NFL Week 2 Injury Profile: Odell Beckham Jr. (High Ankle Sprain)

Print icon

This is the first in a series of reports this NFL season that will evaluate injuries to players of local (Patriots, Giants and Jets) or national interest with commentary by Hartford HealthCare’s sports orthopedic specialists.

Player: Odell Beckham Jr., New York Giants receiver.

Injury: Mild high ankle sprain.

How it happened: Beckham left an exhibition game Aug. 21 against the Cleveland Browns after a low hit to the knee by cornerback Briean Boddy-Calhoun in the second quarter. He was inactive for the Giants’ first regular-season game Sept. 7 against the Dallas Cowboys.

Expected time missed: Although Beckham’s status was a game-time decision Sunday, a high ankle sprain can linger. Recovery typically takes 4-6 weeks. Beckham, listed as a game-time decision for the Giants’ game Sept. 18 against the Detroit Lions, had four catches for 36 yards while one the field for half the Giants’ offensive plays in a 24-10 loss.

Dr. Clifford Rios, Bone & Joint Institute orthopedic surgeon and board-certified in sports medicine: “The recovery timetable depends on the extent of the injury.  Nearly all ankle sprains are managed non-surgically. Mild injuries can often be rehabilitated quickly, with players returning to play the following week. More severe ankle sprains, and those involving the end of the tibia and fibula (high ankle sprain) like Beckham’s, require a much longer period of rest and rehabilitation.”

What is an ankle sprain?: When the ligaments, the flexible tissue that bonds your bones and keeps your joints stable, are stretched or torn. The injury usually affects one or more ligaments on the outside of the ankle

The three types of ankle sprains:

  • Grade 1: Stretched ligaments that will improve with light stretching.
  • Grade 2: Partially torn ligaments that could require a splint or cast.
  • Grade 3: Fully torn ligaments that might require surgery. When it happens, you’l feel severe pain.

When does an ankle sprain turn black and blue?: Grades 2 and 3 sprains could include tears in small blood vessels. Blood that then leaks into tissues causes the discoloration, even though it might not show for several days. The blood is usually absorbed from the tissue within two weeks.

What’s the difference between a low ankle sprain and high ankle sprain?:  A low ankle sprain affects the ligaments supporting the subtalar joint, just below the true ankle joint — a set of of three bones, the tibia (inside part of ankle), fibula (lateral, or outside) and the talus (lower). A high ankle sprain affects the ligaments connecting the tibia and fibula, the lower leg’s two bones. Note that in pregame warmups Beckham ran fluidly straight ahead, but grimaced after cutting: A high ankle sprain hurts whenever you place rotational force on the ankle. “Cutting puts more stress laterally, which is where the ankle sprain commonly occurs,” says Dr. Rios. “A severe high ankle sprain would not tolerate even straight running for up to 8-12 weeks.”

Recovery/Treatment: A low ankle sprain is usually caused by an inward twisting motion. It’s less serious than a high ankle sprain  — most athletes will return anywhere from a few days to a month. Recovery from a high ankle sprain, often caused in the NFL when a player plants a foot on the ground before an extreme outward twist of the foot, can take 4-6 weeks. The Browns’ Myles Garrett, the NFL’s No. 1 pick in this year’s draft, suffered a high ankle sprain when a teammate fell on the back of his leg in a practice before the season’s first game.  The Browns’ starting defensive end is expected to miss several more weeks.

Severe high ankle sprains can take up to six months and might require surgery. An X-ray, CT scan or MRI can help determine if you have a high ankle sprain or possible fracture.

A cast, splint or brace and physical therapy could part of the recovery plan, depending on the injury’s severity.

If you suffer a mild ankle sprain:

  • Apply ice hourly during waking hours, 20 minutes at a time, for the first 24 hours after the injury.
  • After the initial 24-hour period, apply ice for 20 minutes three or four times a day.
  • Warning: Even though pain medications (ibuprofen) can reduce pain and swelling, do not use them for 24 hours after the injury because it could increase the risk of bleeding.

Dr Clifford Rios, a sports medicine surgeon with Orthopedic Associates of Hartford, is Site Director for orthopedic resident education at the Bone & Joint Institute. Click here to find out why the Bone & Joint Institute is the athlete’s choice, with a Motion Lab for performance analysis, the area’s most comprehensive sports rehabilitation facility and 30 fellowship-trained orthopedic surgeons.

 


What's New


How Recovery Coaches Can Reshape The ER

By Pat Rehmer President, Behavioral Health Network With crowded waiting rooms and busy clinicians, mental health and substance abuse patients don’t always receive the most optimal care in healthcare settings.  And for good reason – emergency room  staff are generally focused on serious physical problems, rapid assessments and “in the...


A New Voice Of Recovery At Behavioral Health Network

For Karen Kangas, the Behavioral Health Network’s new Director of Recovery and Family Affairs, hope is the best tool you can give a person battling addiction and mental illness. She speaks from experience. Kangas is in recovery herself and has spent the past 25 years advocating for people with mental...

WNPR host Faith Middleton, left, with Dr. Courtland Lewis, the Hartford HealthCare Bone & Institute physician in chief, during a "Food Schmooze" visit to the institute's demonstration kitchen.


Cheers! WNPR Stops By Bone & Joint Institute For ‘Food Schmooze’

Let’s put aside bones and joints for a moment. You must be starving by now. So let’s talk about food, the topic du jour Thursday on WNPR when Faith Middleton brought “Food Schmooze” to the Hartford HealthCare Bone & Joint Institute demonstration kitchen for an hour of cooking tips (whole...


How To Talk To Someone Who Has Dementia

By Michelle Wyman, Dementia Specialist Hartford HealthCare Center for Healthy Aging How to communicate with people who have dementia: Always state their name before speaking. This attracts their attention. Maintain eye contact throughout the conversation. Avoid speaking from another room or from behind. They may have forgotten you were in...


Hernia: When Do You Need Surgery?

Dr. Chike Chukwumah, director of the Hartford Hospital Hernia Center, answers your questions about hernias.  Q: What is a hernia?  A: A hernia is a defect that can occur in various muscles/tissues of the body. It is different from a muscle sprain/strain. A hernia does not heal or fix itself. It can...


NFL Week 3 Injury Profile: Rob Gronkowski (Groin)

Our weekly NFL report this season evaluates injuries to players of local (Patriots, Giants and Jets) or national interest with commentary by the Bone & Joint Institute at Hartford Hospital’s sports orthopedic specialists. Player: Rob Gronkowski, New England Patriots tight end. Injury: Groin. How it happened: Gronkowski appeared to suffer...


Nutrition: How To Become A Happy (And Healthy) Tailgater

Tailgating classics like cheesy appetizers, burgers, hot dogs, pretzels and beer may get you in the game-day mood but they can really pack in the calories and sodium. There are almost 500 calories in one soft pretzel. A 150-pound woman would need to cycle 10 mph for 81 minutes to...