High Ankle Sprains (Syndesmosis Injury)

What Are High Ankle Sprains (Syndesmosis Injury)?

A high ankle sprain (syndesmosis injury) is where there is a sprain or rupture of the ligaments that hold the 2 bones that form the lower leg, together (the tibia and fibula). This type of injury can be caused by the foot being forced upwards (dorsiflexed) or by a severe inversion injury.

Common Causes

Common sports that cause these injuries:

  • Athletics
  • Trampolining
  • Soccer
  • Netball

          Common Signs & Symptoms

          Following this injury the common signs and symptoms are:

          • Immediate pain and swelling of the ankle particularly around the top, outside part of the ankle
          • Pain on weightbearing
          • Decreased ROM of the ankle

                  Condition Management

                  What should be done following this injury:

                  • For severe sprains attend the Emergency Room for an assessment as you may need an X-ray to rule out a fracture
                  • For moderate & minor sprains consult your Doctor or physical therapist. You could use an ankle support to help provide stability to the joint.
                  • Elevate your ankle
                  • Use ice or a reusable cold pack to reduce pain and swelling (the recommended time is 10 minutes on with 1 hour off). Never apply ice directly to the skin.

                    THE NEO G DiFFERENCE

                    Class 1 Medical Device badge

                    MEDICAL QUALITY

                    Neo G products are designed by orthopaedic professionals and registered as Class 1 Medical Devices.

                    Chartered Society of Physiotherapy logo

                    TRUSTED BY PROFESSIONALS

                    Neo G is proud to be an official worldwide partner with The Chartered Society of Physiotherapy, the UK equivalent of the APTA.

                    Number five with 5 stars at the bottom

                    TRIED & TESTED

                    Neo G is a trusted high street brand with over 1 million supports sold and thousands of 5 star reviews.


                    The content on this website is provided for general information and reference purposes only and is not intended to substitute for advice given by a physician, pharmacist, or other licensed health-care professional. You should not use this information as self-diagnosis or for treating a health problem or disease. All exercises and information featured on this web site should only be reviewed/practised under the supervision of a qualified healthcare professional. Products suggestions linked to injuries may be provided on the site but you must always refer to the product page for full product details and always consult a physician before use as the indications outlined may not always be relevant to your particular injury/condition.