If you have suffered from a lot of ankle sprains from soccer / gaa / rugby etc. and you're sick of them, I know it can be really frustrating, with training time missed and even having to take time off work for a really bad one. I know what it feels like and it's one of the most painful minor injuries in sport.
Like an auld gone-off orange
You've got inflammation, swelling, bruising, pain, time off sport, no gagnam-style dancing for the next few friday nights, and a high risk with up to a 70% chance of the injury re-occurring if you don't do your rehab and injury prevention work properly.
I used to be plagued with them as a teenager until I went and did something about it, researched all of the information out there and most importantly followed through on it and went and got some proper coaching. Having done that, I haven't had an ankle sprain since 1998. And I have done a fairly wide spectrum of activities, from judo to obstacle courses to cross country running to hiking to running up and down mountains carrying heavy things through mud getting shouted at by men in army uniforms.
The truth is, ankle sprains shouldn't really be happening to you. And injuries aren't just down to bad luck, like a lightning strike.
"Why Me!?"
I hear people sometimes describing their injury history in consultations with me, and it tends to go like this;
"Ya I've had four ankle sprains on each ankle in the last year, and I cant understand it, I'm just so unluckly...Like, I go to the gym three times a week and I have training twice a week with the team and a match most weekends and I've had lots of physio...etc..etc.."
And I generally stop them there, and say, "Look, all of that is great. But injuries don't just happen out of the blue, and they certainly aren't down to bad luck." My no-nonsense point of view is that every injury has a defined number of risk factors. Lets say that there are 5 main risk factors in ankle injury, with 3 of these being modifiable, as in you have control over them. Unless you have fully addressed each and every risk factor that you can, your injury will be your own fault, and not anybody elses. As the genius Eric Cressey says, injury prevention and pre-season work is like putting savings in the bank for a rainy day(high forces during games, turning at speed, uneven surfaces etc.). If you haven't saved enough, chances are that next season you're going to go into overdraft (injuries).
Tough advice, and tough to hear, but true I'm afraid. You might take this as a bit of an insult, but then you will also realise that you can, and do, have a large amount of control over your health and what happens to you in terms of injury, strength gain, weight gain, fat loss etc. So it's up to you to do something about it, and go and seek out the information and the expertise to solve the problem, e.g. by finding an experienced coach to carry out a proper injury history, assessment, and then follow through with a properly tailored and specific programme for you. A general run of the mill, one-fits-all programme just won't do I'm afraid, and you deserve better. Sometimes you need to go and find an expert and make an investment in your health. I've been at this line of work for 10 years, and I still go to an expert and get physio, reflexology, coaching courses etc all the time, just as I get a plumber in to do the plumbing and an electrician in to wire the house, instead of half-assing it myself.
The most common type of ankle sprain is the inversion sprain, seen here, where the ankle collapses laterally, that is, to the outside, seen here:
If that sounds like you, you need to do something about it. It won't just get better on its own. Physio is great and necessary in some cases, but physio alone won't sort it out. You need to complete all of the rehab that your physio gives you, but it doesn't stop there. You need to then drive on and address some of the specific risk factors, such as;
- Lost foot awareness, proprioception and balance
- Incorrect footwear
- Poor peroneal strength and/or peroneal nerve function
- Quite often problems elsewhere, like poor function at the glutes
- Really poor ankle stability
- Incorrect movement patterns in running, and especially landing and turning
- Poor tissue quality and a buildup of muscle adhesions and scar tissue
- Poor ankle mobility
- Over-reliance on ankle supports or taping
- A lack of any kind of system of training (assessment, periodisation, programming)
If you fit into any or these categories, you really need to come and see a professional strength coach with a lot of experience in preventing or rehabbing this type of injury. I promise you that the common ankle inversion sprain is one of the most preventable and unneccessary injuries in sport. You still have time to come and book a free consultation and assessment on 0863126918 or at vaughan.barry@gmail.com in time to get 4-6 solid weeks of injury prevention in preparation for your team training starting up again in the new year. Thats between 8-18 strength and conditioning sessions that your closest competition probably won't be investing in. Seeing as most common injuries (ankle, hamstring, ACL) tend to happen early in the season, with hard ground and after the christmas layoff, now's your last chance to get yourself ready, or you might as well programme the A&E departments GPS into your I-phone and stick your physio's number on speed dial.
To get you started, heres a brilliant video from Dick Hartzell, inventor of the famous Jump Stretch Bands, and a very knowledgeable guy on preventing ankle injuries. You need to do a lot more than just this, but this will get you started. Remember to book your free consultation and assessment for next week on 0863126918 or at vaughan.barry@gmail.com to get a full 4-6 weeks done before the new season. You can also get a gift voucher as a christmas present of 3 sessions for €100 if you have someone close to you that struggles with injuries. Best of luck and talk to ye soon,
Barry Vaughan BSc CSCS IAWLA





















