Eversion Ankle Sprain | Medial Ankle Sprain

Eversion ankle sprain

An eversion ankle sprain, medial ankle sprain or deltoid ligament sprain is a tear of the ligaments on the inside of the ankle. It is not as common as an inversion ankle sprain and is often accompanied by a fracture of the fibula bone. Here we explain the symptoms, causes, and treatment for an eversion ankle sprain.

Advert

Click headings below to expand:

Advert
Ankle supports & Braces

Eversion ankle sprain symptoms

You usually know you have sprained your ankle. With an eversion ankle sprain, your ankle rolls inwards. Signs and symptoms include:

  • Immediate pain on the inside of your ankle.
  • Swelling develops rapidly.
  • Bruising may also appear later.
  • Difficulty weight-bearing and limited ankle mobility.

Imaging

Moderate to severe eversion ankle sprains it is

An X-ray may be required to determine the extent of the injury and rule out fractures.

Anatomy

Deltoid ligament on the inside of the ankle

Ligaments hold the ankle joint together. They join bone to bone. The lateral ligaments are on the outside of the ankle and consist of the talofibular ligament and the calcaneofibular ligament.

The talofibular ligament joins the talus to the fibula, whilst the calcaneofibular ligament joins the calcaneus to the fibula.

The medial ligaments on the inside of the ankle consist of the tibiotalar ligament, tibiocalcaneal ligament and the tibionavicular ligament. They are known as the deltoid ligaments.

What is an ankle eversion sprain?

An eversion sprain is a tear of the deltoid ligaments, on the inside of the ankle.

Medial ankle sprain - Eversion ankle sprain

These ligaments provide support to prevent the ankle from turning inwards or everting.

It is rare that the deltoid ligaments tear. This is because the fibula restricts the ankle rolling in (everting). As a result it is difficult for the deltoid ligaments to over stretch. Also, the medial ligaments are much stronger than the lateral ligaments on the outside.

If however, the fibula fractures then there is nothing preventing excess ankle eversion. Therefore, an eversion ankle sprain often occurs with a fibula fracture, called a Pott’s fracture.

Pott's ankle fracture

Other bones in the ankle such as the talus may also fracture during an eversion ankle sprain depending on the severity of the injury.

Treatment of medial ankle sprains

Initial treatment should involve applying the PRICE principles of rest, ice, compression and elevation.

Rest

Rest is important both immediately after injury as well as whilst the injury is healing. Continuing to walk or play on while it is painful will increase swelling and slow the healing process. If you suspect a severe sprain or a fracture then seek immediate medical assistance.

Cold therapy

Apply ice or cold therapy immediately after the injury. Ice should not be applied directly to the skin. Wrap it in a wet tea towel, or use a commercially available hot and cold pack which are often more convenient.

You can apply cold for 10 to 15 minutes every hour for the first 24 to 48 hours. Then reduce the frequency as symptoms improve.

Ankle Sprain Taping

Compression & elevation

Compression with an ankle taping or compression bandage will protect the joint from further injury and help reduce swelling. Elevating the limb encourages the swelling and tissue fluids to flow away from the site of injury.

Exercises & rehabilitation

Eversion sprains are treated similar to more common lateral ankle sprains. However, recovery can take twice as long.

Mobility

Begin mobility exercises early. This might be from day 2 for mild to moderate sprains. However, avoid lateral (sideways) movements in the early stages. It is important to protect the injured ligaments whilst they heal.

Strengthening

Ankle exercises

When pain allows, begin isometric or static strengthening exercises. Progress to dynamic exercises involving movement as pain allows. Eventually, functional and sports specific exercises should be done. These involve plyometric (hopping) exercises as well as drills involving a change of direction.

Proprioception

Wobble balance board exercises

As the injury improves and pain allows ankle strengthening exercises and exercises to improve proprioception such as wobble balance board exercises should be done.

Medial ligament sprains are treated the same way as lateral ankle ligament sprains. However, recovery can take twice as long.

Ankle Sprain Rehabilitation Program

Our step by step rehabilitation program takes you from initial injury to full fitness.

Start now for free:

Iphone app

Learn more…

Ankle rehab

Related articles

  • Pott's fracture broken ankle

    A Pott's fracture is a type of broken ankle, involving either of the bony parts of the ankle, called malleolus. A bad ankle sprain is…

  • Acute ankle injuries

    Acute ankle injuries include sprains, strains, and fractures. They occur suddenly as opposed to developing gradually over time. Sprained ankle An ankle sprain is one…

  • High ankle sprain

    A high ankle sprain is also known as a Syndesmosis injury. It is a tear of the anterior tibiofibular ligament which joins the tibia and…

  • Fibula fracture

    A fibula fracture is a break of the fibula bone in the lower leg. It is either a sudden onset acute fracture, or a gradual…

  • Ankle avulsion fracture

    An ankle avulsion fracture occurs when a tendon or ligament tears, pulling a small piece of bone with it. The symptoms are similar to an…

  • Ankle sprain - Sprained ankle

    A sprained ankle is one of the most common sports injuries. Here we explain the symptoms, causes and treatment for ankle sprains as well as…

  • Calf strain exercises

    Lower leg and ankle rehabilitation exercises for ankle, shin, and calf injuries. Once pain allows, isometric or static exercises can begin, followed by dynamic strengthening…

  • Ankle pain

    Acute ankle pain occurs suddenly and includes sprains, strains, and fractures. Chronic ankle injuries develop gradually over time, often through overuse. Acute ankle injuries (sprains,…

  • When to see a doctor about ankle injuries

    The majority of ankle injuries, especially the minor ones can be treated at home. However, if you have any of the following symptoms you should…

  • Ankle strapping and taping

    How to tape your ankle following an ankle sprain as well as give additional support during rehab exercises Here we demonstrate a 4 stage ankle…

  • Medial ankle pain

    Medial ankle pain refers to pain on the inside of the ankle. Chronic ankle pain develops gradually over time. Acute medial ankle pain is sudden…

Scroll to Top