Help! I'm Hypermobile Ankle Sprains and Hypermobility: Why It’s Not “Just” an Ankle Sprain With Charlie the Physiocoach
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Mar 4, 2026 
Charlie Goodchild, physiotherapist and clinic founder who calls himself a physio coach, explains why ankle sprains in hypermobile people are often complex. He discusses recurrent instability, when to immobilize, rehab progressions, practical self-assessments and daily exercises. He also covers imaging thresholds, bracing and when to seek deeper assessment.
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How A Dismissed Teen Sprain Led To Surgery
- Charlie's first ankle sprain at 16 was dismissed as "just an ankle sprain" and he returned to sport too soon.
- Recurrent sprains over 20 years left progressive laxity and finally required stabilization surgery after repeated giving-way episodes.
Use Single Leg Tests To Spot Hidden Weakness
- Screen single-leg control and calf raise height to detect side-to-side deficits after sprain.
- Use single-leg balance and single-leg sit-to-stand tests in front of a mirror to observe asymmetry and self-correct daily.
Past Ankle Sprains Predict Many Future Lower Limb Problems
- A previous ankle sprain is the strongest predictor of future lower-limb problems, not just repeat ankle injuries.
- Early ankle injury can cause long-term asymmetry that later presents as knee, hip, or back complaints.