Chronic Ankle Instability: Why Your Ankle Keeps Rolling

You roll your ankle once, then again, then again... sound familiar? For some patients, especially those who’ve had past ankle sprains, the joint never quite feels stable again. This may be chronic ankle instability—a condition that can seriously impact athletic performance, balance, and confidence.

What Causes Chronic Ankle Instability?It often begins with a severe or repeated lateral ankle sprain, damaging the ligaments on the outer part of the ankle. Without proper healing or rehab, those ligaments remain stretched and weak.

Common Symptoms:

• Repeated "giving way" of the ankle, especially on uneven surfaces

• Persistent swelling or discomfort

• Weakness in the ankle during movement

• Feeling “wobbly” or unsteady, even when walking

Who’s at Risk?

• Athletes in court sports (basketball, tennis, volleyball)

• Runners or hikers

• People with high arches or poor ankle proprioception

• Anyone with a history of ankle sprains

Treatment Options:

• Balance and strengthening exercises (peroneals, calf muscles, etc.)

• Physical therapy with proprioceptive training

• Ankle bracing for support

• Surgical ligament reconstruction in severe or persistent cases

One ankle sprain shouldn’t lead to a lifetime of instability. There are effective ways to restore strength and prevent future injuries.