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Introduction

Regaining mobility with Integrated Therapy Solutions

As soon as it has happened, correct and immediate treatment of an ankle sprain is critical in order to alleviate acute symptoms. An effective healing process will also minimise the risk of chronic consequences later.

BSN medical Integrated Therapy Solutions offer a wide range of complementary products to achieve the best possible treatment results. These solutions cover the whole healing process as well as the prevention of recurring injury and chronic ankle instabilities. Coming from a single source they enable an efficient treatment - and will help you to get quickly and easily back on track.

  • What is an ankle sprain?

    Ankle sprain

    An injury that affects many. And more than once

    Sprains are injuries that affect the ligaments, in this case the ankle ligaments. They result from trauma such as a fall, or an outside force, that displaces the joint from its normal alignment.

    Just a small misstep or a wrong turn of the foot can quickly cause an ankle sprain.

    There are several factors that increase the risk of suffering an ankle sprain. The highest risk factor is a previous injury either treated or untreated.

    Other factors are weakened muscles in the affected area, weak ligaments as well as activities on uneven surfaces or without external stabilising measures to support your ankles.

    The risks of sporting activities in particular are influenced by the kind of sport you do, its intensity and how well you are prepared, as well as your physical condition.

    20 million people per year are affected by ankle sprains in the USA and Western Europe alone. Many of them will suffer from re-injury and/or chronic ankle instability - particularly as a result of improper management of the initial injury.*

  • What is an ankle sprain?

    Ankle sprain

    Small links with a big task

    The ankle consists of two joints: the lower and the upper ankle joint. The lower allows the inward and outward movement of the foot. The upper is needed to raise and lower the foot

    The bones of the ankle joint are held together and stabilized by several ligaments, characterized by high tensile strength but low extensibility. The ligaments on the outside of the ankle are known as the lateral collateral ligaments. They are mainly affected by ankle sprains.

    The ligaments are at risk when there is an anomaly of movement of the foot that stretches them beyond their normal length. If the force is too strong, the ligaments get injured.

  • What is an ankle sprain?

    Ankle sprain

    Key risk factors

    • Recurrence: The highest risk factor is a previous injury, be it treated or untreated. Up to 40% of patients will have suffered from a previous ankle sprain.
    • Intrinsic factors: If you suffer from muscular imbalances or limited neuromuscular control you may be at a greater risk of injury.
    • Extrinsic factors: External factors that can lead to ankle sprains are uneven surfaces, or doing sports without external stabilising tapes or braces.
    • Generally factors that impact upon the risk of sporting activities are the type and the level of intensity of the sport, as well as your preparation or physical condition.



    *Sources:
    Kemler, E. et al.: A systematic review on the treatment of acute ankle sprain. Sports Med,2011:41(3)
    Doherty, C. et al.: The Incidence and Prevalence of Ankle Sprain Injury: a Systematic Review and Meta-Analysis of Prospective Epidemiological Studies. Sports Med (2014) 44: 123-140
    Kerkhoff, GM. et al.: Diagnosis, treatment and prevention of ankle sprains: an evidenced-based clinical guideline. Br J Sports Med 2012,46: 854-860

  • What is an ankle sprain?

    Ankle sprain

    An injury that affects many. And more than once

    Sprains are injuries that affect the ligaments, in this case the ankle ligaments. They result from trauma such as a fall, or an outside force, that displaces the joint from its normal alignment.

    Just a small misstep or a wrong turn of the foot can quickly cause an ankle sprain.

    There are several factors that increase the risk of suffering an ankle sprain. The highest risk factor is a previous injury either treated or untreated.

    Other factors are weakened muscles in the affected area, weak ligaments as well as activities on uneven surfaces or without external stabilising measures to support your ankles.

    The risks of sporting activities in particular are influenced by the kind of sport you do, its intensity and how well you are prepared, as well as your physical condition.

    20 million people per year are affected by ankle sprains in the USA and Western Europe alone. Many of them will suffer from re-injury and/or chronic ankle instability - particularly as a result of improper management of the initial injury.*

  • What is an ankle sprain?

    Ankle sprain

    Small links with a big task

    The ankle consists of two joints: the lower and the upper ankle joint. The lower allows the inward and outward movement of the foot. The upper is needed to raise and lower the foot

    The bones of the ankle joint are held together and stabilized by several ligaments, characterized by high tensile strength but low extensibility. The ligaments on the outside of the ankle are known as the lateral collateral ligaments. They are mainly affected by ankle sprains.

    The ligaments are at risk when there is an anomaly of movement of the foot that stretches them beyond their normal length. If the force is too strong, the ligaments get injured.

  • What is an ankle sprain?

    Ankle sprain

    Key risk factors

    • Recurrence: The highest risk factor is a previous injury, be it treated or untreated. Up to 40% of patients will have suffered from a previous ankle sprain.
    • Intrinsic factors: If you suffer from muscular imbalances or limited neuromuscular control you may be at a greater risk of injury.
    • Extrinsic factors: External factors that can lead to ankle sprains are uneven surfaces, or doing sports without external stabilising tapes or braces.
    • Generally factors that impact upon the risk of sporting activities are the type and the level of intensity of the sport, as well as your preparation or physical condition.



    *Sources:
    Kemler,E.: A systematic review on the treatment of acute ankle sprain. Sports Med,2011:41(3)
    Doherty, C., Delahunt, E.: The Incidence and Prevalence of Ankle Sprain Injury: a Systematic Review and Meta-Analysis of Prospective Epidemiological Studies. Sports Med (2014) 44: 123-140
    Kerkhoff, G.: Diagnosis, treatment and prevention of ankle sprains: an evidenced-based clinical guideline. Br J Sports Med 2012,46: 854-860

  • Diagnosis

    Ankle sprain diagnosis

    Signs and symptoms

    An ankle sprain has some very typical signs and symptoms and some that are less obvious. The most common ones are:

    • swelling
    • bruising
    • pain
    • tenderness

    For a precise diagnosis you should always consult a doctor. He will take into account your medical history, conduct a physical examination and a series of tests to confirm whether or not you have a sprained ankle.

  • Diagnosis

    Medical Examination

    Even if your sprain does not feel so painful, or is not as swollen, you should seek out medical treatment to obtain the correct treatment and therefore reduce your re-injury risk.

    To correctly diagnose a sprain and its severity, and to exclude a fracture, your doctor may perform a range of tests.

    The "Anterior drawer test", for example will assess how instable your ligaments are as a result of your injury.

    A "Kleiger's test" is an external rotation test, which assesses the integrity of the inner ankle ligament. There are of course many more diagnosis tools your doctor may perform.

    These and along with taking your patient history into account, he will be able to advise the correct and proper treatment for you.

  • Diagnosis

    Ankle sprain diagnosis

    Signs and symptoms

    An ankle sprain has some very typical signs and symptoms and some that are less obvious. The most common ones are usually:

    • swelling
    • bruising
    • pain
    • tenderness

    For a precise diagnosis you should always consult a doctor. He will take into account your medical history, conduct a physical examination and a series of tests to confirm whether or not you have a sprained ankle.

  • Diagnosis

    Medical Examination

    Even if your sprain does not feel so painful, or is not as swollen, you should seek out medical treatment to obtain the correct treatment and therefore reduce your re-injury risk.

    To correctly diagnose a sprain and its severity, and to exclude a fracture, your doctor may perform a range of tests.

    The "Anterior drawer test", for example will assess how instable your ligaments are as a result of your injury.

    A "Kleiger's test" is an external rotation test, which assesses the integrity of the inner ankle ligament. There are of course many more diagnosis tools your doctor may perform.

    These and along with taking your patient history into account, he will be able to advise the correct and proper treatment for you.

  • Grades and treatment

    Ankle Sprain - Levels of severity

    During diagnosis your doctor will establish how severe your ankle sprain is and if the ligaments are just stretched or completely torn. The severity will influence how you will be treated. For each severity level, or Grade, BSN medical offers a product that supports your treatment. This allows your doctor to choose from a wide range of options for optimal treatment.

  • Grades and treatment

    Ankle Sprain - Levels of severity

    Grade 1: minimal

    When your injury results in a slight stretch and minor damage to your ankle ligaments, the sprain is a considered a Grade 1. You will experience only minimal tenderness and swelling.

  • Grades and treatment

    Ankle Sprain - Levels of severity

    Grade 2: moderate

    In a Grade 2 ankle sprain, the affected ligament is partially torn. The pain and swelling will be moderate, your ankle will be less mobile and will feel instable. When your doctor conducts his diagnostic tests, he will notice an abnormal looseness of the ankle joint.

  • Grades and treatment

    Ankle Sprain - Levels of severity

    Grade 3: severe

    The most severe kind of ankle sprain is a Grade 3. You will experience significant swelling and tenderness with instability of the ankle joint.

  • Grades and treatment

    Ankle sprain treatment

    The right steps after the misstep

    The effective treatment of ankle sprains depends on the right measures being applied during the different stages of the injury. In general an ankle sprain will run through an acute, a rehabilitation and a chronic and/or prevention phase. Depending on what stage of these treatment phases you are at, and what grade of injury you have, along with your physical condition, your doctor will decide what type of treatment you will receive. The transition between each phase is seamless. However how long each phase lasts cannot be generalised and varies from patient to patient.

  • Grades and treatment

    Treatment phases

    Acute Phase

    This phase is the one right after the injury has occurred and you are suffering from clear symptoms as described earlier. The main objective in this phase is to alleviate these symptoms and begin the healing process. This is achieved by following the PRICE-Principle, which stands for:

    P - Protect the injury
    R - Restrict activity
    I - Apply Ice
    C - Apply compression
    E - Elevate the injured area

    Depending on the grade of your injury, your doctor may choose to stabilise your ankle with bandages and/or braces or possibly immobilise it using splints, casts or walkers.

  • Grades and treatment

    Treatment phases

    Rehabilitation Phase

    The acute symptoms such as pain and swelling have subsided, but your ankle is still weak in the rehabilitation phase. Here, the main objective is to regain your mobility step by step. The proper measures will be determined by your medical professional, but may include:

    • Stabilisation with bandages and/or braces
    • Gradual increase in the range of motion
    • Physiotherapy to improve muscular stabilisation and sensomotoric control

  • Grades and treatment

    Treatment phases

    Chronic & Prevention Phase

    Your ankle sprain has now healed. Nevertheless you should take active measures to minimise the risk of re-injury and chronic instability. Speak to your doctor to discuss options for:

    • Stabilisation with bandages, tapes and elastic supports
    • Physiotherapy

  • Grades and treatment

    Ankle Sprain - Levels of severity

    During diagnosis your doctor will establish how severe your ankle sprain is and if the ligaments are just stretched or completely torn. The severity will influence how you will be treated. For each severity level, or Grade, BSN medical offers a product that supports your treatment. This allows your doctor to choose from a wide range of options for optimal treatment.

  • Grades and treatment

    Ankle Sprain - Levels of severity

    Grade 1: minimal

    When your injury results in a slight stretch and minor damage to your ankle ligaments, the sprain is a considered a Grade 1. You will experience only minimal tenderness and swelling.

  • Grades and treatment

    Ankle Sprain - Levels of severity

    Grade 2: moderate

    In a Grade 2 ankle sprain, the affected ligament is partially torn. The pain and swelling will be moderate, your ankle will be less mobile and will feel instable. When your doctor conducts his diagnostic tests, he will notice an abnormal looseness of the ankle joint.

  • Grades and treatment

    Ankle Sprain - Levels of severity

    Grade 3: severe

    The most severe kind of ankle sprain is a Grade 3. You will experience significant swelling and tenderness with instability of the ankle joint.

  • Grades and treatment

    Ankle sprain treatment

    The right steps after the misstep

    The effective treatment of ankle sprains depends on the right measures being applied during the different stages of the injury. In general an ankle sprain will run through an acute, a rehabilitation and a chronic and/or prevention phase. Depending on what stage of these treatment phases you are at, and what grade of injury you have, along with your physical condition, your doctor will decide what type of treatment you will receive. The transition between each phase is seamless. However how long each phase lasts cannot be generalised and varies from patient to patient.

  • Grades and treatment

    Treatment phases

    Acute Phase

    This phase is the one right after the injury has occurred and you are suffering from clear symptoms as described earlier. The main objective in this phase is to alleviate these symptoms and begin the healing process. This is achieved by following the PRICE-Principle, which stands for:

    P - Protect the injury
    R - Restrict activity
    I - Apply Ice
    C - Apply compression
    E - Elevate the injured area

    Depending on the grade of your injury, your doctor may choose to stabilise your ankle with bandages and/or braces or possibly immobilise it using splints, casts or walkers.

  • Grades and treatment

    Treatment phases

    Rehabilitation Phase

    The acute symptoms such as pain and swelling have subsided, but your ankle is still weak in the rehabilitation phase. Here, the main objective is to regain your mobility step by step. The proper measures will be determined by your medical professional, but may include:

    • Stabilisation with bandages and/or braces
    • Gradual increase in the range of motion
    • Physiotherapy to improve muscular stabilisation and sensomotoric control

  • Grades and treatment

    Treatment phases

    Chronic & Prevention Phase

    Your ankle sprain has now healed. Nevertheless you should take active measures to minimise the risk of re-injury and chronic instability. Speak to your doctor to discuss options for:

    • Stabilisation with bandages, tapes and elastic supports
    • Physiotherapy

BSN medical's products for all kinds of ankle sprains

To find out what products BSN medical offers for all kinds of ankle sprains, click on the treatment phase and grade.*

Choose a treatment phase

Acute
Rehabilitation
Chronic/Prevention
All products

Choose a grade

Grade 1
Grade 2
Grade 3

Physiopack®

Reusable cold pack

  • Very conformable even when frozen

Tensoplast®

Elastic Adhesive Bandage

  • Superior stretch and regain with strong adhesion
  • Controlled compression and support

Physiopack®

Reusable cold pack

  • Very conformable even when frozen

Actimove® TaloCast

Functional ankle brace

  • Comfortable and secure ankle stabilisation

Actimove® TaloCast AirGel

Stirrup Ankle Brace

  • Cooling gel pads to help reduce oedema

Dynacast® AS

Ankle synthetic splint system

  • unique custom mouldable solution
  • external ankle support following acute injury or joint instability.

Physiopack®

Reusable cold pack

  • Very conformable even when frozen

Actimove® Walker

Secure but lightweight stabilisation

  • Allows for great patient personal hygiene

Dynacast® Prelude

Fast-setting synthetic splint

  • Highly comformable
  • Easy to apply

Tensoplast®

Elastic Adhesive Bandage

  • Superior stretch and regain with strong adhesion
  • Controlled compression and support

Actimove® TaloMotion

Anatomically designed Ankle Support

  • Gradient compression stimulates the proprioceptors

Actimove® TaloWrap

Slim-fit elastic Ankle Support

  • Enhances stability to help prevent re-injury

Actimove® TaloCast

Functional ankle brace

  • Comfortable and secure ankle stabilisation

Actimove® TaloCast AirGel

Stirrup Ankle Brace

  • Cooling gel pads to help reduce oedema

Dynacast® AS

Ankle synthetic splint system

  • unique custom mouldable solution
  • external ankle support following acute injury or joint instability.

Actimove® TaloStep

Unique functional Ankle Brace

  • Dynamic stabilisation
  • Helps to prevent supination

Leukotape®

Rigid strapping tape

  • Adheres securely, even under strain

Actimove® Walker

Secure but lightweight stabilisation

  • Allows for great patient personal hygiene

Delta-Cast® Soft

Semi-rigid, functional cast

  • Minimises risk of muscle atrophy and joint stiffness

Actimove® TaloCast

Functional ankle brace

  • Comfortable and secure ankle stabilisation

Actimove® TaloCast AirGel

Stirrup Ankle Brace

  • Cooling gel pads to help reduce oedema

Actimove® TaloWrap

Slim-fit elastic Ankle Support

  • Enhances stability to help prevent re-injury

Actimove® TaloMotion

Anatomically designed Ankle Support

  • Gradient compression stimulates the proprioceptors

Leukotape®

Rigid strapping tape

  • Adheres securely, even under strain

Physiopack®

Reusable cold pack

  • Very conformable even when frozen

Tensoplast®

Elastic Adhesive Bandage

  • Superior stretch and regain with strong adhesion
  • Controlled compression and support

Actimove® TaloCast

Functional ankle brace

  • Comfortable and secure ankle stabilisation

Actimove® TaloCast AirGel

Stirrup Ankle Brace

  • Cooling gel pads to help reduce oedema

Dynacast® AS

Ankle synthetic splint system

  • unique custom mouldable solution
  • external ankle support following acute injury or joint instability.

Actimove® Walker

Secure but lightweight stabilisation

  • Allows for great patient personal hygiene

Dynacast® Prelude

Fast-setting synthetic splint

  • Highly comformable
  • Easy to apply

Actimove® TaloMotion

Anatomically designed Ankle Support

  • Gradient compression stimulates the proprioceptors

Actimove® TaloWrap

Slim-fit elastic Ankle Support

  • Enhances stability to help prevent re-injury

Actimove® TaloStep

Unique functional Ankle Brace

  • Dynamic stabilisation
  • Helps to prevent supination

Leukotape®

Rigid strapping tape

  • Adheres securely, even under strain

Delta-Cast® Soft

Semi-rigid, functional cast

  • Minimises risk of muscle atrophy and joint stiffness

*Please note that product availability differs from country to country. Please speak to your physician.
About

Therapies. Hand in Hand

For better treatment and better prevention

Although ankle sprains are common injuries with good success rates for recovery, it is necessary to raise awareness about the long term consequences, especially the high risk of reoccurrence. Patients should know the importance of correct and proper treatment - even if the grade of injury is minimal.

BSN medical believes that medical professionals should be supported in their efforts to gain optimal treatment outcomes and to minimise the risk of occurring injury.

The Integrated Therapy Solutions for ankle sprains provide a wide range of innovative complementary products. Versatile and easy to use, they simplify the treatment process and help patients get quickly and easily back on track.


Contact

For more information about BSN medical and its Integrated Therapy Solutions please contact us using the form below: