Ligament Sprains
NHS Tayside RefGuide
Warning
Who to refer
- No indication for surgery after acute ligament injuries, however chronic pain and instability may need further imaging and may require surgical reconstruction
- Refer if no improvement at 12 weeks post inversion injury.
How to refer
SCI Gateway/Orthopaedics/Foot & Ankle Service.Referrals will be vetted by AHP and directed to the most appropriate healthcare professional.
Information to include when referring
- Duration and any cause of symptoms
- Indicate site/spread of pain and if pain constant or intermittent, and/or waking at night
- Indicate ROM, functional loss, effect on hobbies/sports
- Include treatment to date (AHP intervention)
- XR/USS results.
Symptoms and signs
- Lateral ankle pain - Can be acute or chronic, usually following an inversion injury
- May complain of giving way, recurrent sprains, pain, stiffness, locking or swelling if chronic
Primary Care management
- Provide patient with information leaflet for ankle ligament sprain
- Refer direct to A and E if unable to weight bear.
- In the acute stage: ice, elevation and gentle mobilisation as able.
- Analgesia & NSAIDs as appropriate
- Advise ankle supports for sporting activities (can be bought from any chemist)
- Imaging if appropriate: X-ray according to Ottawa rules Ankle AP standing and lateral views.