Recurrent Ankle Sprains

What are recurrent ankle sprains?

Recurrent ankle sprains describe a pattern where a young person keeps spraining the same ankle, often with relatively minor incidents. After the first sprain, repeat injuries become easier — and a cycle of instability can develop.

Several factors contribute. The original injury may have stretched ligaments that haven't fully recovered. Strength and proprioception (the body's sense of joint position) may have been affected. Sometimes there's an underlying anatomical contributor — a tarsal coalition, ligamentous laxity, or specific bony anatomy.

Recurrent sprains aren't just frustrating — they can lead to longer-term changes in the joint if not addressed. The right assessment looks at the pattern and the underlying factors rather than treating each sprain in isolation.

What does it feel like?

Common features include:

• Repeated 'going over' on the ankle with minor incidents

• A feeling of instability, particularly on uneven ground

• Recurrent swelling or aching

• Apprehension when changing direction or running on uneven terrain

• Sometimes avoidance of activities the child used to enjoy

Each individual sprain may be relatively minor, but the cumulative effect on confidence and activity can be significant.

How is it diagnosed?

Examination assesses ligament integrity, strength, balance and movement, and looks for features that might suggest a specific underlying contributor.

Imaging — typically X-rays initially, with MRI when warranted — helps identify any underlying anatomical issues. Tarsal coalition is one specific cause that should be considered when sprains keep happening.

The assessment also looks at training, footwear, strength and movement patterns, since these often contribute to the recurrence.

What are the treatment options?

Most recurrent ankle sprains respond well to a structured rehabilitation programme — addressing strength, balance, proprioception and gradual return to higher-level activities. Bracing during sport is sometimes helpful in the short term.

When there's an underlying anatomical issue, that needs to be addressed specifically. Surgical stabilisation is sometimes considered when instability persists despite thorough rehabilitation. Nev will work through what's right for your child at your consultation.

When should you get it checked?

Seek a specialist assessment if:

• Your child keeps spraining the same ankle

• The ankle feels unstable or unreliable

• Sprains are becoming more frequent

• Your child is avoiding activities because of the ankle

• You want to understand what's behind it and a clear plan

Recurrent ankle sprains aren't just bad luck — they usually reflect something specific that can be addressed. A proper assessment usually opens up better options than just managing each sprain as it happens.