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Rugmedisch Centrum Fysiotherapie

Closed · opens Monday 07:00

Complaint

Ankle instability

In short

People who often sprain their ankle can develop an unstable ankle with chronic symptoms. We treat this with prolotherapy (Dordrecht, on Thursdays also Rotterdam): injections intended to strengthen the ankle ligaments. Exercises for balance and strength come first; prolotherapy is for when the ankle remains unstable.

In our practice we regularly see patients with chronic ankle complaints. The problems often arise from spraining the ankle and become worse with repeated sprains.

On this page3
  1. Complaints we hear
  2. Treatment with prolotherapy
  3. Recognizable symptoms

About 40% of people with a sprained ankle are left with long-term weakness after this injury. After an ankle injury, the risk of osteoarthritis later on is also higher. This shows that many patients do not recover well from a sprained ankle.

Complaints we hear

Patients often report repeated sprains, even during normal walking, as well as weakness, ankle stiffness, pain and swelling. Many people rest the ankle, cool it, and take painkillers and anti-inflammatories if it hurts and swells. Athletes often run with tape or a brace.

Treatment with prolotherapy

Injuries to the ankle ligaments range from stretched to torn. We try to strengthen stretched, unstable and painful ligaments with prolotherapy. This is an injection therapy in which we prompt the body to repair and strengthen the overstretched, painful ankle ligaments. The aim is better function and less pain; how well it works varies from person to person.

We cannot repair torn ankle ligaments or ligaments with prolotherapy alone. However, it is very important to treat all surrounding ligaments. In this way we limit further damage as much as possible, compensate for instability and improve pain and function as best as possible.

The aim of prolotherapy treatment is: less pain, spraining the ankle less often, making the ankle more resilient and protecting the joint as well as possible against further wear.

Recognizable symptoms

  • Your ankle sprains again and again, even when walking normally
  • A weak ankle
  • A stiff ankle
  • Pain and swelling in the ankle
  • Only dare to exercise with tape or a brace

Scientific references (2)

  • Doherty C, Bleakley C, Hertel J, Caulfield B, Ryan J, Delahunt E. Recovery From a First-Time Lateral Ankle Sprain and the Predictors of Chronic Ankle Instability: A Prospective Cohort Analysis. Am J Sports Med. 2016 Apr;44(4):995-1003. doi: 10.1177/0363546516628870. Epub 2016 Feb 24. PubMed PMID: 26912285.
  • Pourkazemi F, Hiller CE, Raymond J, Nightingale EJ, Refshauge KM. Predictors of chronic ankle instability after an index lateral ankle sprain: a systematic review. J Sci Med Sport. 2014 Nov;17(6):568-73. doi: 10.1016/j.jsams.2014.01.005. Epub 2014 Feb 6. Review. PubMed PMID: 24589372.

Appropriate treatments

We use these treatments for this purpose.

Related complaints

Complaints in the same part of the body.

Responsible practitioner

Dr. Björn Mulder

Doctor of orthopaedic medicine · BIG number 49919529101 (look up in the BIG register, opens in a new tab)

Studied at Erasmus University Rotterdam, specialized in the Cyriax method with Dr. Jan Mens and followed further training in orthopedic medicine in the United States. Member and secretary of the Association of Doctors of Orthopedic Medicine.

Last updated on

A chiropractor near you

Location Rotterdam

Cor Kieboomplein 227, 3077 MK Rotterdam

010-411 27 63

Also for patients from Rotterdam-Zuid, IJsselmonde, Charlois, Hoogvliet, Ridderkerk, Barendrecht, Capelle aan den IJssel, Krimpen aan den IJssel, Spijkenisse, Schiedam, Vlaardingen and Albrandswaard.

Location Dordrecht

Overkampweg 381, 3318 AR Dordrecht
doktermulder.nl

078-645 48 90

Also for patients from Dordrecht, Zwijndrecht, Papendrecht, Hendrik-Ido-Ambacht, Sliedrecht, Alblasserdam, 's-Gravendeel, Strijen, Oud-Beijerland, Gorinchem and Werkendam.

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Good to know

  • From the supplementary insurance, so not from your deductible.
  • No GP referral required.
  • You will receive an invoice with everything your insurer needs.

Source: chiropractievergoeding.nl, policy year 2026 (version 1.0 — 21-11-2025). This is an indication; your own policy always prevails.