Inversion ankle sprains are one of the most common orthopedic conditions and can lead to long‑term impairments, including ongoing pain, stiffness, and gait abnormalities in as many as 72% of individuals. Nearly 80% of those who suffer a sprain are likely to experience re‑injury. A number of studies have demonstrated the positive effects of exercise for treating ankle sprains, but researchers have questioned how the addition of manual therapy might influence outcomes. In 2013, Cleland and colleagues demonstrated that those in a manual therapy (joint mobilizations) plus exercise group did better in terms of pain and function than those in an exercise‑only group at 4 weeks and 6 months. While exercise has the best evidence, ankle sprains may be one issue where seeing a physio for a combination of skilled manual care and exercise guidance would be wise.
