Case Study: Ankle Sprain Rehab - Part 3

This concludes our 3-part series following Mariam’s ankle rehab programme after a bad sprain two weeks before her first trail marathon and then her first trail ultra-marathon five weeks after that.

Phase 1 (first 2-3 days after injury):

  • Ice, Elevation, Compression

  • Crutches

  • Avoidance of non-steroidal anti-inflammatories (i.e. ibuprofen)

Phase 2:

  • Non-weight-bearing exercises

  • Training modification

  • Progression to weight-bearing and single leg exercises

Phase 3:

  • Training modification

  • Running technique modification

  • Progression to plyometrics and impact loading