Conservative treatment including strengthening peroneal muscles is standard for most ankle sprains, but may be insufficient for cartilage or bone injuries.

“it's conservative treatment and most people get better but not everybody and is a sprain what degree of tear to that ligament it could be any degree if you have a sprain that is if you your ankle twists and you have swelling you've torn the ligament the question is is it a complete rupture of the ligament and so we arbitrarily say this is a grade one grade two high ankle they're all tearing of the ligament the degree to which they're torn or which they heal um will dictate The Next Step so no it's very rare to have a severe ankle sprain without any dislocation of a joint that would require surgery except for some syndesmosis injuries up higher those often will require surgery but for the run-of-the-mill twisted my ankle playing basketball the treatment is conservative strengthening strengthen the perennial muscles”