What to do if you twist your ankle out running

Please not that I am not medically trained. This is from my experiences of several twisted ankles.

Step 1. Can you stand on it? If not then you need to call for help. You do of course have a phone with you, if not then find a stick for support and some friendly dog walkers to help you get home. (I have done this.)

Step 2. If you can stand on it, can you walk to help without too much pain? If so can you run without it hurting? If you can run without pain, then it really isn’t too bad. Don’t run if it is painful as it will only make things worse.

Step 3. You make it home and have a look at the damage. If it is swollen and sore then keep it elevated as much as possible and use an icepack.

Step 4. When you can stand on the leg again then you need to work on balance. Progress as things improve from single leg balance to going up on your toes and mini single leg squats. Do not consider running until you can hop on that leg without pain and keep checking if anything you do makes the ankle swell more. If so reduce what you are doing.

Step 5. When you can hop and feel ready to try running again, wear some ankle support and stick to smooth surfaces to begin with.

Step 6. Keep working on balance and ankle mobility as you progress the running. Check that both ankles move the same.

Going over on your ankle can range from not much damage at all, to bruising from below the knee right down to toes or even a fracture. The most extreme cases will require 4-6 weeks off running. As with all injuries, avoidance is best, so look where you are going and work on improving your balance.

Cross Country Running Drills

This is a list of drills that will help you get in shape for trail and cross country races, and the reason why each of them is useful.  You don’t need to do all of them every time, but if you include them regularly they should make you less injury prone, stronger and quicker on your feet.  Begin by mastering the drills as part of a warm up, but later progress to do some of them at the end of training, when you are tired.

  • Walking on toes/heels/edge of feet- stretches and strengthens you feet and ankles to prevent injury. Build to 2x10m of each drill.
  • Leg swings- gets your glute muscles working and improves balance. Aim to complete 12x backwards and forwards swings, side to side swings and hip rotation on one leg without putting it down, then swap legs.
  • Hopping in different directions- controlling landing, improves balance and leg strength. 3×6 hops around a square on each leg.
  • Hurdle drills- improves core strength, mobility and coordination when done with a skip. There are endless variation, start by mastering walking drills forwards, backwards and sideways, then add skips, use 6-8 hurdles.
  • Ladder drills- improves agility, speed of feet and foot placement.  Progress to doing them up and down hill. Example drills are run through with 1 foot in each gap, the same but with high knees, two feet in each gap, sideways, two foot jumps, hopping.
  • Step and hold/eccentric bounding- working on controlling landing forces to strengthen legs for downhills. Build to 4×10 bounds, hold each landing.
  • Steps- improves leg strength and up hill run technique. Example drills: single steps, double steps, sideways both directions and 2 feet on each step, skater steps. Build the number of repeats gradually and run down using single steps and fast arm drive.
  • Carioca drill where you travel sideways, crossing in front and behind- makes you light and quick on your feet and works muscles to control twisting forces.

About me

I have been a runner for over 25 years and tried many different types; road, cross-country, track, triathlon, mountain, from 100m sprints to 64k Ultras! I run for the adventures, experiences, exploring, meeting great people and to find out more about myself and what I am capable of. I have been coaching for over 15 years, have completed Endurance Event Group Coach (level 3/4 England Athletics Running Coach) and take great satisfaction in helping people achieve their running dreams with training that fits around athletes real lives. This blog includes many tips that I hope will help you too.

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