When is physiotherapy recommended for ligament sprain?

A sprain stretches or tears a ligament, commonly around the ankle, knee or wrist. Early rehabilitation may focus on protecting the joint, reducing swelling and maintaining safe movement. As symptoms settle, treatment can address strength, balance, coordination and the actions that caused difficulty. A physiotherapist may use a brace or support when appropriate and can progress from basic weight-bearing to work, daily tasks or sport. The timing and pace depend on the affected ligament, severity and whether there is a fracture or another injury.

Arrange an assessment if the joint remains painful, unstable, stiff or difficult to use after the initial injury. Protect it from movements that sharply increase symptoms, but do not keep it completely still longer than advised. Complete the home exercises regularly and increase activity only as control returns. See [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/) for more about rehabilitation.

Seek prompt care if you cannot bear weight, the joint looks deformed, swelling is severe, pain is escalating, or the limb becomes numb, cold or unusually pale. A wound, fever, or persistent instability also warrants assessment. An examination may be needed before exercises are selected.

Ask which ligament is affected, whether a fracture or complete tear needs ruling out, when weight-bearing is safe, and what milestones should come before returning to sport.