Don’t Brush Off That Ankle Sprain: Why Early Physical Therapy Matters

Nashville PT
41 minutes ago
3 min read

Ankle sprains are one of the most common injuries we see—especially in active adults who run, hike, or play recreational sports in and around Nashville. At first, it might feel like “just a little twist,” but without the right care, that minor roll can turn into a major problem.

At Nashville Physical Therapy & Performance, we help people recover fully from ankle sprains and avoid chronic issues that can sneak up months—or even years—later.

What Actually Happens When You Sprain Your Ankle?

An ankle sprain occurs when the ligaments (the tissue that holds your ankle bones together) stretch too far or tear. This usually happens when your foot rolls awkwardly—like during a misstep on a trail or an unexpected pivot on the pickleball court.

Signs of a sprain include:

Swelling
Bruising
Pain
Trouble walking or putting weight on the foot

Most sprains can heal well—but only if they heal correctly. And that’s where physical therapy comes in.

What Happens If You Just “Walk It Off”?

We get it. You’re busy. You think a little rest and some ice will do the trick. But here’s what can happen if you skip rehab:

Chronic instability - your ankle feels like it could give out at any moment
Repeat sprains that become easier and easier to trigger
Lingering pain and swelling
Weakened muscles and poor balance, which increase fall risk
Compensatory movement patterns that affect your knees, hips, and beyond

Bottom line: ignoring an ankle sprain may set you up for a cycle of frustration and re-injury.

Why Early Physical Therapy Is a Game-Changer

Starting PT early—ideally within a few days of the injury—helps your body heal better and faster. Here’s how:

1. Reduces Pain and Swelling

We use gentle hands-on techniques, movement, compression, and other tools to calm down inflammation and help you feel better fast.

2. Restores Range of Motion

Moving your ankle the right way (at the right time) helps you avoid stiffness and restore normal joint movement.

3. Rebuilds Strength and Stability

We target the muscles that support your ankle to help prevent that wobbly, unstable feeling.

4. Improves Balance and Body Awareness

Sprains can mess with your proprioception (your body's ability to sense movement and position). PT helps retrain that, reducing your risk of future injury.

5. Supports a Safe Return to Activity

Whether you’re aiming to get back to your usual walk around the neighborhood, a local 5K, or weekend sports, we’ll guide your progression safely and strategically.

What PT Looks Like at Nashville Physical Therapy & Performance

At our cash-based, one-on-one clinic, you’ll get a customized experience with your goals front and center. No cookie-cutter exercises or packed gyms here.

You can expect:

A full-body movement and strength assessment
Hands-on treatment to improve healing
Mobility and strengthening exercises that evolve as you heal
Balance and stability work tailored to your activities
Education on proper footwear, bracing (if needed), and injury prevention strategies

Let’s Keep That Sprain From Becoming a Setback

Even a “mild” ankle sprain deserves proper attention. Starting physical therapy early can make the difference between a quick recovery and long-term problems that hold you back.

At Nashville Physical Therapy & Performance, we’re here to help you recover stronger—and smarter. If you’ve sprained your ankle, don’t wait. Book your personalized evaluation and let’s get you back on track.

References

Feger, M. A., Donovan, L., Hart, J. M., & Hertel, J. (2015). Ankle sprains: Rehabilitation and prevention. Current Reviews in Musculoskeletal Medicine, 8(3), 307–314. https://doi.org/10.1007/s12178-015-9273-6 Doherty, C., et al. (2014). The incidence and prevalence of ankle sprain injury: A systematic review and meta-analysis. Sports Medicine, 44(1), 123–140. https://doi.org/10.1007/s40279-013-0102-5 McKeon, P. O., & Hertel, J. (2008). Postural control and lateral ankle instability. Journal of Athletic Training, 43(3), 305–315. https://doi.org/10.4085/1062-6050-43.3.305