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Foot sprain - aftercare
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There are many bones and ligaments in your foot. A ligament is a strong flexible tissue that holds
bones together.
When the foot lands awkwardly, some ligaments can stretch and tear. This is called a sprain.
When the injury occurs to the middle part of the foot, this is called a mid-foot sprain.
Grade III, severe. The ligaments are completely disrupted or detached from the bone.
What to Expect
Symptoms of a foot sprain include:
Pain and tenderness near the arch of the foot. This can be felt on the bottom, top, or sides of
the foot.
Not being able to put weight on your foot. This most often occurs with more severe injuries.
Your health care provider may take a picture of your foot, called an x-ray, to see how severe the
injury is.
If it is painful to put weight on your foot, your provider may give you a splint or crutches to use while
your foot heals.
Most minor-to-moderate injuries will heal within 2 to 4 weeks. More severe injuries, such as injuries
that need a cast or splint, will need a longer time to heal, up to 6 to 8 weeks. The most serious
injuries will need surgery to reduce the bone and allow the ligaments to heal. The healing process
can be 6 to 8 months.
Symptom Relief
Follow these steps for the first few days or weeks after your injury:
Rest. Stop any physical activity that causes pain, and keep your foot still when possible.
Ice your foot for 20 minutes 2 to 3 times a day. DO NOT apply ice directly to your skin.
Keep your foot raised to help keep swelling down.
For pain, you can use ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), or acetaminophen
(Tylenol). You can buy these pain medicines at the store.
Talk with your provider before using these medicines if you have heart disease, high blood
pressure, kidney disease, or have had stomach ulcers or internal bleeding in the past.
DO NOT take more than the amount recommended on the bottle or by your provider.
Activity
You can begin light activity once the pain has decreased and the swelling has gone down. Slowly
increase the amount of walking or activity each day.
There may be some soreness and stiffness when you walk. This will go away once the muscles and
ligaments in your foot begin to stretch and strengthen.
Your provider or physical therapist can give you exercises to help strengthen the muscles and
ligaments in your foot. These exercises can also help prevent future injury.
Tips:
During activity, you should wear a stable and protective shoe. A stiffer sole shoe can protect
your foot. Walking bare foot or in flip flops can make your sprain worse.
Wear a boot if your provider suggests it. This can protect your foot and allow your ligaments
to heal better.
Talk to your provider before returning to any high impact activity or sport.
Follow-up
You may not need to see your provider again if your injury is healing as expected. You may need
additional follow up visits if the injury is more severe.
Alternative Names
Mid-foot sprain
References
Abu-Laban RB, Rose NGW. Ankle and foot. In: Marx JA, Hockberger RS, Walls RM, et al, eds.
Rosen's Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, PA: Elsevier
Saunders; 2014:chap 58.
Molloy A, Selvan D. Ligamentous injuries of the foot and ankle. In: Miller MD, Thompson SR, eds.
DeLee and Drez's Orthopaedic Sports Medicine. 4th ed. Philadelphia, PA: Elsevier Saunders;
2015:chap 116.
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