The start of the football season is an exciting time for fans and players alike. However, with the thrill of the game also comes the potential for injuries, and one of the most common injuries in football is the anterior talofibular ligament (ATFL) injury. This ankle injury accounts for about 15% of all football-related injuries and around 90% of all ankle injuries.
Ankle injuries in football can range from mild sprains to more severe strains, tears, or fractures. The anterior talofibular ligament (ATFL) is commonly injured in football due to the nature of the sport, which involves sudden changes in direction, quick stops, and pivoting movements. These movements put immense stress on the ankle, making it susceptible to injuries such as sprains. Additionally, physical contact and collisions during gameplay increase the risk of ATFL injuries.
“If an injury occurs during a football game or practice, the Athletic Trainer will usually say if an x-ray is needed, but parents should also know when their athlete should get an x-ray,” said Dr. Chris McKenzie, Physical Therapist and owner of McKenzie Sports Physical Therapy.
The Ottawa Ankle Rule is an excellent resource Dr. McKenzie recommends for determining whether or not an X-ray is needed to treat an ankle injury. According to this rule, if the injured person can’t put weight on the ankle for four steps and experiences pain at specific touchpoints, an X-ray may be necessary to rule out a fracture.
In the case of a diagnosed ankle sprain where an X-ray isn’t indicated, or the injury isn’t a fracture, immediate treatment is crucial. Applying ice to the ankle for up to 48 hours can help reduce swelling. Maintaining range of motion is also critical.
“Once the ankle gets stiff, it is difficult to restore range of motion,” said Dr. McKenzie. He recommends that ankle circles, ankle pumps, and standing calf stretches be performed as quickly as the day after an injury occurs.
As recovery progresses, strengthening exercises become essential. Building up the muscles in the ankle and foot can help prevent future injuries and promote overall stability. Physical therapy should be considered early on in the recovery process. With long wait times to see an orthopedist, it is essential to note that a physician’s referral is unnecessary to begin physical therapy for ATFL injuries in Philadelphia, PA.
In closing, as we gear up for an exciting football season, it’s important to be mindful of the potential for ankle injuries and to take the necessary precautions to ensure a safe and successful season for all players. If you have questions or concerns about ATFL injuries, contact the experts at McKenzie Sports Physical Therapy.