Today is a rare Saturday morning where I have some time to sit down and watch Sportscenter. They just showed highlights of the Miami Heat (basketball team) game where two starters of their rolled their ankles in a span of 3 minutes!
I also have read that the most common injury in football is………….ankle sprains. Obviously, this is not just an issue for basketball players, but all athletes. There are some complicated strategies, but I’m going to keep this post SIMPLE and EFFECTIVE. Most of these suggestions won’t alter your time in the gym at all.
The sad thing is that ankle sprains can be HUGELY reduced with a few tweaks to the training program. A little information on ankle sprains first. There are ligaments that keep the ankle bones and foot in the correct position. A sprain occurs when the ligament is stretched beyond its normal range of motion. Sprained ankles often come from landing on uneven ground or off balance.
I know from personal experience that a sprained ankle is painful and annoying. I broke my right ankle in a high school basketball game by coming down on someone’s foot. I had issues rolling my ankles frequently. A few years later, I made some tweaks in my training program and have not had A SINGLE ANKLE SPRAIN IN 5 YEARS, despite a close call a few months back(story at the end).
Simple Ankle Health Strategies
GET OUT OF THE STIFF HIGH TOPS – Of course I’m talking about training, not games. I posted a “Who Trains The Best” NBA version a few weeks back and you will notice that nearly all of these athletes have stiff high tops on while training. These stiff shoes lock the foot and ankle in place and limit the training effect. The simple fix is to warm up and do appropriate exercises in socks. This will help increase strength and proprioception in the foot and ankle. Below is a photo of Lamar Odom training in stiff shoes and lots of braces. Which brings me to my next point….
LOSE THE ANKLE BRACES – As soon as the injury is rehabbed, its time to lose the braces. An ankle brace and taping are used to hold the foot and ankle in place, just like stiff high tops. Again, if the joint is constantly braced, it will not develop any strength and stability! Simple Solution – strengthen and rehab the ankle appropriately, then let it free! Here is another option to training in socks – Vibram Five Fingers. A new market is developing out of the realization that foot stabilization is often a crutch.
WORK ON ANKLE MOBILITY/STRENGTH – It is important to stretch the gastrocnemius, soleus, and achillies to achieve proper mobility. I have not had to incorporate many drills to strengthen the ankles. I occasionally use some band resisted ankle movements and marching on foam or a soft surface.
Most athletes have suffered from injured ankles. This is extremely preventable. I am excited to see the fitness and sport industry paying more attention to joint health.
However, I also see another disturbing trend, athletes dressing up more and more just for looks. This trend includes all these sweat bands and braces that kids are finding popular, but also spatting, especially in football. Spatting is taping the outside of the cleat. This is mostly done for looks,and often includes an ankle brace UNDER the spatting as well! No need for this in youth sports. Protect you body, not your perceived image!
Ankle health has been beneficial to my training. A few months ago I was walking 500+ lbs out of the rack for a box squat at a gym that had a worn down platform. One step out of the rack and my right ankle rolled over. Even with all that weight on my back, my ankle was stabilized and I was able to continue the squat. Could have been really bad!
UPDATED: Here is an Ankle Health Video I shot for Alex Maroko from Truth About Quickness
Joe,
Thanks for the great link. Useful information for every strength coach.
LW
Comment by Lance Wilke, MS, ATC/L, CSCS, PES, NSCA-CPT — April 4, 2009 #
I have had my share of ankle injuries in High school football but my worst was at a Military school were I stepped in a burnt out tree stump hole with a 70lb ruck sack on my back and fell and twisted and broke my ankle, torn everything…hurt like hell set me back a long time. Nothing I could do to “prevent” anything bad from happening there but…what I have found is that when I stretch I Supinate “stretch” outward or stand on the side of my foot I slowly let my weight down on the side of my feet stretching them. After some time of doing this flexibility is awesome preventing injuries.
hey, thank you for posting this its very informative. I was forced to not play half of the basketball season of my sophomore year of highschool, coincidentally i made varsity that year as well. But my physical therapist and doctor both have recommended taping my ankles before every game so i dont roll my ankle again, and a brace during practice… what do you think of this?
I would wear the tape during games, and brace during practice as per their recommendation (not forever though). As SOON as you are done with practice and games, get your high tops off. Wear mostly socks around the house.
I have no problem with wearing a brace temporarily based on the severity of the injury, but again only a temporary solution.
Not to sound like an endorsement for Vibram, but I’ve always used to roll my ankles doing pretty much anything that involved any forward or lateral movement. That is until I started wearing the Vibram five fingers while training and noticed a huge difference in not only ankle stability, but also balance, agility. Gyms most likely won’t let you workout barefooted or in socks so the vibrams make a really good substitute of wearing minimal footwear (even though I do prefer to workout barefooted from time to time)
Cool insight Dave. I’ve personally never heard anything negative about vibrams (other than the look). It is just about letting your muscles open up in the feet and ankle for added strength!
[...] April, 2009 (yeah we have been around for awhile now!) I wrote an article called Essential Ankle Mobility Strategies on the prehabilitation for ankle [...]
Joe,
Thanks for the great link. Useful information for every strength coach.
LW
Comment by Lance Wilke, MS, ATC/L, CSCS, PES, NSCA-CPT — April 4, 2009 #
I have had my share of ankle injuries in High school football but my worst was at a Military school were I stepped in a burnt out tree stump hole with a 70lb ruck sack on my back and fell and twisted and broke my ankle, torn everything…hurt like hell set me back a long time. Nothing I could do to “prevent” anything bad from happening there but…what I have found is that when I stretch I Supinate “stretch” outward or stand on the side of my foot I slowly let my weight down on the side of my feet stretching them. After some time of doing this flexibility is awesome preventing injuries.
Comment by Bill Long — April 4, 2009 #
Bill, Great stretch addition.
Thanks LW.
Comment by Administrator — April 4, 2009 #
Great stuff,we just had a workshop on this subject at my gym.
Comment by Keith Fine — April 5, 2009 #
Great Keith,
Any other simple stuff from your workshop to add?
I just got a peice of foam to include some foam marching in the injury prevention.
Comment by Administrator — April 5, 2009 #
Hey great stuff Joe! Thanks
Comment by Tim Hull — October 25, 2009 #
hey, thank you for posting this its very informative. I was forced to not play half of the basketball season of my sophomore year of highschool, coincidentally i made varsity that year as well. But my physical therapist and doctor both have recommended taping my ankles before every game so i dont roll my ankle again, and a brace during practice… what do you think of this?
Comment by Dan — April 23, 2010 #
Dan,
I would wear the tape during games, and brace during practice as per their recommendation (not forever though). As SOON as you are done with practice and games, get your high tops off. Wear mostly socks around the house.
I have no problem with wearing a brace temporarily based on the severity of the injury, but again only a temporary solution.
Good luck,
Joe
Comment by Admin: Joe Hashey, CSCS — April 23, 2010 #
[...] Prevent Ankle Injuries and Shin Splints – I think this is the second video I actual spoke in…about 70 videos in! Even though [...]
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Not to sound like an endorsement for Vibram, but I’ve always used to roll my ankles doing pretty much anything that involved any forward or lateral movement. That is until I started wearing the Vibram five fingers while training and noticed a huge difference in not only ankle stability, but also balance, agility. Gyms most likely won’t let you workout barefooted or in socks so the vibrams make a really good substitute of wearing minimal footwear (even though I do prefer to workout barefooted from time to time)
Comment by Dave — June 4, 2010 #
Cool insight Dave. I’ve personally never heard anything negative about vibrams (other than the look). It is just about letting your muscles open up in the feet and ankle for added strength!
Joe
Comment by Admin: Joe Hashey, CSCS — June 4, 2010 #
Essential Ankle Strength and Mobility Strategies http://synergy-athletics.com/effective-s...
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Comment by jhashey — June 28, 2010 #
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Comment by EndurancePro — June 28, 2010 #
[...] April, 2009 (yeah we have been around for awhile now!) I wrote an article called Essential Ankle Mobility Strategies on the prehabilitation for ankle [...]
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