🏈 Khalil Shakir’s High Ankle Sprain — What It Means & How Recovery Works
You may have seen that Bills WR Khalil Shakir recently suffered a high ankle sprain. Let’s break down what that actually means, and what recovery looks like for an athlete at his level — and for the rest of us, too. 🧠 What is a High Ankle Sprain? A high ankle sprain affects the syndesmosis — the strong ligaments that hold your tibia and fibula together just above the ankle. It’s different (and usually more serious) than a typical lateral ankle sprain. It often happens when the foot is twisted outward while planted (think: cutting, tackling, getting rolled up on). 🏃♂️ What Does Rehab Look Like? Rehab is broken down into 3 phases: 1. Acute Phase (0–2 weeks): - Focus on protecting the joint, reducing swelling and pain - Boot or brace, sometimes crutches - Light isometrics and gentle ROM to avoid stiffness 2. Subacute Phase (2–4 weeks): - Restore mobility (dorsiflexion, plantarflexion) - Build ankle strength around the calf muscles to reduce compensation(calf raises, resistance bands) - Add balance + proprioception (foam pad work, single leg stance) 3. Advanced/Sport Phase (4+ weeks): - Dynamic movements (hopping, jumping, cutting) - Change of direction drills and sport-specific footwork - Athletes must return to full speed without pain or compensation - These movements will be monitored with gradual increases in on field work to properly allow the tissue to heal ⏱️ Return to Play Timeline - Most NFL players are back between 4–6 weeks - Lighter sprains may return sooner, more severe ones can take 8+ weeks - Non-surgical treatment often leads to faster return compared to surgery 🚧 Limitations After Return Even after returning, a player like Shakir may still face: - Reduced explosiveness off the injured foot - Slight hesitation with cutting or planting - Risk of reinjury if not fully stable - May require bracing or taping for support But the good news? Research shows ~99% of athletes return to play, often at their previous level — especially when rehab is well structured and progressed properly.