Ankle Sprain: exercise plan
Rolled it? The pain fades fast, but the wobbliness doesn’t unless you train it. A few minutes of balance work a day cuts your chance of doing it again.
- Pain rules: up to about 3–4/10 during exercise is fine, settling by the next morning. More swelling next day? Ease back.
- How often: daily, a few minutes at a time. Start gentle movement and walking within the first few days.
- How long: most people are back to normal activity in 2–6 weeks; keep balance work going for 3 months to cut re-sprains.
- Progress when: you can do a level with good control and no limp. Move through range → balance → strength → hopping.
Your exercises
- Ankle range (alphabet)Sitting with your foot off the ground, ‘write’ the alphabet with your big toe. Progress to a standing calf stretch once you can take weight.Twice through, 2–3 times a day
- Single-leg balanceStand on the injured leg near a bench. Start with fingertip support; progress to no hands, eyes closed, a pillow, then catching a ball.3 holds of 30 seconds, once or twice a day
- Heel raisesRise up on your toes and lower slowly. Start on both feet; progress to the injured leg only, then on a step edge.3 sets of 15, once a day
- Band ankle strengthLoop a band around your forefoot and push your foot outwards (and inwards) against it. Progress with a stronger band.3 sets of 15 each way, once a day
- Balance reachStand on the injured leg and tap the other foot forwards, sideways and backwards as far as you can with control. Progress by reaching further.3 rounds, once a day
- Hop progressionOnce you can balance and do 20 single-leg heel raises without pain: two-foot hops on the spot, then single-leg hops, then forward and side-to-side hops, then sport drills.3 sets of 10, every second day
Back to sport: when you can hop, land and change direction on the injured leg without pain or giving way. Bracing or taping for sport in the first year after a sprain lowers the chance of another.
Stop and see your GP or physio if
- You couldn’t take 4 steps straight after the injury or have bony tenderness (needs an X-ray check)
- Pain or swelling getting worse after the first few days
- Your ankle keeps giving way after 6 weeks of exercise
- Numbness, a cold foot, or calf pain and swelling
Want a supervised program?
A physio can guide a supervised, progressive program, which speeds recovery and helps prevent another sprain, especially for sport or if you’ve sprained it before. If you have a chronic condition, ask your GP about a GP Chronic Condition Management Plan (GPCCMP): it gives a Medicare rebate for up to 5 allied health visits a year (physio, exercise physiologist or podiatrist).
Evidence and more information
- JOSPT 2021: Lateral ankle sprain clinical practice guideline
- Doherty et al, BJSM 2017: Treatment and prevention of ankle sprain
- BJSM: Soft tissue injuries need PEACE & LOVE
maladywise.com/ankle-sprain/exercises/