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Pictures of badly sprained ankles. Third-Degree Ankle Sprain: Symptoms, Treatment, and Recovery

What are the symptoms of a third-degree ankle sprain. How is a severe ankle sprain diagnosed. What are the best treatment options for a grade III ankle sprain. When is surgery necessary for an ankle sprain. How can you prevent chronic ankle instability after a severe sprain.

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Understanding Ankle Sprains: Grades and Severity

Ankle sprains are common injuries that can occur from various activities, ranging from everyday mishaps to sports-related incidents. To effectively address and treat ankle sprains, it’s crucial to understand their severity levels, known as grades. Let’s explore the different grades of ankle sprains and their characteristics.

Grade I Ankle Sprain

A Grade I ankle sprain, also referred to as a first-degree sprain, involves stretching of the ankle ligament. This type of sprain is characterized by:

  • Mild pain
  • Normal range of movement
  • Minimal swelling

While Grade I sprains are the least severe, they still require proper care and attention to prevent further complications.

Grade II Ankle Sprain

A Grade II ankle sprain, or second-degree sprain, is more severe than a Grade I sprain. In this case, the ligament is partially torn. Symptoms of a Grade II ankle sprain include:

  • Significant pain
  • Noticeable swelling
  • Restricted movement
  • Mild to moderate joint instability

Grade II sprains often require more extensive treatment and a longer recovery period compared to Grade I sprains.

Grade III Ankle Sprain

A Grade III ankle sprain, also known as a third-degree sprain, is the most severe type of ankle sprain. This injury involves a complete tear of the ligament. Symptoms of a Grade III ankle sprain include:

  • Moderate to severe pain
  • Significant swelling
  • Substantial joint instability
  • Difficulty bearing weight on the affected ankle

Grade III sprains often require more intensive treatment and may sometimes necessitate surgical intervention.

Diagnosing a Third-Degree Ankle Sprain

Proper diagnosis of a third-degree ankle sprain is crucial for effective treatment and recovery. Orthopedic specialists employ various methods to accurately assess the severity of an ankle sprain.

Physical Examination

The initial step in diagnosing a third-degree ankle sprain involves a thorough physical examination. During this process, the orthopedic physician will:

  • Inspect the ankle for visible signs of injury, such as swelling and bruising
  • Gently palpate the affected area to assess tenderness and pain levels
  • Evaluate the range of motion and stability of the ankle joint
  • Compare the injured ankle to the unaffected ankle

Imaging Tests

To confirm the diagnosis and rule out other potential injuries, the physician may order imaging tests such as:

  1. X-rays: To check for any associated bone fractures
  2. MRI (Magnetic Resonance Imaging): To visualize soft tissue damage and assess the extent of ligament tears
  3. Ultrasound: To evaluate ligament integrity and identify any fluid accumulation

These diagnostic tools help the orthopedic specialist determine the most appropriate treatment plan for the patient’s specific injury.

Conservative Treatment Options for Ankle Sprains

In most cases, ankle sprains, including third-degree sprains, can be effectively treated using conservative methods. These non-surgical approaches aim to reduce pain, promote healing, and restore function to the injured ankle.

The RICE Method

The RICE method is a widely recognized approach for managing acute ankle sprains. It stands for:

  • Rest: Avoid putting weight on the injured ankle
  • Ice: Apply cold packs to reduce swelling and pain
  • Compression: Use an elastic bandage to minimize swelling
  • Elevation: Keep the ankle raised above heart level to reduce fluid accumulation

Implementing the RICE method immediately after injury can significantly improve outcomes and speed up the healing process.

Medications for Pain and Inflammation

Orthopedic physicians often recommend over-the-counter medications to manage pain and reduce inflammation associated with ankle sprains. Common options include:

  • Ibuprofen (Advil, Motrin)
  • Naproxen (Aleve)
  • Acetaminophen (Tylenol)

It’s essential to follow the recommended dosage and consult with a healthcare professional before taking any medication.

Immobilization Techniques

Protecting the injured ankle during the healing process is crucial for optimal recovery. Immobilization methods may include:

  • Ankle braces
  • Splints
  • Walking boots
  • Crutches or canes for support

The specific immobilization technique will depend on the severity of the sprain and the individual patient’s needs.

Rehabilitation and Physical Therapy for Ankle Sprains

Rehabilitation plays a crucial role in the recovery process for ankle sprains, especially for more severe cases like third-degree sprains. A well-designed rehabilitation program aims to restore strength, flexibility, and stability to the injured ankle.

Progressive Exercise Programs

Physical therapists and orthopedic specialists develop tailored exercise programs that progress through various stages of recovery. These programs typically include:

  1. Range of motion exercises
  2. Strengthening exercises for the ankle and surrounding muscles
  3. Proprioception and balance training
  4. Functional exercises that mimic daily activities and sports-specific movements

The progression of exercises is carefully monitored to ensure optimal healing and prevent re-injury.

Manual Therapy Techniques

In addition to exercise-based rehabilitation, manual therapy techniques can be beneficial for ankle sprain recovery. These may include:

  • Joint mobilization
  • Soft tissue massage
  • Taping or bracing techniques

Manual therapy can help improve joint mobility, reduce pain, and promote proper movement patterns during the healing process.

Surgical Interventions for Severe Ankle Sprains

While conservative treatment is often sufficient for most ankle sprains, some severe cases, particularly third-degree sprains, may require surgical intervention. Surgery becomes a consideration when non-surgical methods fail to provide adequate healing or when there is significant ligament damage.

Ligament Reconstruction

Ligament reconstruction surgery is a common approach for severe ankle sprains. This procedure involves:

  • Repairing the torn ligament using sutures
  • Reinforcing the ligament with a graft if necessary
  • Addressing any associated injuries, such as cartilage damage

The goal of ligament reconstruction is to restore stability and function to the ankle joint.

Arthroscopic Procedures

Arthroscopy is a minimally invasive surgical technique that can be used to address ankle sprains and associated injuries. During an arthroscopic procedure, the surgeon:

  1. Makes small incisions around the ankle
  2. Inserts a tiny camera (arthroscope) to visualize the joint
  3. Uses specialized instruments to repair damaged tissues
  4. Removes any loose fragments of bone or cartilage

Arthroscopic surgery often results in shorter recovery times and less postoperative pain compared to traditional open surgery.

Preventing Chronic Ankle Instability After a Sprain

Chronic ankle instability is a common complication following severe ankle sprains, particularly third-degree sprains. Taking proactive measures during and after the recovery process can significantly reduce the risk of developing this condition.

Adherence to Rehabilitation Programs

Consistently following the prescribed rehabilitation program is crucial for preventing chronic ankle instability. This involves:

  • Completing all recommended exercises and stretches
  • Gradually increasing activity levels as directed by healthcare professionals
  • Continuing with maintenance exercises even after the initial recovery period

Patients who diligently adhere to their rehabilitation programs often experience better long-term outcomes and reduced risk of re-injury.

Proprioception Training

Proprioception, or the body’s ability to sense joint position and movement, is often impaired following an ankle sprain. Incorporating proprioception training into the recovery process can help:

  • Improve balance and coordination
  • Enhance ankle stability during dynamic movements
  • Reduce the risk of future ankle sprains

Examples of proprioception exercises include single-leg balance activities, wobble board training, and sport-specific drills.

Long-Term Management and Prevention of Ankle Sprains

After recovering from a severe ankle sprain, implementing strategies for long-term management and prevention is essential to maintain ankle health and reduce the risk of future injuries.

Proper Footwear and Support

Choosing appropriate footwear and using supportive devices can significantly contribute to ankle sprain prevention. Consider the following recommendations:

  • Wear shoes that provide adequate ankle support and fit properly
  • Use sport-specific shoes for athletic activities
  • Consider custom orthotics or over-the-counter inserts for additional support
  • Utilize ankle braces or taping techniques during high-risk activities

Maintaining Overall Fitness and Flexibility

A well-rounded fitness routine can help prevent ankle sprains and other lower extremity injuries. Focus on:

  1. Strengthening exercises for the legs, ankles, and feet
  2. Regular stretching to maintain flexibility
  3. Core stability exercises to improve overall balance
  4. Cardiovascular fitness to reduce fatigue-related injuries

By incorporating these elements into your lifestyle, you can significantly reduce the risk of future ankle sprains and maintain optimal ankle health.

Understanding the severity of ankle sprains, particularly third-degree sprains, is crucial for proper diagnosis and treatment. While conservative methods are often effective, severe cases may require surgical intervention. By following rehabilitation guidelines, implementing preventive strategies, and maintaining overall fitness, individuals can minimize the risk of chronic ankle instability and future sprains. If you experience persistent ankle pain or instability, consult with an orthopedic specialist to develop a personalized treatment plan and ensure optimal recovery.

Third Degree Ankle Sprain | EmergeOrtho

A sprained ankle can be caused by any number of things ranging from a simple slip on ice to a fall while playing basketball. Quickly addressing an ankle sprain with your orthopedic doctor is crucial. This is especially true in the case of a more severe third-degree ankle sprain. Immediate and proper treatment reduces the likelihood of repeated sprains and long-term ankle problems.

At EmergeOrtho our elite-grade physicians have extensive experience treating a wide variety of injuries, including ankle sprains. Our compassionate, comprehensive orthopedic care enables us to help area residents get back on their feet and Emerge Stronger. Healthier. Better.

Sprained Ankle Symptoms and Diagnosis

The goal of the EmergeOrtho Foot and Ankle Team is to effectively treat ankle sprains to return patients to their regular activities as soon as possible. The first step to diagnosing your ankle sprain includes an evaluation and examination of your ankle.

Orthopedic physicians apply “grades,” to ankle sprains based on the severity of injury:

  • Grade I Ankle Sprain
    Also referred to as a first-degree sprain, a grade I diagnosis refers to a stretched ankle ligament. Symptoms include mild pain with normal movement.
  • Grade II Ankle Sprain
    A second-degree ankle sprain is characterized by a partially torn ligament. Symptoms include significant pain and swelling, restricted movement, and mild-to-moderate joint instability.
  • Grade III Ankle Sprain
    A third-degree ankle sprain refers to a ligament that has been completely torn. Symptoms include mild to severe pain, swelling, and significant joint instability.

It is important to understand that once you have sprained your ankle, you increase the chance of spraining it again—especially over the next couple of years. This risk increases with athletes and active people who place more strain on the joints.

Research demonstrates that one to two out of 10 people who have had a third-degree ankle sprain experience chronic ankle instability. Ankle instability leaves the ankle at a much higher risk for unexpected ankle twists and increased sprains.

How to Treat a Sprained Ankle

Conservative treatment is the first recommendation because with time, sprains generally heal on their own.

Non-surgical treatment methods include:

  • RICE Method
    Rest, ice, compression, and elevation is a common conservative treatment for ankle sprains.
  • Medications
    Often, your EmergeOrtho doctor will suggest taking a non-steroidal anti-inflammatory medication such as ibuprofen or naproxen to ease pain and inflammation.
  • Immobilization
    It is particularly important during initial ankle sprain recovery to keep the ankle protected. A boot, brace, splint, or other immobilization device keeps the ankle secure and supported while it heals.
  • Therapeutic Exercises
    When considered healed enough, special exercises and stretches are implemented to improve strength, flexibility, and range of motion of your ankle. Your doctor may have you perform these exercises independently, with the aid of a physical therapist, or both.

Patients who follow the rehabilitation guidelines of their doctor often fully recover from an ankle sprain. One of the most common problems for those who stop practicing recommended exercises and stretches too soon is developing chronic ankle instability.

If pain persists beyond four to six weeks, you likely have a chronic ankle sprain. In the event you are still experiencing pain and discomfort after the six-week mark, it is important to consult with your orthopedic doctor.

When You Need More Than Conservative Treatment

Although many ankle sprains heal from the use of non-surgical treatment methods, certain severe cases may require surgical intervention. Third-degree ankle sprains with serious damage often need surgery for optimum outcomes. Pieces of torn ligament must be removed and the ligament reconstructed.

Our EmergeOrtho foot and ankle surgeons may use one of the following surgical techniques:

  • Reconstruction Surgery
    The torn ligament is repaired with stitches or sutures. Or, the damaged ligament is replaced with a soft tissue graft or other ligaments and tendons in the foot.
  • Arthroscopy
    By making a small incision, your doctor will insert a tiny “arthroscope” camera to look inside your damaged ankle joint. Equally miniature surgical instruments are then used to remove any loose fragments of cartilage or bone.

If you have an ankle sprain, our specialists can instruct you on how to best care for the sprain for it to heal safely. Our orthopedic experts are also happy to share preventative strategies and ways to keep your ankles safe and protected from injury.

Simple tips such as wearing the right kind of shoes, avoiding uneven pavement and road surfaces can go a long way in preventing an ankle sprain.

EmergeOrtho’s nationally recognized physicians have remained at the forefront of the latest medical advances. Their skills, knowledge, and advanced capabilities have created one of the best practices in the Southeast.

To learn more about ankle sprains and the services we provide for patients throughout the Carolinas, request an appointment with one of our EmergeOrtho doctors now.

Arlington/Mansfield Foot & Ankle Centers: Podiatrists

Did you know ankle injuries are one of the most common bone and joint injuries for athletes, weekend warriors, and those of us just walking through different daily activities? Many people assume it’s easy to tell the difference between a fractured bone and a joint sprain, but sprains and fractures share many symptoms making it hard to know what’s causing your pain.    

At Arlington/Mansfield Foot & Ankle Centers, our experienced team of providers help patients in Arlington and Mansfield, Texas, with effective diagnoses and care for ankle sprains and ankle fractures. Read on to learn how to tell the difference between ankle sprains and fractures and what you can do about both!       

What’s the difference between an ankle sprain and ankle fracture?

Your ankle is a complex joint comprised of ligaments, tendons, and three main bones: your talus, your fibula, and your tibia. These elements work together to help you move, and even a slight displacement in the joint can result in pressure or pain. 

Both ankle sprains and fractures result from similar activities, such as tripping, falling, or twisting, and occur when the ankle is stressed at an angle. The difference is that sprains result when there is damage to the ligament, whereas ankle fractures require a break in the bone.      

How can I tell if it’s a sprain or fracture?

Both sprains and fractures can cause pain, swelling, and bruising. In addition, it may be difficult to put weight on your injured foot with both ankle sprains and ankle fractures.  

The best way to determine if your ankle is sprained or fractured is to have it evaluated by an ankle expert at Arlington/Mansfield Foot & Ankle Centers. Your provider identifies the nature of the injury using physical evaluation and digital X-ray and/or CT scan if required. 

Here are some symptoms to consider when trying to figure out if your ankle injury is a sprain or fracture:

Signs of an ankle sprain

  • Ability to bear weight on your ankle (either immediately or after several hours)
  • Mild-to-moderate pain 
  • Ankle instability
  • Some swelling and bruising

Signs of an ankle fracture

  • Inability to bear weight on your ankle (both immediately and after several hours/days)
  • Moderate-to-severe pain upon injury, sometimes with numbness
  • Swelling and bruising are typically immediate and obvious
  • Deformity of the ankle

When should I seek medical attention for my ankle?

If your ankle is deformed, you’re experiencing extreme pain, or if you’re unable to walk at all, you shouldn’t wait to seek medical care. If you believe you have an ankle sprain but your injury isn’t improving after a few days of rest and ice, it’s important to schedule an appointment with your provider at Arlington/Mansfield Foot & Ankle Center.

Ankle fractures that aren’t treated correctly can cause serious and debilitating complications. And ankle sprains that don’t heal properly can lead to recurrent ankle sprains and instability. It’s important to have your ankle evaluated by trained ankle specialists to ensure you get back on your feet and back to your daily routine as quickly as possible!

Ready to learn more about treatment options for ankle sprains and fractures? Contact the Arlington/Mansfield Foot & Ankle Center office most convenient to you or request an appointment online now!

Ankle Injuries: Sprains and Fractures

What is an ankle sprain or fracture?

Sprains and fractures are two of the most common ankle injuries.

Ankle sprains stretch and tear the ligaments that support your ankle. The injury ranges from many microscopic tears in the ligament fibers to a complete tear or rupture. Ankle sprains are often mistreated or not treated at all, which can lead to prolonged discomfort, re-injury, chronic disability and early arthritis.

An ankle fracture is a break in one or more of the bones that make up the ankle joint. Broken ankles vary from a simple break in one bone to multiple fractures that prevent you from walking.

How does an ankle injury occur?

Ankle injuries occur when the ankle joint is twisted too far out of its normal position. Some common causes include:

  • Rotating or rolling the ankle
  • Tripping or falling
  • Landing awkwardly after a jump
  • Walking or running on an uneven surface
  • Trauma from a fall, car accident or sports injury
  • Faulty footwear, such as very high-heeled shoes or loose-fitting sandals

What are the symptoms of an ankle injury?

Symptoms vary depending on the severity of the injury. Mild ankle sprains cause tenderness, swelling and stiffness. If the sprain is more acute, or the ankle is broken, symptoms typically include extreme pain, instability, limited range of motion and the inability to bear weight. In some cases, you’ll hear a crack or snap as the injury occurs. If the break is bad enough, the bone will protrude from the skin. This is known as a compound, or open, fracture.

How is an ankle injury diagnosed?

If you have an ankle injury, your doctor will check for swelling, point tenderness, discoloration, deformity and range of motion – the foot’s ability to move in all its normal positions. In addition to a physical exam, your doctor can use specific tests, including X-rays, MRIs and CT scans to diagnose the severity and exact location of a broken ankle.

What is the treatment?

It is important to have an ankle injury evaluated by a qualified surgeon for proper diagnosis and treatment.

If you think you have sprained your ankle, the recommended first aid is RICE (rest, ice, compression and elevation), which should begin as soon as possible after the injury occurs. Additional treatment could include an ankle brace or air cast, non-steroidal anti-inflammatory medications and, for more severe sprains, physical therapy.

There are many types of ankle fractures, and treatments vary significantly depending on the location and severity of the injury. If your ankle is badly broken or unstable, surgery may be necessary. In this procedure, the bone fragments are first repositioned into their normal alignment. This is called a reduction. The surgeon then inserts special screws and metal plates to hold the bones together as they heal. Healing usually takes about six weeks. Rehabilitation is necessary to restore strength, flexibility and range of motion.

Broken ankle – NHS

Get medical advice as soon as possible if you think you have broken your ankle. It may need treatment to heal properly.

Do not worry if you do not know if your ankle is broken, dislocated or sprained. Get it checked by a doctor.

Urgent advice: Call 111 or go to an urgent treatment centre if:

You have had an injury and your ankle:

  • is painful, bruised or swollen
  • hurts when you put weight on it
  • feels stiff and is difficult to move

Find an urgent treatment centre

Immediate action required: Call 999 or go to A&E if:

  • your ankle is at an odd angle
  • a bone is sticking out of your ankle
  • you have a bad cut or wound on your ankle
  • you’re in severe pain
  • your toes look blue or white, or feel numb

What we mean by severe pain

Severe pain:
  • always there and so bad it’s hard to think or talk
  • you cannot sleep
  • it’s very hard to move, get out of bed, go to the bathroom, wash or dress
Moderate pain:
  • always there
  • makes it hard to concentrate or sleep
  • you can manage to get up, wash or dress
Mild pain:
  • comes and goes
  • is annoying but does not stop you doing daily activities

Things to do while you’re waiting to see a doctor

Do

  • raise your ankle if possible

  • gently hold an ice pack (or a bag of frozen peas) wrapped in a towel on your ankle for 15 to 20 minutes every 2 to 3 hours

  • stop any bleeding – put pressure on the wound using a clean cloth or dressing

  • if your ankle is not at an odd angle, wrap it loosely in a bandage to help support it

  • remove any jewellery on your ankle or toes

  • take paracetamol

Don’t

  • do not take ibuprofen until you have seen a doctor

  • do not eat or drink anything in case you need surgery

  • do not move or put weight on your ankle if possible

Treatments for a broken ankle

You’ll usually have an X-ray to check if your ankle is broken and see how bad the break is.

If you have a very minor break, you may not need any treatment.

For a more serious break, you may need:

  • a special boot to help support your ankle
  • a plaster cast to hold your ankle in place while it heals
  • the bones to be moved back into place by a doctor (they’ll give you an injection to numb your ankle)
  • surgery to fix the broken bones

You’ll usually have follow-up appointments to check your ankle is healing properly.

How long it takes to recover from a broken ankle

A broken ankle usually takes 6 to 8 weeks to heal, but it can take longer.

The doctor will tell you:

  • how long you’ll have to wear the boot or have the plaster cast on
  • how much weight to put on your ankle – you may be given crutches or a walking frame to help keep weight off it

Once it’s healed, use your ankle as normal. Moving it will stop it getting stiff.

You may need to see a physiotherapist. They can help you with exercises to get your foot and ankle gently moving again.

Ask your doctor when you can return to contact sports or other activities that put a lot of strain on your ankle.

Things you can do to help during recovery

It’s important to follow any advice you’re given by the hospital or fracture clinic.

There are some things you can do to ease pain and help your broken ankle recover.

Do

  • rest and raise your ankle whenever possible

  • take paracetamol or the painkiller your doctor has given you to ease pain

  • gently move your toes and bend your knee while wearing the boot or cast to ease stiff muscles

Don’t

  • do not get your plaster cast wet

  • do not carry heavy things

  • do not move your ankle too much

  • do not use anything to scratch under your cast

Find out how to take care of your plaster cast

Urgent advice: Call 111 or go to an urgent treatment centre if:

  • the pain in your ankle gets worse
  • your temperature is very high or you feel hot and shivery
  • your leg, foot or toes start to feel numb or like they’re burning
  • your leg, foot or toes look swollen, or turn blue or white
  • the plaster cast or boot is rubbing, or feels too tight or too loose
  • there’s a bad smell or discharge from under your cast

Page last reviewed: 18 April 2019
Next review due: 18 April 2022

Guide | Physical Therapy Guide to Ankle Sprain

Physical therapists help people with ankle sprains recover more quickly than they would without treatment. The time it takes to heal an ankle sprain varies, but results can often be achieved in 2 to 8 weeks. Your physical therapist will work with you to design a specific treatment program that meets your needs and goals.

During the first 24 to 48 hours following your diagnosis, your physical therapist may advise you to:

  • Rest the area by avoiding any activity that causes pain.
  • Apply ice packs to the area for 15 to 20 minutes every 2 hours.
  • Consult with a physician for further services, such as medication or diagnostic tests.
  • Walk on the affected foot as soon, and as much as you are able, without making the pain or swelling worse.
  • Use crutches or other walking aids to help alleviate pain and support balance.
  • Wrap your ankle or use an ankle brace for support and to prevent swelling.

These self-treatments will allow you to be as active as possible with the least amount of pain, and will help speed healing.  

Your physical therapist will work with you to:

Reduce Pain and Swelling. You will learn how to avoid or modify your daily and sports activities to allow healing to begin. Your physical therapist may use different types of treatments and technologies to control and reduce your pain and swelling, including ice, heat, ultrasound, electrical stimulation, taping, specific exercises, and hands-on therapy, such as specialized massage.

Improve Motion. Your physical therapist will choose specific activities and treatments to help restore normal movement in the ankle. These might begin with “passive” motions that the physical therapist performs for you to gently move your ankle and foot, and progress to “active” exercises and stretches that you do yourself.

Improve Flexibility. Your physical therapist will determine if any foot, ankle, or lower leg muscles are tight, begin to stretch them, and teach you how to stretch them.

Improve Strength. Ankle sprains may be related to weak, injured, or uncoordinated leg muscles. Certain exercises will aid healing at each stage of recovery; your physical therapist will choose and teach you the correct exercises and equipment to use, to steadily and safely restore your strength. These may include using cuff weights, stretch bands, and weight-lifting equipment.

Improve Endurance. Regaining your muscular endurance in the ankle and leg is important after an injury. Your physical therapist will teach you exercises to improve endurance, so you can return to your normal activities. Cardio-exercise equipment may be used, such as treadmills or stationary bicycles.

Improve Balance. Regaining your sense of balance is important after an injury. Your physical therapist will teach you exercises to improve your balance ability.

Restore Agility. Speed and accuracy of leg movement is important in athletics and in many daily activities. Your physical therapist will help you regain these skills in preparation for a return to sports and to your daily routine.

Learn a Home Program. Your physical therapist will teach you strengthening and stretching exercises to perform at home. These exercises will be specific for your needs; if you do them as prescribed by your physical therapist, you can speed your recovery.

Return to Activities. Your physical therapist will discuss activity goals with you and use them to set your work, sport, and home-life recovery goals. Your treatment program will help you reach your goals in the safest, fastest, and most effective way possible. Your physical therapist will teach you exercises, work retraining activities, and sport-specific techniques and drills to help you achieve your goals.

Speed Recovery Time. Your physical therapist is trained and experienced in choosing the best treatments and exercises to help you safely heal, return to your normal lifestyle, and reach your goals faster than you are likely to do on your own.

If Surgery Is Necessary

Surgery is not commonly required for ankle sprains. But if surgery is needed, you will follow a recovery program over several weeks, guided by your physical therapist. Your physical therapist will help you minimize pain, regain motion and strength, and return to normal activities in the safest and speediest manner possible.

Sprained Ankle: Diagnosis, Treatment, & Recovery

RICE

The acronym, RICE, stands for Rest, Ice, Compression and Elevation. RICE is a time-honored way of healing a number of lower leg and foot injuries, including a sprained ankle [6].

Rest

Sometimes the best way to rest your leg is to stop standing and walking on it. Your doctor will tell you how long you need to stay off your ankle, and it will depend on the type and severity of your sprained ankle. The time can range, however, from several weeks to several months. Sometimes even just a few days of keeping weight off your ankle are all that’s needed to start feeling better, and there are several mobility devices to choose from to help you stay off your injured foot while allowing it to heal.

Ice

Placing ice on the most painful area of the ankle while you rest will also be helpful. It can be done throughout the day to help with swelling and pain relief. You can ice for up to 20 minutes, up to four times a day, but do not place the ice directly on your skin. Use a thin cloth between the ice and your skin to protect from ice burn. If your skin becomes red or numb, remove the ice pack, and ice for shorter periods of time.

Compression

A compression wrap can help control swelling while immobilizing and supporting your injured ankle. Applying a compression wrap, elastic bandage or Ace bandage is fairly easy and can be done at home. For a quick reference on the correct method, here’s a video: “How to Wrap an Ankle With an Ace Bandage.” For additional support you can wear a protective brace or splint. Both are relatively inexpensive and can be found at most drugstores.

Elevation

Whenever possible, elevate your sprained ankle to help prevent or limit swelling. Elevating the injured ankle above your heart keeps fluid and blood from pooling in the ankle due to gravity. The best way to elevate your sprained ankle in bed is to place several pillows under your leg, one under your knee and one under the ankle. You can also elevate your ankle in a recliner, but place several pillows under it so it’s higher than your heart. Keep your ankle elevated for 48 hours and don’t walk on it.

If your sprain improves with the RICE treatment, seeing a doctor may not be necessary. However, if you experience any of the following symptoms you should see a doctor:

  • The pain is difficult to bear,
  • The swelling doesn’t go down with the RICE treatment,
  • You experience significant instability in the joint.

Be cautious, because self-diagnosed ankle sprains can often hide a broken bone. If your ankle isn’t improving, see a doctor who may order X-rays to check for broken bones in the foot or ankle. The injured ligament may feel tender, and the doctor may need to move your ankle into a variety of positions to determine which ligament has been hurt or torn. .

PRICE Treatment for Ankle Sprains and Pains


Choose an AuthorAaron Barber, AT, ATC, PESAbbie Roth, MWCAdam Ostendorf, MDAdriane Baylis, PhD, CCC-SLPAdrienne M. Flood, CPNP-ACAdvanced Healthcare Provider CouncilAila Co, MDAlaina White, AT, ATCAlana Milton, MDAlana Milton, MDAlecia Jayne, AuDAlessandra Gasior, DOAlex Kemper, MDAlexandra Funk, PharmD, DABATAlexandra Sankovic, MDAlexis Klenke, RD, LDAlice Bass, CPNP-PCAlison PeggAllie DePoyAllison Rowland, AT, ATCAllison Strouse, MS, AT, ATCAmanda E. Graf, MDAmanda GoetzAmanda Smith, RN, BSN, CPNAmanda Sonk, LMTAmanda Whitaker, MDAmber Patterson, MDAmberle Prater, PhD, LPCCAmy Coleman, LISWAmy Dunn, MDAmy E. Valasek, MD, MScAmy Fanning, PT, DPTAmy Garee, CPNP-PCAmy Hahn, PhDAmy HessAmy Leber, PhDAmy LeRoy, CCLSAmy Moffett, CPNP-PCAmy Randall-McSorley, MMC, EdD CandidateAnastasia Fischer, MD, FACSMAndala HardyAndrea Brun, CPNP-PCAndrea M. Boerger, MEd, CCC-SLPAndrea Sattler, MDAndrew AxelsonAndrew Kroger, MD, MPHAndrew SchwadererAngela AbenaimAngela Billingslea, LISW-SAnn Pakalnis, MDAnna Lillis, MD, PhDAnnette Haban-BartzAnnie Drapeau, MDAnnie Temple, MS, CCC-SLP, CLCAnthony Audino, MDAnup D. Patel, MDAri Rabkin, PhDAriana Hoet, PhDArielle Sheftall, PhDArleen KarczewskiAshlee HallAshleigh Kussman, MDAshley Ebersole, MDAshley EcksteinAshley Kroon Van DiestAshley M. Davidson, AT, ATC, MSAshley Minnick, MSAH, AT, ATCAshley Overall, FNPAshley Parikh, CPNP-PCAshley Parker MSW, LISW-SAshley Parker, LISW-SAshley Tuisku, CTRSAsuncion Mejias, MD, PhDAurelia Wood, MDBailey Young, DOBecky Corbitt, RNBelinda Mills, MDBenjamin Fields, PhD, MEdBenjamin Kopp, MDBernadette Burke, AT, ATC, MSBeth Martin, RNBeth Villanueva, OTD, OTR/LBethany Uhl, MDBethany Walker, PhDBhuvana Setty, MDBill Kulju, MS, ATBlake SkinnerBonnie Gourley, MSW, LSWBrad Childers, RRT, BSBrandi Cogdill, RN, BSN, CFRN, EMT-PBrandon MorganBreanne L. Bowers, PT, DPT, CHT, CFSTBrendan Boyle, MD, MPHBrian Boe, MDBrian K. Kaspar, PhDBrian Kellogg, MDBriana Crowe, PT, DPT, OCSBrigid Pargeon, MS, MT-BCBrittney Hardin, MOT, OTR/LBrooke Sims, LPCC, ATRCagri Toruner, MDCaitlin TullyCaleb MosleyCallista DammannCallista PoppCami Winkelspecht, PhDCanice Crerand, PhDCara Inglis, PsyDCarl H. Backes, MDCarlo Di Lorenzo, MDCarly FawcettCarol Baumhardt, LMTCarolyn FigiCarrie Rhodes, CPST-I, MTSA, CHESCasey Cottrill, MD, MPHCasey TrimbleCassandra McNabb, RN-BSNCatherine Earlenbaugh, RNCatherine Sinclair, MDCatherine Trimble, NPCatrina Litzenburg, PhDCharae Keys, MSW, LISW-SCharles Elmaraghy, MDChelsea Britton, MS, RD, LD, CLC Chelsie Doster, BSCheryl Boop, MS, OTR/LCheryl G. Baxter, CPNPCheryl Gariepy, MDChet Kaczor, PharmD, MBAChris Smith, RNChristina Ching, MDChristina DayChristine Johnson, MA, CCC-SLPChristine Mansfield, PT, DPT, OCS, ATCChristine PrusaChristopher Goettee, PT, DPT, OCSChristopher Iobst, MDChristopher Ouellette, MDCindy IskeClaire Kopko PT, DPT, OCS, NASM-PESCody Hostutler, PhDConnor McDanel, MSW, LSWCorey Rood, MDCorinne Syfers, CCLSCourtney Bishop. PA-CCourtney Hall, CPNP-PCCourtney Porter, RN, MSCrystal MilnerCurt Daniels, MDCynthia Holland-Hall, MD, MPHDana Lenobel, FNPDana Noffsinger, CPNP-ACDane Snyder, MDDaniel Coury, MDDaniel DaJusta, MDDaniel Herz, MDDanielle Peifer, PT, DPTDavid A Wessells, PT, MHADavid Axelson, MDDavid Stukus, MDDean Lee, MD, PhDDebbie Terry, NPDeborah Hill, LSWDeborah Zerkle, LMTDeena Chisolm, PhDDeipanjan Nandi, MD MScDenis King, MDDenise EllDennis Cunningham, MDDennis McTigue, DDSDiane LangDominique R. Williams, MD, MPH, FAAP, Dipl ABOMDonna M. Trentel, MSA, CCLSDonna Ruch, PhDDonna TeachDoug WolfDouglas McLaughlin, MDDrew Duerson, MDEd MinerEdward Oberle, MD, RhMSUSEdward Shepherd, MDEileen Chaves, PhDElise Berlan, MDElise DawkinsElizabeth A. Cannon, LPCCElizabeth Cipollone, LPCC-SElizabeth Zmuda, DOEllyn Hamm, MM, MT-BCEmily A. Stuart, MDEmily Decker, MDEmily GetschmanEmma Wysocki, PharmD, RDNEric Butter, PhDEric Leighton, AT, ATCEric Sribnick, MD, PhDErica Domrose, RD, LDEricca L Lovegrove, RDErika RobertsErin Gates, PT, DPTErin Johnson, M.Ed., C.S.C.S.Erin Shann, BSN, RNErin TebbenFarah W. Brink, MDGail Bagwell, DNP, APRN, CNSGail Besner, MDGail Swisher, ATGarey Noritz, MDGary A. Smith, MD, DrPHGeri Hewitt, MDGina Hounam, PhDGina McDowellGina MinotGrace Paul, MDGregory D. Pearson, MDGriffin Stout, MDGuliz Erdem, MDHailey Blosser, MA, CCC-SLPHanna MathessHeather Battles, MDHeather ClarkHeather Yardley, PhDHenry SpillerHenry Xiang, MD, MPH, PhDHerman Hundley, MS, AT, ATC, CSCSHiren Patel, MDHoma Amini, DDS, MPH, MSHoward Jacobs, MDHunter Wernick, DOIbrahim Khansa, MDIhuoma Eneli, MDIlana Moss, PhDIlene Crabtree, PTIrene Mikhail, MDIrina Buhimschi, MDIvor Hill, MDJackie Cronau, RN, CWOCNJacqueline Wynn, PhD, BCBA-DJacquelyn Doxie King, PhDJaime-Dawn Twanow, MDJames Murakami, MDJames Popp, MDJames Ruda, MDJameson Mattingly, MDJamie Macklin, MDJane AbelJanelle Huefner, MA, CCC-SLPJanice M. Moreland, CPNP-PC, DNPJanice Townsend, DDS, MSJared SylvesterJaysson EicholtzJean Hruschak, MA, CCC/SLPJeff Sydes, CSCSJeffery Auletta, MDJeffrey Bennett, MD, PhDJeffrey Hoffman, MDJeffrey Leonard, MDJen Campbell, PT, MSPTJena HeckJenn Gonya, PhDJennie Aldrink, MDJennifer Borda, PT, DPTJennifer HofherrJennifer LockerJennifer PrinzJennifer Reese, PsyDJennifer Smith, MS, RD, CSP, LD, LMTJenny Worthington, PT, DPTJerry R. Mendell, MDJessalyn Mayer, MSOT, OTR/LJessica Bailey, PsyDJessica Bogacik, MS, MT-BCJessica Bowman, MDJessica BrockJessica Bullock, MA/CCC-SLPJessica Buschmann, RDJessica Scherr, PhDJim O’Shea OT, MOT, CHTJoan Fraser, MSW, LISW-SJohn Ackerman, PhDJohn Caballero, PT, DPT, CSCSJohn Kovalchin, MDJonathan D. Thackeray, MDJonathan Finlay, MB, ChB, FRCPJonathan M. Grischkan, MDJonathan Napolitano, MDJoshua Prudent, MDJoshua Watson, MDJulee Eing, CRA, RT(R)Julia Colman, MOT, OTR/LJulie ApthorpeJulie Leonard, MD, MPHJulie Racine, PhDJulie Samora, MDJustin Indyk, MD, PhDKady LacyKaleigh Hague, MA, MT-BCKaleigh MatesickKamilah Twymon, LPCC-SKara Malone, MDKara Miller, OTR/LKaren Allen, MDKaren Days, MBAKaren Rachuba, RD, LD, CLCKari A. Meeks, OTKari Dubro, MS, RD, LD, CWWSKari Phang, MDKarla Vaz, MDKaryn L. Kassis, MD, MPHKasey Strothman, MDKatherine Deans, MDKatherine McCracken, MDKathleen (Katie) RoushKathryn Blocher, CPNP-PCKathryn J. Junge, RN, BSNKathryn Obrynba, MDKatie Brind’Amour, MSKatie Thomas, APRKatrina Hall, MA, CCLSKatrina Ruege, LPCC-SKatya Harfmann, MDKayla Zimpfer, PCCKeli YoungKelley SwopeKelli Dilver, PT, DPTKelly AbramsKelly BooneKelly HustonKelly J. Kelleher, MDKelly McNally, PhDKelly N. Day, CPNP-PCKelly Pack, LISW-SKelly Tanner,PhD, OTR/L, BCPKelly Wesolowski, PsyDKent Williams, MDKevin Bosse, PhDKevin Klingele, MDKim Bjorklund, MDKim Hammersmith, DDS, MPH, MSKimberly Bates, MDKimberly Sisto, PT, DPT, SCSKimberly Van Camp, PT, DPT, SCSKirk SabalkaKris Jatana, MD, FAAPKrista Winner, AuD, CCC-AKristen Armbrust, LISW-SKristen Cannon, MDKristen E. Beck, MDKristen Martin, OTR/LKristi Roberts, MS MPHKristina Booth, MSN, CFNPKristina Reber, MDKristol Das, MDKyle DavisLance Governale, MDLara McKenzie, PhD, MALaura Brubaker, BSN, RNLaura DattnerLaurel Biever, LPCLauren Durinka, AuDLauren Garbacz, PhDLauren Justice, OTR/L, MOTLauren Madhoun, MS, CCC-SLPLauryn RozumLee Hlad, DPMLeena Nahata, MDLelia Emery, MT-BCLeslie Appiah, MDLinda Stoverock, DNP, RN NEA-BCLindsay Kneen, MDLindsay Pietruszewski, PT, DPTLindsay SchwartzLindsey Vater, PsyDLisa GoldenLisa M. Humphrey, MDLogan Blankemeyer, MA, CCC-SLPLori Grisez PT, DPTLorraine Kelley-QuonLouis Bezold, MDLourdes Hill, LPCC-S Lubna Mazin, PharmDLuke Tipple, MS, CSCSLynda Wolfe, PhDLyndsey MillerLynn RosenthalLynne Ruess, MDMaggy Rule, MS, AT, ATCMahmoud Kallash, MDManmohan K Kamboj, MDMarc Levitt, MDMarc P. Michalsky, MDMarcel J. Casavant, MDMarci Johnson, LISW-SMarcie RehmarMarco Corridore, MDMargaret Bassi, OTR/LMaria HaghnazariMaria Vegh, MSN, RN, CPNMarissa Condon, BSN, RNMarissa LarouereMark E. Galantowicz, MDMark Smith, MS RT R (MR), ABMP PhysicistMarnie Wagner, MDMary Ann Abrams, MD, MPHMary Fristad, PhD, ABPPMary Kay SharrettMary Shull, MDMatthew Washam, MD, MPHMeagan Horn, MAMegan Brundrett, MDMegan Dominik, OTR/LMegan FrancisMegan Letson, MD, M.EdMeghan Cass, PT, DPTMeghan Fisher, BSN, RNMeika Eby, MDMelanie Fluellen, LPCCMelanie Luken, LISW-SMelissa and Mikael McLarenMelissa McMillen, CTRSMelissa Winterhalter, MDMeredith Merz Lind, MDMichael Flores, PhDMichael T. Brady, MDMike Patrick, MDMindy Deno, PT, DPTMitch Ellinger, CPNP-PCMolly Gardner, PhDMonica Ardura, DOMonica EllisMonique Goldschmidt, MDMotao Zhu, MD, MS, PhDMurugu Manickam, MDNancy AuerNancy Cunningham, PsyDNancy Wright, BS, RRT, RCP, AE-C Naomi Kertesz, MDNatalie Powell, LPCC-S, LICDC-CSNatalie Rose, BSN, RNNathalie Maitre, MD, PhDNationwide Children’s HospitalNationwide Children’s Hospital Behavioral Health ExpertsNeetu Bali, MD, MPHNehal Parikh, DO, MSNichole Mayer, OTR/L, MOTNicole Caldwell, MDNicole Dempster, PhDNicole Greenwood, MDNicole Parente, LSWNicole Powell, PsyD, BCBA-DNina WestNkeiruka Orajiaka, MBBSOctavio Ramilo, MDOliver Adunka, MD, FACSOlivia Stranges, CPNP-PCOlivia Thomas, MDOmar Khalid, MD, FAAP, FACCOnnalisa Nash, CPNP-PCOula KhouryPaige Duly, CTRSParker Huston, PhDPatrick C. Walz, MDPatrick Queen, BSN, RNPedro Weisleder, MDPeter Minneci, MDPeter White, PhDPitty JenningsPreeti Jaggi, MDRachael Morocco-Zanotti, DORachel D’Amico, MDRachel Schrader, CPNP-PCRachel Tyson, LSWRajan Thakkar, MDRaymond Troy, MDRebecca Fisher, PTRebecca Hicks, CCLSRebecca Lewis, AuD, CCC-ARebecca M. Romero, RD, LD, CLC Reggie Ash Jr.Reno Ravindran, MDRichard Kirschner, MDRichard Wood, MDRobert A. Kowatch, MD, Ph.D.Rochelle Krouse, CTRSRohan Henry, MD, MSRose Ayoob, MDRose Schroedl, PhDRosemary Martoma, MDRoss Maltz, MDRyan Ingley AT, ATCSamanta Boddapati, PhDSamantha MaloneSammy CygnorSandra C. Kim, MDSara Bentley, MT-BCSara Bode, MDSara Breidigan, MS, AT, ATCSara N. Smith, MSN, APRNSara O’Rourke, MOT, OTR/L, Clinical LeadSara Schroder, MDSarah A. Denny, MDSarah Cline, CRA, RT(R)Sarah Driesbach, CPN, APNSarah GreenbergSarah Hastie, BSN, RNC-NIC Sarah Keim, PhDSarah MyersSarah O’Brien, MDSarah SaxbeSarah Schmidt, LISW-SSarah ScottSarah TraceySarah VerLee, PhDSasigarn Bowden, MDSatya Gedela, MD, MRCP(UK)Scott Coven, DO, MPHScott Hickey, MDSean EingSean Rose, MDSeth Alpert, MDShana Moore, MA, CCC-AShannon Reinhart, LISW-SShari UncapherSharon Wrona, DNP, PNP, PMHSShawn Pitcher, BS, RD, USAWShawNaye Scott-MillerShea SmoskeSheila GilesSimon Lee, MDStacy Whiteside APRN, MS, CPNP-AC/PC, CPONStefanie Bester, MDStefanie Hirota, OTR/LStephanie Burkhardt, MPH, CCRCStephanie CannonStephanie Santoro, MDStephanie Vyrostek BSN, RNStephen Hersey, MDSteve Allen, MDSteven C. Matson, MDSteven Ciciora, MDSteven CuffSuellen Sharp, OTR/L, MOTSusan Colace, MDSusan Creary, MDSwaroop Pinto, MDTabatha BallardTabbetha GrecoTabi Evans, PsyDTabitha Jones-McKnight, DOTahagod Mohamed, MDTamara MappTammi Young-Saleme, PhDTerry Barber, MDTerry Bravender, MD, MPHTerry Laurila, MS, RPhTheresa Miller, BA, RRT, RCP, AE-C, CPFTThomas Pommering, DOThomas SavageTiasha Letostak, PhDTiffanie Ryan, BCBA Tim RobinsonTimothy Cripe, MD, PhDTracey L. Sisk, RN, BSN, MHATracie Rohal RD, LD, CDETracy Mehan, MATravis Gallagher, ATTrevor MillerTyanna Snider, PsyDTyler Congrove, ATVanessa Shanks, MD, FAAPVenkata Rama Jayanthi, MDVidu Garg, MDVidya Raman, MDW. Garrett Hunt, MDWalter Samora, MDWarren D. Lo, MDWendy Anderson, MDWendy Cleveland, MA, LPCC-SWhitney McCormick, CTRSWhitney Raglin Bignall, PhDWilliam Cotton, MDWilliam J. Barson, MDWilliam Ray, PhDWilliam W. Long, MD

Oh, this foreign thirst! How to deal with it? How do you want the series not to end, like the books)).How much time still. In anticipation of the next season, let’s figure it out together, why did the 4th cause a whole range of all kinds of diametrically dissimilar emotions? What did the writers think so and is the adaptation so good compared to what we read and what we wanted to see? Well, let’s continue …

In the series, Bree leaves a letter to Roger and leaves in search of his parents, without saying anything to Roger about his decision, which could lead to a point of no return.

In the book, Briand also did not say anything, and instead of a letter with explanations, she sent Roger five huge boxes and a note:

“You once told me that your father claimed: everyone needs at least some story – he read. – This is my version. Does it match yours? ”

There were no greetings or goodbyes in the note; just a single letter “B” instead of a signature, drawn in a bold, bold manner …

The boxes contained everything that Brianna held dear: photographs, dolls, dresses, everyday things, a silver dinner service, art treasures, several rings, brooches and earrings, and etc.

“History. Holy Jesus, why does she call it history? Suddenly, through surprise and bewilderment, a disturbing thought burst through, stabbing him right in the heart.
“No, you can’t,” he said loudly. – Oh God, Bree, tell me you didn’t!
He threw the box of jewelry on the bed and rushed headlong down the stairs to the phone. ”

Roger called Dr. Abernathy. The doctor said that Bree flew from Boston to Edinburgh and then planned to take the train to Inverness. After a short conversation, they both figured out where to find Bree.

“Oh my God, damn it,” said Dr. Abernathy. “She did it.”

In the series, Roger called the apartment where Brianna lived, her friend answered the phone.

Arriving in Lallibroch

There is no walking path, sprained ankles and no accommodation in the book of Learry. ( unfortunately, the real life of the actors, makes its own adjustments to the script, so we have what we have ) Bree rode a horse. A large white house is visible on the horizon.

On the road she met a horseman. It turned out to be Jamie Fraser Murray, Jamie Jr.
( we remember him from season 3, when Claire and Jamie came to Lallybroch from Edinburgh, after a fire broke out in the printing shop )

“When Brianna decided to go in search of her father, she did not think at all that at the same time he will find a whole new family for himself. Big family. When Brianna entered the hallway with shabby wooden walls, the inner door swung open and ran out to meet her … …. ” weeks.Since Bree was tall, red-haired and very similar to her grandmother Helen, it was simply impossible not to recognize her daughter Jamie.

“As she climbed the steps behind Jenny, the light from the window in front of the portrait revealed more and more an amazing canvas in front of her.
Brianna gasped and felt the hair stirring on the back of her head.
– Wonderful. , right? ”Jenny looked from the portrait to Brianna, then back, and pride and awe flashed in her eyes at once.
“Great,” Brianna agreed, swallowing the lump in her throat.
“Now you see why we recognized you right away,” her aunt continued, gently running her hand over the carved sparkling frame.
– Yes. Yes, now I understand.
– This is my mom, guess? Your grandmother, Helen Mackenzie.
“Yes,” Brianna gasped. – Yes I know.
Brianna felt as if she herself was spinning in the air with them, and nothing more tied her to reality.
Two hundred years after that day, she stood … will she stand?, No, it is impossible to understand … She stood in front of this very canvas, in the National Portrait Gallery . .. and did not want to believe her eyes, vehemently denying the truth presented to her by this picture.

And now Helen Mackenzie looked at her the same way as then … majestic, with a long neck and slanting eyes, in which lurked amusement … but the laughter hidden in her eyes did not touch the woman’s lips.
No, Brianna was not an exact copy of her grandmother; Helen’s forehead was slightly higher and narrower than her granddaughter’s, and her chin was rounded, not pointed, and in general the face looked softer, there was no such impudence, sharpness in the features …

But nevertheless, the similarity was obvious, and so strong that it was simply amazing, and wide cheekbones and thick eyelashes and red hair were exactly the same on both.And there was also a pearl necklace hanging around Helen’s neck, and its gold frame glowed softly … … “

It was her grandmother who gave her the gift of drawing.
Jenny gave Brianna letters that Jamie had written to them to read. Ian Sr. showed Bree the whole household and the territory of Lallibroch. (why we didn’t see it – it’s not clear) And also brought to the cave in which Jamie lived for seven years. Fraser loved these places so much and what he found here.
No, it was not loneliness, it was solitude. Not suffering, but resilience. Discovery of harsh beauty, a sense of kinship with stones and the sky. And there was also a peace that took away bodily inconveniences, a peace that healed the soul, not wounded it. Probably, Jamie perceived this cave not as a confinement cell, but as a refuge. ”

Brianna experienced a whole range of feelings from what she saw and heard: she saw the living Lallibroch blooming, her father’s big family welcomed her; felt a Scottish Highlander unfamiliar to her – he became alive to her when she read his letters.Then, standing on the dock:

“Brianna never thought of herself as a Scotswoman — and she didn’t know until recently that she was of Scottish blood; and she did not yearn so much, even after the departure of her mother or after the death of her father, as she does now, parting with the people and places with whom she had met only recently.

Judge for yourself how much Bree needed to get to know the entire Fraser-Murray family, and especially her aunt Jenny (we hope you read our reference ).But the fact that Brianna “saw” Frank on the pier was ingeniously invented and filmed. Who else could see off to a life unknown to her, if not the person whom she considered her own father.

As you already understood, in the book Bree did not visit Learry’s house, but they met anyway.
Learry was visiting Jenny at the very moment when Brianna first appeared on the doorstep of Lallibroch. The woman simply flew into a rage upon learning that Jamie already had an adult daughter; she insulted both Jamie and Claire.However, Brianna fought her back with dignity, protecting her parents.

“Brianna abruptly, loudly slapped her hand on the table, making everyone present shudder.
“Damn lies,” she said loudly. She felt the blood rush to her face, but she didn’t give a damn about it. All eyes were staring at her, all mouths were open, but Brianna did not want to notice anyone but Leary Mackenzie. “Bloody lies,” she repeated, and pointed at Leary. “If they should be more careful about someone, it’s about you, killer!”
Leary’s mouth opened much wider than the others, but she didn’t make a sound. ”

Later, Ian said that it was Jenny who came up with the idea to marry Jamie to Leary in order to somehow alleviate the suffering of her brother – looking at the lonely and wild Jamie was unbearable. And for a moment it worked

About what Jenny saw Claire between them during their wedding, Bree also learned from Ian.
In the series, Bree is not aware of this, but Claire herself told Jenny about her vision, it worried her for many years.

Frank and Bree.
Having met numerous relatives, out of an excess of feelings, Bree practically did not think about anyone else.
However, in the series, she constantly thought of her father. He was the one she knew and loved. He was dear.

In the book, Brianna herself, while looking for parents in the archives, finds an article about the fire in Fraser Ridge. Roger didn’t know that Bree had found the same article he had found.

In the series, Bree reads this note in the office of Frank’s dad, who is also secretly trying to figure out what happened to Claire. Only then did Bree not understand what kind of people the article was talking about. And Frank decided not to let his daughter into family secrets.

If you liked it, and you are interested in the details of the last season, we kindly ask HERE
And for today that’s all. There will definitely be a continuation. Until next time.