From the Guidelines
A right ankle strain can potentially lead to a left ankle strain due to compensatory movement patterns and altered biomechanics. When an individual injures their right ankle, they often shift their weight to the left side to avoid pain, resulting in an abnormal gait pattern [ 1 ]. This compensation can place excessive stress on the left ankle, which may not be accustomed to handling the additional load, potentially leading to a strain. According to a study published in the British Journal of Sports Medicine [ 1 ], a higher physical workload and level of sports participation may be associated with an increased risk of recurrent sprains and ankle instability.
Key factors that may contribute to the development of chronic ankle instability (CAI) and potentially lead to a left ankle strain include:
- Inability to complete jumping and landing within 2 weeks after a first-time lateral ankle sprain (LAS)
- Deficiencies in dynamic postural control
- Altered hip joint kinematics
- Lack of mechanical stability/increased ligament laxity 8 weeks after an ankle sprain
- Sports participation at a high level
- Being a young male
- Increased BMI and greater body height [ 1 ]
To prevent a potential left ankle strain, it is essential to:
- Use appropriate supportive devices like braces or crutches as recommended for the right ankle
- Follow a complete rehabilitation program focusing on strength and balance for both ankles
- Gradually return to normal weight-bearing activities
- Maintain proper body mechanics during recovery
- Address any pain promptly to avoid developing secondary injuries in the uninjured limb [ 1 ].
From the Research
Ankle Strain Relationship
- The provided studies do not directly address whether a right ankle strain can lead to a left ankle strain 2, 3, 4, 5, 6.
- However, it can be inferred that ankle strains are common and can have various complications, including osteochondral fractures, peroneal tendon injuries, and nerve injury 2.
- The treatment of ankle sprains typically involves rest, ice, compression, and elevation, as well as medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) and opioid analgesic combinations 3, 4.
- Clinical practice guidelines recommend a range of management and treatment options for ankle sprains, including manual therapy, cryotherapy, functional supports, early ambulation, and rehabilitation 5, 6.
Potential for Contralateral Ankle Strain
- While there is no direct evidence to suggest that a right ankle strain can lead to a left ankle strain, it is possible that altered biomechanics or gait patterns resulting from a right ankle strain could increase the risk of injury to the left ankle 6.
- Athletes with acute ankle sprains are at risk of persistent residual symptoms and injury recurrence, highlighting the importance of proper management and rehabilitation 6.
- A comprehensive and progressive exercise program, including range of motion, stretching, strengthening, neuromuscular, proprioceptive, and sport-specific exercises, can help prevent future ankle sprains 6.