Persistent pain after an ankle sprain remains a frequent cause of disability across all age groups. Ankle injuries are very common. They account for a significant number of lost working days and interfere with individual enjoyment of sporting and leisure pursuits. When chronic symptoms occur after these apparently simple sprains a methodical approach to their diagnosis and management will alleviate unnecessary incapacity and provide good symptom relief. This paper describes an anatomical and regional approach to the history, examination, investigation and management of this difficult problem.
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