High Ankle Sprain (Tib/Fib Ligament Sprain)

High ankle sprain, also called tib/fib ligament sprain, is a stretch or tear of the ligament or fibrous tissue that holds the two lower leg bones together, just above the ankle joint. This can happen when the foot is jammed upwards and the bones are forced apart.

Symptoms include pain, swelling, bruising, tenderness and warmth to the touch, with pain located just above the ankle, between the two leg bones.

Treatment includes rest, ice, compression, and elevation for 24 to 48 hours after surgery, and immobilization.

Prevention

  • Wear shoes specific to your sport.
  • Perform strengthening exercises during the pre- and off-seasons.
  • Use tape or brace for added stability.
  • Avoid running on uneven surfaces.

* Consult a physician with any acute (recent) injury

Rehabilitation

  • Begin with isometric exercises: full muscle contraction with no joint movement, such as pushing against a wall.
  • Stretch in order to restore full range of motion.
  • Isotonic exercises to further improve strength, such as resisted ankle motion exercises.
  • Balance to regain proprioception (sense of where your foot is in space).
  • Functional activities, such as walking, running, and jumping.
  • Sports-specific activities (movements specific to your individual sport).
​Content on this page is for informational purposes only. If injured, please consult a physician.
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