Blog

How the Ottawa Foot & Ankle Rules May Help Save You Money (and Time!)

Written by Liam Bryant PT, DPT, OCS, FAAOMPT | Oct 3, 2024 4:16:18 PM

Ever twisted your ankle on the field or court and wondered if you needed to rush to the ER? Learn how the Ottawa Foot & Ankle Rules can be your go-to guide.

My Ankle Injury: A Personal Story

A few years ago, during a friendly soccer match, I was playing with my men's league team outdoors under the lights in the Fenway neighborhood of Boston. My club had two different teams playing that night and it was halftime. As I was sipping my water and catching my breath before the second half kicked off, my teammate and friend came running over from the other field in a panic. " Liam, you've have to come over and take a look at Chris's ankle. He can't walk on it, and I think it might be broken."  I walked over, not knowing what to expect.  His pain was intense, and I initially had concerns that he may have indeed sustained a traumatic fracture of his ankle. I ended up using the Ottawa Foot & Ankle Rules to help him determine if he should have gone immediately to the ER across the street to have an X-Ray, or if he was ok to go home and see how things felt over the next 1-2 days. Ultimately, he did not have a fracture, but a pretty significant (Grade III) ankle sprain. 

What Are the Ottawa Foot & Ankle Rules?

The Ottawa Foot & Ankle Rules are a set of medical guidelines designed to help determine whether an X-ray is necessary after an ankle or foot injury. Developed by doctors in an Emergency Department in Ottawa, these rules help assess whether a fracture is likely or if the injury is more likely a sprain.

For the ankle, the rules suggest you might need an X-ray if you have pain in certain areas and can't put weight on your ankle immediately after the injury or can't take four steps when you try to walk. For the foot, the rules are similar but focus on pain in specific parts of the foot.

 

When CAN You Use These Rules?

It may be appropriate for your provider to implement these rules right after you injure your foot or ankle. If you have pain in the special areas the rules mention and can't walk four steps, then it's a good idea to get an X-ray. Yup, read that again! 

These rules are especially helpful for soccer players and other active individuals who might get hurt often. Knowing when to go to the ER can help you avoid unnecessary expenses.

How These Rules Can Save You Money and Time

Emergency room visits and X-rays can be expensive and time-consuming. By using the Ottawa Foot & Ankle Rules, you may be able to make an informed decision about whether you really need to go to the ER. This means you may be able to avoid long waits and unnecessary medical bills if your injury isn't serious.

Instead of guessing and stressing, you may be able to use these guidelines to make an informed choice. Of course, if you are REALLY in doubt, PLEASE DON'T WAIT, GO TO THE ER! 

Are You Struggling with Chronic Foot or Ankle Pain? 

Are you experiencing pain or discomfort and looking for expert advice on how to manage it effectively? At GoalBound PT & Performance, we specialize in personalized treatment plans designed to get you back to your best. Whether you're recovering from an injury, dealing with chronic pain, or simply want to optimize your physical performance, reach out to us today for a consultation. Our team of highly trained therapists is here to help. Contact us now or BOOK Your Free Discovery Call to take the first step toward a healthier, pain-free future!

*Disclaimer - Please Read!* 

The information provided in this blog is for educational purposes only and should not be considered medical advice. These guidelines are intended for use by licensed and highly trained medical professionals who understand the nuances of each individual case. Please consult with a qualified healthcare provider before applying any of these strategies to ensure they are appropriate for your specific condition. Do not disregard professional medical advice or delay seeking it based on the information provided here.