rolled ankle

Why Do I Keep Rolling My Ankle? Causes, Treatment, and How Physiotherapy Can Prevent a Recurring Ankle Sprain

Have you ever stepped off a curb, landed awkwardly during a soccer game, or simply walked on uneven ground only to roll your ankle again?

If you've experienced more than one ankle sprain, you're not alone. A recurring ankle sprain is one of the most common injuries treated by physiotherapists, especially among athletes and active adults. Unfortunately, many people assume that once the pain and swelling disappear, the injury has completely healed. In reality, that's often not the case.

At VanCity Physio, we regularly help patients recover from recurring ankle sprains and prevent them from happening again. With the right clinical physiotherapy treatment plan, you can restore strength, improve stability, and return to the activities you love with confidence.

‍

rolled ankle

‍

Why Does My Ankle Keep Rolling?

An ankle sprain occurs when the ligaments that support your ankle are stretched or torn. While rest may help reduce pain and swelling, it doesn't restore the strength, balance, and stability your ankle needs to function properly.

Without proper rehabilitation, the injured ankle often remains weak and unstable, making it much easier to sprain again.

After an ankle injury, you may experience:

  • Weak ankle muscles
  • Poor balance and coordination
  • Limited ankle mobility
  • Reduced joint stability
  • Slower reaction times
  • Decreased proprioception (your body's awareness of where your foot is in space)

These lingering issues can significantly increase your risk of another injury.

‍

What Is Chronic Ankle Instability?

A recurring ankle sprain can lead to a condition known as chronic ankle instability. This occurs when the ligaments and muscles surrounding the ankle no longer provide enough support during movement.

Signs of chronic ankle instability include:

  • Your ankle frequently gives out
  • Repeated ankle sprains
  • Pain during walking or exercise
  • Swelling after activity
  • Difficulty walking on uneven ground
  • Feeling unsteady when running or changing direction
  • Lack of confidence during sports or physical activity

According to the American Academy of Orthopaedic Surgeons, chronic ankle instability usually develops after an ankle sprain that hasn't fully healed or been properly rehabilitated. Even if your original ankle sprain happened years ago, physiotherapy can still help improve your stability and reduce your risk of future injuries.

‍

Who Is Most at Risk?

Recurring ankle sprains are common among:

  • Soccer players
  • Basketball players
  • Volleyball players
  • Pickleball players
  • Tennis players
  • Runners
  • Trail hikers
  • Dancers
  • Active children and teenagers

However, ankle sprains aren't limited to athletes. Everyday activities like walking the dog, gardening, hiking, or stepping off a curb can also result in injury.

‍

What Happens If You Ignore It?

Many people simply wear an ankle brace and continue with their normal activities. Unfortunately, this doesn't address the underlying problem.

Ignoring a recurring ankle sprain can lead to:

  • Chronic ankle pain
  • Persistent swelling
  • Weakened ligaments
  • Cartilage damage
  • Early arthritis
  • Reduced athletic performance
  • Increased stress on the knees, hips, and lower back

Because your body naturally compensates for an unstable ankle, other joints often begin to work harder, increasing your risk of additional injuries.

‍

rolled ankle

‍

How Physiotherapy Can Help

At VanCity Physio, we don't just treat the symptoms, we identify why your ankle continues to roll and create a personalized treatment plan to address the root cause.

Comprehensive Assessment

Your physiotherapist will assess your ankle mobility, strength, flexibility, walking pattern, balance, and overall movement to determine what's contributing to your recurring injuries.

Manual Therapy

Hands-on manual therapy techniques help improve joint mobility, reduce stiffness, decrease pain, and restore normal ankle movement.

Strengthening Exercises

Targeted strengthening exercises improve the muscles that support your ankle, making it stronger and more stable during daily activities and sports.

Balance and Proprioception Training

One of the biggest reasons ankle sprains recur is poor proprioception. Your physiotherapist will guide you through specialized balance exercises that retrain your nervous system to react more quickly, helping protect your ankle before another injury occurs.

Gait and Running Analysis

Poor walking or running mechanics can place unnecessary stress on your ankle. We identify movement faults and help correct them to reduce your injury risk.

Return-to-Sport Rehabilitation

Whether you enjoy soccer, basketball, pickleball, volleyball, hiking, or running, your sports physiotherapy program will be tailored to your goals, ensuring a safe and confident return to activity.

‍

Exercises That Help Prevent Future Ankle Sprains

Your physiotherapist may recommend exercises such as:

  • Single-leg balance exercises
  • Heel raises
  • Resistance band strengthening
  • Calf stretches
  • Hip strengthening exercises
  • Agility drills
  • Plyometric training for athletes

These exercises improve stability, coordination, and overall ankle function while helping prevent future sprains. A structured active rehabilitation program progresses these safely as your ankle gets stronger.

‍

rolled ankle

‍

When Should You See a Physiotherapist?

You should book a physiotherapy assessment if:

  • You've rolled your ankle more than once
  • Your ankle still feels weak or unstable
  • Swelling returns after activity
  • Walking causes discomfort
  • Your ankle frequently gives out
  • You're avoiding sports because you don't trust your ankle

Early treatment can speed up recovery, reduce pain, and significantly lower your risk of long-term complications.

‍

Why Choose VanCity Physio?

At VanCity Physio, we believe every ankle injury deserves more than temporary pain relief.

Our experienced physiotherapists provide comprehensive one-on-one assessments and evidence-based treatment plans designed to restore strength, improve balance, and prevent future injuries. We combine hands-on therapy with customized exercise programs and education so you can recover with confidence.

Whether you're recovering from your first ankle sprain or have been dealing with recurring ankle injuries for years, we're here to help you move better, feel stronger, and return to doing what you love.

‍

Take the First Step Toward a Stronger Ankle

Don't let a recurring ankle sprain keep you from enjoying an active lifestyle. With expert physiotherapy treatment, you can improve your strength, restore stability, and reduce your risk of future injuries.

Book your comprehensive ankle assessment at our Downtown clinic or Fairview clinic and take the first step toward a stronger, healthier, and more confident recovery.

‍

Frequently Asked Questions

Why do I keep getting a recurring ankle sprain?

Most repeat sprains happen because the original injury never fully rehabilitated. Rest reduces pain and swelling, but it doesn't rebuild the strength, balance, and proprioception your ankle needs for stability. Without that, the ligaments stay weak and the ankle rolls more easily.

How long does it take to recover from a recurring ankle sprain?

It depends on the severity and how long instability has been present. Many people notice meaningful improvement within a few weeks of consistent physiotherapy, though building full strength and balance often takes a couple of months. Your physiotherapist will give you a timeline based on your assessment.

Can I still exercise with an unstable ankle?

Often yes, but with modifications. A physiotherapist can guide you on which activities are safe and which to temporarily avoid, then progress you back to full activity as your strength and stability improve. Pushing through repeated sprains without a plan usually makes things worse.

Is an ankle brace enough to fix the problem?

A brace can offer short-term support, but it doesn't address the underlying weakness or poor proprioception causing your ankle to roll. Bracing works best alongside a proper strengthening and balance program, not as a replacement for one.

Do I need a referral to see a physiotherapist in Vancouver?

No. You can book directly with a physiotherapist in British Columbia. VanCity Physio also offers direct billing to most extended health plans, including ICBC and WorkSafeBC.

‍