How long should you wear ankle braces?

Ankle injuries, such as sprains, are some of the most common musculoskeletal injuries, particularly among athletes.  Whether you’re a weekend warrior or a professional athlete, understanding how to manage an ankle injury and the role of ankle braces can significantly impact your recovery and performance.  This blog will delve into the importance of ankle braces, how long you should wear them, and tips for optimal ankle support.

Understanding Ankle Sprains

An ankle sprain occurs with a sudden twist, turn or come down on another players ankle which stretches the ligament past its normal capacity causing the sprain.  The severity of an ankle sprain can vary, ranging from mild (Grade I) to severe (Grade III).  Symptoms typically include pain, swelling, bruising, and limited mobility.  It is often difficult to walk and wearing an ankle wrap, compression, or ankle support can help with the healing process.

Why wear an ankle brace?

There are many reasons why someone might wear an ankle brace for a sports related activity.  This can include the following:

1. Provide support: The external support of a brace can help stabilize the joint to prevent or reduce injury risk or to aid in the healing process.
2. Decrease severity of an ankle sprain: By wearing an ankle brace it can reduce the severity of the sprain if it occurs which can decrease the amount of time you are away from your team.
3. Can help with healing: After an ankle sprain you can wear an ankle brace which will give you support while walking and decrease pain.

Types of Ankle Braces

1. Lace-Up Braces: These provide a customizable fit and offer moderate support. They are ideal for athletes during the early stages of recovery.

2. Hinged Braces: These allow for more natural movement while providing lateral support. They are often used in the later stages of recovery or as a preventive measure.

3. Compression Sleeves: These provide minimal support but are excellent for reducing swelling and improving circulation. They are often used in conjunction with other braces.

How Long Should You Wear Ankle Braces?

In a long-term review researchers looked at whether ankle braces affecting functional performance they found out that functional performance and balance will not be affected by wearing ankle braces.^1. Therefore, how long you should wear an ankle brace is dependent on the individual and their needs. However, severity of ankle sprain may dictate a timeframe on donning an ankle brace.  Here is a general guideline:

Grade I Sprains

For mild sprains, wearing an ankle brace for 1-2 weeks is typically sufficient.  During this period, the brace helps manage swelling and provides support during daily activities.  Once the initial pain and swelling subside, it’s crucial to begin gentle range-of-motion exercises to restore mobility. 

Grade II Sprains

Moderate sprains often require wearing an ankle brace for 3-4 weeks. In addition to managing swelling and providing support, the brace protects the ankle from further injury during the critical healing period.  Physical therapy exercises to strengthen the ankle and improve balance should be incorporated gradually as pain allows.

Grade III Sprains

Severe sprains may necessitate wearing an ankle brace for up to 6 weeks or longer. During this time, the brace plays a critical role in stabilizing the ankle and allowing the ligaments to heal properly.  A comprehensive rehabilitation program, including physical therapy, is essential to restore full function and prevent chronic instability.  Returning to game action with a grade III sprain might change perspective on wearing ankle brace for preventative measures.

Ankle braces are a valuable tool in managing ankle sprains and other injuries. The duration for wearing an ankle brace depends on the severity of the injury and individual recovery rates.  Mild sprains may only need a brace for a couple of weeks, while severe sprains might require several weeks of support.  Always follow your healthcare provider’s recommendations and engage in a comprehensive rehabilitation program to ensure optimal recovery and prevent future injuries.  By understanding the role of ankle braces and adhering to best practices, you can protect your ankles and maintain an active, healthy lifestyle.

By incorporating these guidelines, you can effectively manage ankle injuries and reduce the risk of re-injury. Whether you’re an athlete or simply looking to stay active, understanding how and when to use ankle braces is essential for maintaining healthy, strong ankles.

ABOUT THE AUTHOR

EVAN JEFFRIES is a physical therapist with a Doctorate in Physical Therapy (DPT) from the University of St. Augustine for Health Sciences.  He is also the owner of Evolving Motion Physical Therapy and has vast knowledge of the musculoskeletal system and has treated many orthopedic conditions by bringing a proactive approach to healthcare and lifestyle.  Recently he has also been active on social media as an injury analyst mainly in related to injuries NBA players have sustained.   Evan can be followed on his social media accounts.

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1. Megalaa T, Le Paul, Yan A, Beckenkamp P, Hiller C. Do Ankle Braces Affect Functional Performance? A Randomised Double-Blinded Cross-Over Trial. JSAMS Plus Vol 4 Dec 2024.