

[@2011hwalker]

symmetrical strength is very hard to achieve within the first two months...your non injured leg is going to be worse for a long time

[@gocasimiro]

Top notch content, thanks for sharing!

[@wesleydeer889]

Hey you are making the best videos of this type on youtube. I have watched probably 3000 videos pertaining to ankle or knee injury in the last 4 months, and I thank you.

[@IslanderloverBKK]

3000?😰

[@juanmartinpayne8332]

I had this injury while doing a yoga exercise which implied flexion and rotation of the foot, but I failed and fell onto the floor. I know it is very painful and without rehab. you lose your balance and confidence while walking. Thus this video is very useful because I know what are the best exercises for this type of injury on the ankle., now. Thanks so much E3 Rehab and keep on producing very good stuff like this because it really helps to recover and it is wholesome.

[@henrietteancuta-koning7039]

Thank you for sharing this info, very helpfull

[@shandiinj4764]

I walked on my ankle for a month. Because the dr was thinking it’s just a low ankle sprain. Turns out I had a high ankle sprain. So I ruptured it and now I’m here dealing with if I have to go through surgery next weeks

[@EL_NERVE_TIK]

As an individual who had suffered these twists many times in elementary and middle school, I can say the pain was unbearable. You can only limp in pain, your leg gives with each step, and hurt more to just sit down 😣. It would only take a week to recover, that's the bright side 😊.

[@darinmamilicic6199]

Great video

[@MiraMate]

hi, thank you, we like your videos

[@alen7648]

Holy god thank you. I have this injury since 4 years and a really noticeable instability and pain. 😭

[@batman-sr2px]

A sprain shouldn't last 4 years. Did you resprain it?

[@Gabby-hw7my]

How is going now?

[@alen7648]

@@batman-sr2px better a lot better but still not where I was before... However I do training my sport and yeah somehow it goes. How about you ?

[@alen7648]

@@Gabby-hw7my @batman better a lot better but still not where I was before... However I do training my sport and yeah somehow it goes. How about you ?

[@Gabby-hw7my]

@@alen7648 bad. Still in pain especially while walking. Can’t walk long distances. Looking for cushioned shoes right now cause everything hurts

[@hicham5788]

Thaks for the vidéo Well done

[@FelipePereira-dr7rj]

Nice video

[@thanosmits1638]

Hey Doc, thanks for the vid! I recently had a partial tear in my right AITFL. Would you recommend wearing an ankle brace for basketball after my rehab?

[@WTF7281]

@E3Rehab Thanks for your information it was useful and wonderful, 18 months ago I got inversion during a football match however I did an X-Ray but it didn't show anything and the doctor told me that it is not serious go and rest for a few days then slowly start your exercises again after rest I have done after rest when I started doing sport pain started again until it became worse. I have referred back to doctor he told me to do MRI and the following is the result of MRI: 1. Subchondral fracture of dome of talus bone with associated surrounding moderate edema. 2. Mild free fluid in tibiotalar joint space. 3. Sprain of anterior tibiotalar ligament. since that i have used different medicines under treatment of doctor the front pain is solved but still pain suffers me from the right side and back of ankle some them of doctors say that there is no need for surgery it will be ok in the feature but some says that it wouldn't back to its normal situation and also no chances of surgical operation. And one thing to be mentioned that there is no instability of ankle I can walk even run but after the muscles becomes starts its pain looking forward for your kind instructions.

[@melodicsuinger4401]

What medical professional should I seek out if I have lingering ankle issues?

[@devin7908]

My deltoid ligament is inflammation can I take MRI Scan ?

[@Charlie_Duz]

Do you have anything for wrists sore from boxing? Where the back of my hand meets my wrist is a bit painful. Not severe pain but I don't want to damage it further. Just returned to sport after 4 weeks off due to a trapped nerve in my shoulder. I'm 55. Not ready for pipe and slippers yet. 😱😱

[@johnphan9104]

Thanks so much for the videos. May I ask once full weight bearing, did you walk on it everyday? Did you have rest days? How did you process in number of steps? I keep one having set backs.

[@andresramirez8468]

Man I’m dealing with this now it’s been 4 weeks think I should go to doc in case it needs surgery 😮

[@georgepnf8596]

Great video once again Marc! Regarding the jogging technique we should land on middle-front portion of the foot? Not landing on our heels, right? Thank you

[@E3Rehab]

I'd eventually resume the technique you were using prior to the injury.

[@kalboyanov3110]

Great video as always! Can you help me out with a question I'm having? I'm playing soccer/football three times a week and back in December I stepped awkwardly and injured my ankle. I had physiotherapy - interference current therapy + ultrasound therapy (ended it five days ago). And while it significantly reduced the pain in my ankle, I still have issues playing (gave it a little try a couple of days ago). I can run and sprint just fine but there're a few motions that still cause me slight pain and I don't dare make shots with the ball. Is this normal? Do I have to power through it as I kept my ankle mostly immobile since my injury? Should I make more ankle-strengthening exercises before I actually move on to running again?

[@rockon8174]

2 weeks? Dude you need 12-16 weeks for FULL recovery. Quit stressing it!!!!! You keep putting stress on it, that healing can take up to a year!!!!

[@shehzadbhopti]

Hello sir I have complete atfl tear and cfl partial tear and i have done 25 days plaster cast. After removing plaster cast also i have swelling and can i start walking????

[@hectorortiz2220]

Perfect model. I learned a lot. I appreciate a perfect specimens to learn from.

[@satyapradipyt3192]

Best....

[@miiiiiiiiis]

hi docs, can you go over sciatica pain? i've had my back stacked on the ground while grappling and now i have constant sharp lower right back pain and dull right buttock pain. no pain in hips or right foot (yet?). would like to know any at-home stretches or therapies. thank you!

[@E3Rehab]

We have a video on the topic.

[@SomaliAbdi18]

Sir i got an ankle sprain from football which one of my friend tackled me i don't if its grade 2 or not but i got a swoll and some pain the first 2 days i was able to walk but not the normal walk also feeling some little pain and the swoll is still there and the 3rd day i feel like i can walk little bit normal but there is still swoll or swell i got from first may which was monday night and the swoll from that night and its 2 days now the swoll a little keeping down it just only on the ankle so what do you recommend i don have experiamce its my first time to get ankle sprain and also its my first time to get injury in football after 15yrs. My country is in the low level stage where i can't enough equipment or medicine. I know my english is some how broke but i try my best wish yu understand my aim waiting yur response thank yu sir🤝

[@thejomviking]

I feel pain in my ankle and side of my outer lower leg when performing external rotation test

[@VINAY-pu2jg]

Hlo brother I got fractured in my foot and it took 1 month to recover so doctor said to walk I startes walking but I am getting horrible pain in my heel doctor said to exercise any suggestions brother

[@hisstory1179]

Hi doctor, I play football, I got an ankle injury, I feel pain at the back of my foot when i place my heel on a surface and point my toes down, but I can’t tell which part of my foot is hurt… even when I press my Achilles, my heel and try to reach for my taulus, I don’t feel any pain… I can’t tell what is injured 😢 Please help me

[@Agharasib110]

Sir i got ankle sprain three months back now i get injury every two weeks plz give me some solution thanks

[@khanmusiee8061]

I sparined my ankle same position while playing football I get an mri it shows aitfl ligament tear but which grade I don't know further it shows elongated posterior tallar process . And reactive inflammatory synovitis and orthopathy of the ankle joint . Plz explain it and suggest me anything my injury happens 2 months earlier 🙏

[@Dedxcriem]

Any improvement?

[@Poppinsocks24]

Elite timing. I had a high ankle sprain 4 years ago and still have problems with rolling it.

[@jaengonzalesly]

I sprained my ankle a few months ago, and now after a few minutes of cardio with many jumping jacks or running, I can feel very sore pain on that same area that got sprained. Is this normal for the soreness to comeback during intense activity?

[@KiidBow]

Bruh I sprained my shit bad 12 yrs ago n it still lingers and cracks really loud when it’s cold and I can feel pressure

[@rockon8174]

Takes 12-16 weeks to heal. You exercise, you hinder healing.

[@rockon8174]

@@KiidBow you haven't strengthened the ligaments in 12 years.

[@KiidBow]

@@rockon8174 yea but being a athlete and playing on the same college team with russell westbrook in 2009. im pretty sure i strengthened my ligaments. i wonder is it the ligament rubbing over the bone which gives the loud relieving popping sound or its really crepitus

[@KiidBow]

@@rockon8174 what explains the aching when its cold outside or stiffness in the morning? im 33 yrs old now so im wondering if it's arthritis setting in

[@zeagle1430]

Can you do a video on costochondritis

[@E3Rehab]

Check out our previous video.

[@zeagle1430]

E3 Rehab Thank you!!

[@jafopt]

I’m unsure if you know what the preview sows prior to clicking on the video, but is an ATF illustration.

[@marcsurdyka459]

A syndesmosis injury involves the anterior inferior tibiofibular ligament (AITFL) that spans the distal tibia and fibula. That is shown in the photo.

[@NakedSnake909]

0:04 this moment destroyed my fantasy...

[@nottrevorwarren4397]

DUUUVAL PLEASE RETURN PRINCE

[@KhurramShahzad-rq3ov]

Kindly this lecture translates in urdu

[@Memeneitor26]

If you don't follow this page. Probably you are losting valuable information

[@JOHNSMITH-bi9hr]

CAN SYNDESMOSIS SOMETIMES BE MISDIAGNOSED AS LUMBAR RADICULAPATHY AND WOULD THE PT FOR BOTH BE SIMILAR?

[@user-ir8uy4gs9c]

I had this injury 12 hour ago. I fell from stair then i feel pain so much on my ankle.🥲

[@nellyhelim3860]

Do you still feel the pain until now?

[@thegameof_life5519]

I sprained my ankle and its grade 3. Im heading to my 3rd week rn and boy does it really hurt bad . I’m really worried so going to emergency. But it really lloks bad and it hurts i can barely move my toes .

[@TASIAawful1]

@@thegameof_life5519 I sprained my ankle nearly 5 weeks ago an just beginning to walk on it still painful though and definitely can’t walk far or like I used to 😢

[@thegameof_life5519]

@@TASIAawful1i still got the pain. Im heading back to therapy next month. I just started work 3 weeks ago. This injury is tough. The ankle is stiff and if i turn it a certain way it hurts bad. Also now since i been at work its just hurting from all the walking and stress. Definitely need that therapy.

[@TASIAawful1]

@@thegameof_life5519 It must be very awful for you especially having to work on it. I never bothered with the hospital but I’m guessing I did a stage 2 or 3 tear I’m usually a very active outside person I’m becoming increasingly depressed with this strain I’m older too so that doesn’t help. I think after this strain I’ll never be the same with my walking I’m so scared it will happen again…Hope the therapy helps you and eases the pain you have