Acute Ankle Antidotes: Navigating Lateral vs. High Ankle Sprains

When an acute ankle sprain hobbles into your clinic, do you treat them all the same? 🛑 If you treat a high ankle sprain like a standard lateral inversion sprain, you are going to flare that patient up. Fast. In this episode of Untold Physio Stories , Dr. Sean Wells and I break down two very recent, very acute cases that walked through the door. Case 1: The Classic Lateral Sprain. Patient presented with immediate swelling and loss of ROM. We discuss why checking the distal fibula for positional faults immediately can restore movement before they even leave the table. Case 2: The "Combo" (Lateral + High Ankle). This one is tricky. The squeeze test was positive. Dorsiflexion was painful and limited. We break down why you have to stabilize the syndesmosis differently than you treat the ATFL. In this episode, we cover: 💥 Manual Therapy in the Acute Phase: Yes, you can touch it! We share the safe MWMs to regain dorsiflexion. Plus bonus - e-stim combo for early WB 💥 Taping Strategies: When to use a fibular repositioning tape Stop guessing with acute ankles. Assess the mechanics, classify the injury, and load them appropriately. Untold Physio Stories is sponsored by ⁠Comprehend PT⁠ - Leave Comprehend PT running in the background or record audio when you have time. The AI based SOAP note generator does the rest! No need for accuracy or exact wording! It's a game changer and will give you more time with your patients! Use code MMT50 to save 50% off your first month. Free trial available at sign up! ⁠⁠ The Eclectic Approach Network⁠⁠ - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking. Check out ⁠⁠EDGE Mobility System⁠⁠ 's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual

You can listen to Acute Ankle Antidotes: Navigating Lateral vs. High Ankle Sprains online on Radio and Podcast. Open the player on this page to stream the available audio.

Acute Ankle Antidotes: Navigating Lateral vs. High Ankle Sprains is an episode from Untold Physio Stories by Dr. Erson Religioso III, DPT, FAAOMPT.

This episode is 00:14:24 long.

This episode was published on Nov 14, 2025.

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