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Avoiding Chronic Ankle Instability After Recurrent Ankle Sprains

Dec 12, 2025
Avoiding Chronic Ankle Instability After Recurrent Ankle Sprains
Recurrent ankle sprains can do more than just slow you down — they can cause lasting joint damage and chronic instability. Here’s how to recognize the signs of ankle instability and how you can prevent long-term complications with proper care.

Sprained ankles are one of the most common orthopedic injuries among people of all ages. A sprain occurs when the ligaments surrounding your ankle are stretched too far, causing symptoms such as pain, swelling, and limited mobility.

A single sprain can be enough to take you off your feet temporarily — but repeated sprains can lead to ongoing instability that makes you more vulnerable to future injuries, especially when the sprains aren’t treated properly to begin with.

Our team at Manhattan Orthopedics is here to help. We specialize in foot and ankle care in Astoria, Brooklyn, and Manhattan, New York. Here’s what you need to know about chronic ankle instability and how you can lower your risk.

What is chronic ankle instability?

Chronic ankle instability is a condition that develops when the ligaments supporting your ankle get stretched, torn, or weakened after repeated sprains. These ligaments are responsible for keeping your ankle joint stable and balanced, especially while you move.

When they lose their strength or elasticity, your ankle may feel wobbly, unstable, or prone to “giving out” during normal activities. Over time, this instability can also contribute to joint inflammation, cartilage damage, and even early-onset arthritis.

One of the most common reasons for developing chronic ankle instability is inadequate healing after a sprain. Many people assume that once pain and swelling subside, their ankle is fully healed — but the soft tissues may still be weak or scarred. Returning to sports or daily activities too soon can make the ligaments overstretch again, restarting the injury cycle.

Other factors can also increase your risk, including poor ankle strength, muscle imbalances, flat feet, or improper footwear. Even walking on uneven surfaces without proper support can stress your ankle joint and hinder recovery.

Recognizing the symptoms of chronic ankle instability

Symptoms of chronic ankle instability often go beyond pain. You might notice that your ankle feels unsteady when walking on uneven ground or that it tends to roll inward easily. Other signs can include persistent swelling, tenderness around the outside of your ankle, stiffness after rest, or a sense that your ankle can’t reliably support your body weight.

If these symptoms sound familiar, don’t dismiss them. Chronic ankle instability can limit mobility in anyone, not just athletes. Without the right care, it can increase your risk of accidents, falls, and further injury.

Protect your ankles with proper ankle sprain treatment

Getting the right treatment for ankle sprains early on is the most effective way to prevent chronic instability. Many mild sprains heal after a period of rest, ice, compression, and elevation, but it’s important to get a professional evaluation to determine the severity of your injury.

Our orthopedic specialists at Manhattan Orthopedics can assess the damage with imaging, prescribe a customized rehabilitation plan, and monitor your recovery. In particular, rehabilitation is essential to avoid chronic ankle instability following recurrent ankle sprains.

Rehab and physical therapy strengthen the muscles surrounding your ankle, restore balance and coordination, and help retrain your body to move correctly. Without this step, even small weaknesses can lead to reinjury and long-term instability. In some cases, advanced therapies or surgical repair may be needed to restore ligament function and prevent recurring sprains.

Avoiding chronic ankle instability in the long term

Once your body has healed from a sprain, maintaining ankle strength and flexibility is essential to preventing future sprains. Supportive shoes, balance training, and proper warm-ups before activity can make a big difference. If you play sports or engage in high-impact activities, we may recommend bracing or taping your ankle for added support.

Remember that chronic ankle instability develops without fanfare, often starting with one sprain that never fully heals. The good news is that with timely treatment and a personalized recovery plan, you can restore strength, improve stability, and return to normal activities with confidence.

If you’ve had more than one ankle sprain or feel unsteady on your feet, don’t wait for things to get worse. Schedule an evaluation at Manhattan Orthopedics to keep your ankle strong and stable for years to come.