Ankle Sprains & Instability
Comprehensive diagnosis and evidence-based treatment for Ankle Sprains & Instability in Pune by Foot and Ankle Specialist Dr Shyam Thakkar at ARTICUL8 Clinic, Erandwane. Frequent rolling of the ankle accompanied by chronic weakness, swelling, and sharp outer ankle pain during walking.

Clinical Imaging: Outer ankle ligament anatomy (ATFL/CFL) & arthroscopic stability examination.
Understanding Ankle Sprains & Instability
An ankle sprain occurs when the ligaments supporting the ankle joint are stretched or torn due to a sudden twist, roll, or awkward landing. It is one of the most common sports and daily activity injuries, affecting people of all ages.
Classification, Types & Severity Grades
Grade I (Mild)
Mild ligament stretching, minimal swelling, slight tenderness, normal stability.
Grade II (Moderate)
Partial ligament tear, moderate pain and swelling, localized bruising, mild joint looseness.
Grade III (Severe)
Complete ligament tear, severe swelling, extensive bruising, significant ankle instability.
Common Symptoms & Warning Signs
If you experience one or more of these symptoms, a clinical evaluation by a foot and ankle specialist is recommended:
Causes & Contributing Factors
- Walking or running on uneven surfaces
- Sports injuries (football, badminton, cricket, basketball)
- Sudden change in direction or awkward landing
- Slipping or missing a step
- Weak ankle muscles or previous ankle injury
Diagnostic Methods & Imaging
Dr Shyam Thakkar performs systematic clinical exams combined with advanced imaging to formulate an accurate diagnosis:
Detailed clinical examination & anterior drawer stability test
X-rays to rule out avulsion fractures or bone injury
MRI for severe, recurrent, or non-healing sprains to assess ligament damage
Treatment Options & Care Pathways
Phase 1: Evidence-Based Non-Surgical Therapies
Arthroscopic Keyhole Ligament Repair (Broström / Internal Brace)
Minimally invasive keyhole anatomical repair of ATFL/CFL ligaments augmented with high-strength biocompatible internal brace tape for instant mechanical stability.
Why Early Treatment Matters & Risks of Delay
Delaying medical evaluation or ignoring persistent symptoms can lead to severe joint or tendon complications:
When Should You See Dr. Shyam Thakkar?
Seek an immediate consultation if you experience any of the following clinical signs:
Frequently Asked Questions — Ankle Sprains & Instability
1. What is an ankle sprain?
An ankle sprain is an injury to the ligaments that support the ankle, usually caused by a sudden twist, roll or awkward landing.
2. What are the symptoms of an ankle sprain?
Symptoms usually include pain, swelling, bruising, tenderness and difficulty walking or bearing weight. In some cases the ankle may feel unstable.
3. How is an ankle sprain diagnosed?
Diagnosis for ankle sprain treatment pune is based on clinical examination and, when needed, X-rays to rule out fracture. MRI may be used for recurrent sprains or persistent pain.
4. What is chronic ankle instability?
Chronic ankle instability is when the ankle repeatedly feels weak, unstable or gives way after an earlier sprain. It often develops if the ligaments do not heal well or rehabilitation is incomplete.
5. Can chronic ankle instability be treated without surgery?
Yes, many patients improve with physiotherapy, balance training, supportive footwear and ankle bracing. Ankle ligament reconstruction pune is considered if instability continues despite good conservative care.
6. What is the best way to prevent recurrent ankle sprains?
Regular strengthening, balance exercises, proper footwear, warm-up before sports and using a brace or taping when advised can reduce recurrence.
Dr Shyam Thakkar
Orthopaedic Foot and Ankle Specialist & Surgeon
Expert care for Ankle Sprains & Instability. Consult Dr Shyam Thakkar at Erandwane clinic or leading Pune hospitals.