Immobilization is done with the help of a cast or a brace to hold the ends of the bones in a resting position. Ankle brace provides additional support in case of chronic stiffness or weakness in the joint.
Cryotherapy involves the application of ice over the ankle joint for around 30 minutes, two to three times a day.
Thermotherapy is applied to the ankle joint to increase blood circulation.
Walking aids such as wheelchairs, walkers, crutches, or canes can be used for support.
Ultrasound therapy helps to break the adhesions resulting in decreased pain and an increase in the range of motion.
Transcutaneous electrical stimulation (TENS):
TENS is used to reduce pain and inflammation in the ankle and also helps to improve the strength of the muscle.
Laser therapy (LLLT):
Laser therapy helps to accelerate callus formation and thus enhance the healing process.
Range of motion exercises:
Simple range of motion exercises are recommended in the pain-free range to increase joint movement such as ankle dorsiflexion, ankle plantar flexion, etc.
Stretching and strengthening exercise:
Stretching exercises are done to decrease stiffness, increase flexibility, and increase range of motion. Strengthening exercises include isometrics, isotonic, and isokinetic exercises and also using therabands and weights.
Weight-bearing exercise is initially limited to gently touching the floor with the toe, with the help of a walker, crutches, or cane, but as the ankle heals, the muscles strengthen, and more and more weight is put on the ankle.
Balance and proprioception exercises:
Balance and proprioception exercises are recommended with a bobath ball or on a wobble board.