Most lateral ankle sprains hear with conservative treatment. Pain that
lasts 6 or more weeks after a sprain may come from inadequate rehabil
itation, impingement, occult osteochondral or chondral lesions, perone
al tendon or syndesmosis injury, or lateral instability. Treatment for
inadequate rehabilitation includes supervised rehabilitation and home
exercise. Surgery is recommended for refractory cases of impingement
syndrome. Occult osteochondral or chondral lesions usually require art
hroscopic excision or repair Peroneal tendon injury should be treated
conservatively before surgery is considered. The severity of syndesmos
is injury determines conservative or surgical measures. Remedies for l
ateral instability include an ankle brace, physiotherapy, and surgery.